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DT-MIL: Deformable Transformer for Multi-instance Learning on Histopathological Image

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Medical Image Computing and Computer Assisted Intervention – MICCAI 2021 (MICCAI 2021)

Abstract

Learning informative representations is crucial for classification and prediction tasks on histopathological images. Due to the huge image size, whole-slide histopathological image analysis is normally addressed with multi-instance learning (MIL) scheme. However, the weakly supervised nature of MIL leads to the challenge of learning an effective whole-slide-level representation. To tackle this issue, we present a novel embedded-space MIL model based on deformable transformer (DT) architecture and convolutional layers, which is termed DT-MIL. The DT architecture enables our MIL model to update each instance feature by globally aggregating instance features in a bag simultaneously and encoding the position context information of instances during bag representation learning. Compared with other state-of-the-art MIL models, our model has the following advantages: (1) generating the bag representation in a fully trainable way, (2) representing the bag with a high-level and nonlinear combination of all instances instead of fixed pooling-based methods (e.g. max pooling and average pooling) or simply attention-based linear aggregation, and (3) encoding the position relationship and context information during bag embedding phase. Besides our proposed DT-MIL, we also develop other possible transformer-based MILs for comparison. Extensive experiments show that our DT-MIL outperforms the state-of-the-art methods and other transformer-based MIL architectures in histopathological image classification and prediction tasks. An open-source implementation of our approach can be found at https://github.com/yfzon/DT-MIL.

H. Li, F. Yang and Y. Zhao—Contributed equally to this work.

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Acknowledgements

This work was partially funded by National Key R&D Program of China (2018YFC2000702).

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Correspondence to Liansheng Wang .

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Li, H. et al. (2021). DT-MIL: Deformable Transformer for Multi-instance Learning on Histopathological Image. In: de Bruijne, M., et al. Medical Image Computing and Computer Assisted Intervention – MICCAI 2021. MICCAI 2021. Lecture Notes in Computer Science(), vol 12908. Springer, Cham. https://doi.org/10.1007/978-3-030-87237-3_20

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  • DOI: https://doi.org/10.1007/978-3-030-87237-3_20

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