Hierarchical Text-to-Vision Self Supervised Alignment for Improved Histopathology Representation Learning

Self-supervised representation learning has been highly promising for histopathology image analysis with numerous approaches leveraging their patient-slide-patch hierarchy to learn better representations. In this paper, we explore how the combination of domain specific natural language information with such hierarchical visual representations can benefit rich representation learning for medical image tasks. Building on automated language description generation for features visible in histopathology images, we present a novel language-tied self-supervised learning framework, Hierarchical Language-tied Self-Supervision (HLSS) for histopathology images. We explore contrastive objectives and granular language description based text alignment at multiple hierarchies to inject language modality information into the visual representations. Our resulting model achieves state-of-the-art performance on two medical imaging benchmarks, OpenSRH and TCGA datasets. Our framework also provides better interpretability with our language aligned representation space. Code is available at https://github.com/Hasindri/HLSS.

Contrastive Deep Encoding Enables Uncertainty-aware Machine-learning-assisted Histopathology

Deep neural network models can learn clinically relevant features from millions of histopathology images. However generating high-quality annotations to train such models for each hospital, each cancer type, and each diagnostic task is prohibitively laborious. On the other hand, terabytes of training data -- while lacking reliable annotations -- are readily available in the public domain in some cases. In this work, we explore how these large datasets can be consciously utilized to pre-train deep networks to encode informative representations. We then fine-tune our pre-trained models on a fraction of annotated training data to perform specific downstream tasks. We show that our approach can reach the state-of-the-art (SOTA) for patch-level classification with only 1-10% randomly selected annotations compared to other SOTA approaches. Moreover, we propose an uncertainty-aware loss function, to quantify the model confidence during inference. Quantified uncertainty helps experts select the best instances to label for further training. Our uncertainty-aware labeling reaches the SOTA with significantly fewer annotations compared to random labeling. Last, we demonstrate how our pre-trained encoders can surpass current SOTA for whole-slide image classification with weak supervision. Our work lays the foundation for data and task-agnostic pre-trained deep networks with quantified uncertainty.