Cell-Type Prototype-Informed Neural Network for Gene Expression Estimation from Pathology Images

Estimating slide- and patch-level gene expression profiles from pathology images enables rapid and low-cost molecular analysis with broad clinical impact. Despite strong results, existing approaches treat gene expression as a mere slide- or spot-level signal and do not incorporate the fact that the measured expression arises from the aggregation of underlying cell-level expression. To explicitly introduce this missing cell-resolved guidance, we propose a Cell-type Prototype-informed Neural Network (CPNN) that leverages publicly available single-cell RNA-sequencing datasets. Since single-cell measurements are noisy and not paired with histology images, we first estimate cell-type prototypes-mean expression profiles that reflect stable gene-gene co-variation patterns.CPNN then learns cell-type compositional weights directly from images and models the relationship between prototypes and observed bulk or spatial expression, providing a biologically grounded and structurally regularized prediction framework. We evaluate CPNN on three slide-level datasets and three patch-level spatial transcriptomics datasets. Across all settings, CPNN achieves the highest performance in terms of Spearman correlation. Moreover, by visualizing the inferred compositional weights, our framework provides interpretable insights into which cell types drive the predicted expression. Code is publicly available at https://github.com/naivete5656/CPNN.

VesselFusion: Diffusion Models for Vessel Centerline Extraction from 3D CT Images

Vessel centerline extraction from 3D CT images is an important task because it reduces annotation effort to build a model that estimates a vessel structure. It is challenging to estimate natural vessel structures since conventional approaches are deterministic models, which cannot capture a complex human structure. In this study, we propose VesselFusion, which is a diffusion model to extract the vessel centerline from 3D CT image. The proposed method uses a coarse-to-fine representation of the centerline and a voting-based aggregation for a natural and stable extraction. VesselFusion was evaluated on a publicly available CT image dataset and achieved higher extraction accuracy and a more natural result than conventional approaches.

Leveraging Label Proportion Prior for Class-Imbalanced Semi-Supervised Learning

Semi-supervised learning (SSL) often suffers under class imbalance, where pseudo-labeling amplifies majority bias and suppresses minority performance. We address this issue with a lightweight framework that, to our knowledge, is the first to introduce Proportion Loss from learning from label proportions (LLP) into SSL as a regularization term. Proportion Loss aligns model predictions with the global class distribution, mitigating bias across both majority and minority classes. To further stabilize training, we formulate a stochastic variant that accounts for fluctuations in mini-batch composition. Experiments on the Long-tailed CIFAR-10 benchmark show that integrating Proportion Loss into FixMatch and ReMixMatch consistently improves performance over the baselines across imbalance severities and label ratios, and achieves competitive or superior results compared to existing CISSL methods, particularly under scarce-label conditions.

Hypernetwork-Based Adaptive Aggregation for Multimodal Multiple-Instance Learning in Predicting Coronary Calcium Debulking

In this paper, we present the first attempt to estimate the necessity of debulking coronary artery calcifications from computed tomography (CT) images. We formulate this task as a Multiple-instance Learning (MIL) problem. The difficulty of this task lies in that physicians adjust their focus and decision criteria for device usage according to tabular data representing each patient's condition. To address this issue, we propose a hypernetwork-based adaptive aggregation transformer (HyperAdAgFormer), which adaptively modifies the feature aggregation strategy for each patient based on tabular data through a hypernetwork. The experiments using the clinical dataset demonstrated the effectiveness of HyperAdAgFormer. The code is publicly available at https://github.com/Shiku-Kaito/HyperAdAgFormer.

Domain Adaptation for Ulcerative Colitis Severity Estimation Using Patient-Level Diagnoses

The development of methods to estimate the severity of Ulcerative Colitis (UC) is of significant importance. However, these methods often suffer from domain shifts caused by differences in imaging devices and clinical settings across hospitals. Although several domain adaptation methods have been proposed to address domain shift, they still struggle with the lack of supervision in the target domain or the high cost of annotation. To overcome these challenges, we propose a novel Weakly Supervised Domain Adaptation method that leverages patient-level diagnostic results, which are routinely recorded in UC diagnosis, as weak supervision in the target domain. The proposed method aligns class-wise distributions across domains using Shared Aggregation Tokens and a Max-Severity Triplet Loss, which leverages the characteristic that patient-level diagnoses are determined by the most severe region within each patient. Experimental results demonstrate that our method outperforms comparative DA approaches, improving UC severity estimation in a domain-shifted setting.

Learning from Majority Label: A Novel Problem in Multi-class Multiple-Instance Learning

The paper proposes a novel multi-class Multiple-Instance Learning (MIL) problem called Learning from Majority Label (LML). In LML, the majority class of instances in a bag is assigned as the bag-level label. The goal of LML is to train a classification model that estimates the class of each instance using the majority label. This problem is valuable in a variety of applications, including pathology image segmentation, political voting prediction, customer sentiment analysis, and environmental monitoring. To solve LML, we propose a Counting Network trained to produce bag-level majority labels, estimated by counting the number of instances in each class. Furthermore, analysis experiments on the characteristics of LML revealed that bags with a high proportion of the majority class facilitate learning. Based on this result, we developed a Majority Proportion Enhancement Module (MPEM) that increases the proportion of the majority class by removing minority class instances within the bags. Experiments demonstrate the superiority of the proposed method on four datasets compared to conventional MIL methods. Moreover, ablation studies confirmed the effectiveness of each module. The code is available at \href{https://github.com/Shiku-Kaito/Learning-from-Majority-Label-A-Novel-Problem-in-Multi-class-Multiple-Instance-Learning}{here}.

Domain Generalization of Pathological Image Segmentation by Patch-Level and WSI-Level Contrastive Learning

In this paper, we address domain shifts in pathological images by focusing on shifts within whole slide images~(WSIs), such as patient characteristics and tissue thickness, rather than shifts between hospitals. Traditional approaches rely on multi-hospital data, but data collection challenges often make this impractical. Therefore, the proposed domain generalization method captures and leverages intra-hospital domain shifts by clustering WSI-level features from non-tumor regions and treating these clusters as domains. To mitigate domain shift, we apply contrastive learning to reduce feature gaps between WSI pairs from different clusters. The proposed method introduces a two-stage contrastive learning approach WSI-level and patch-level contrastive learning to minimize these gaps effectively.

Enhancing Reliability of Medical Image Diagnosis through Top-rank Learning with Rejection Module

In medical image processing, accurate diagnosis is of paramount importance. Leveraging machine learning techniques, particularly top-rank learning, shows significant promise by focusing on the most crucial instances. However, challenges arise from noisy labels and class-ambiguous instances, which can severely hinder the top-rank objective, as they may be erroneously placed among the top-ranked instances. To address these, we propose a novel approach that enhances toprank learning by integrating a rejection module. Cooptimized with the top-rank loss, this module identifies and mitigates the impact of outliers that hinder training effectiveness. The rejection module functions as an additional branch, assessing instances based on a rejection function that measures their deviation from the norm. Through experimental validation on a medical dataset, our methodology demonstrates its efficacy in detecting and mitigating outliers, improving the reliability and accuracy of medical image diagnoses.

Adaptive Pseudo Label Selection for Individual Unlabeled Data by Positive and Unlabeled Learning

This paper proposes a novel pseudo-labeling method for medical image segmentation that can perform learning on ``individual images'' to select effective pseudo-labels. We introduce Positive and Unlabeled Learning (PU learning), which uses only positive and unlabeled data for binary classification problems, to obtain the appropriate metric for discriminating foreground and background regions on each unlabeled image. Our PU learning makes us easy to select pseudo-labels for various background regions. The experimental results show the effectiveness of our method.

Towards Spatial Transcriptomics-guided Pathological Image Recognition with Batch-Agnostic Encoder

Spatial transcriptomics (ST) is a novel technique that simultaneously captures pathological images and gene expression profiling with spatial coordinates. Since ST is closely related to pathological features such as disease subtypes, it may be valuable to augment image representation with pathological information. However, there are no attempts to leverage ST for image recognition ({\it i.e,} patch-level classification of subtypes of pathological image.). One of the big challenges is significant batch effects in spatial transcriptomics that make it difficult to extract pathological features of images from ST. In this paper, we propose a batch-agnostic contrastive learning framework that can extract consistent signals from gene expression of ST in multiple patients. To extract consistent signals from ST, we utilize the batch-agnostic gene encoder that is trained in a variational inference manner. Experiments demonstrated the effectiveness of our framework on a publicly available dataset. Code is publicly available at https://github.com/naivete5656/TPIRBAE