Open this publication in new window or tab >>2023 (English)In: Medical Image Computing and Computer Assisted Intervention – MICCAI 2023: 26th International Conference, Vancouver, BC, Canada, October 8–12, 2023, Proceedings, Part V / [ed] Hayit Greenspan, Anant Madabhushi, Parvin Mousavi, Septimiu Salcudean, James Duncan, Tanveer Syeda-Mahmood, Russell Taylor, Springer, 2023, Vol. 14224, p. 157-167Conference paper, Published paper (Refereed)
Abstract [en]
Multiple-instance learning (MIL) is an attractive approach for digital pathology applications as it reduces the costs related to data collection and labelling. However, it is not clear how sensitive MIL is to clinically realistic domain shifts, i.e., differences in data distribution that could negatively affect performance, and if already existing metrics for detecting domain shifts work well with these algorithms. We trained an attention-based MIL algorithm to classify whether a whole-slide image of a lymph node contains breast tumour metastases. The algorithm was evaluated on data from a hospital in a different country and various subsets of this data that correspond to different levels of domain shift. Our contributions include showing that MIL for digital pathology is affected by clinically realistic differences in data, evaluating which features from a MIL model are most suitable for detecting changes in performance, and proposing an unsupervised metric named Fréchet Domain Distance (FDD) for quantification of domain shifts. Shift measure performance was evaluated through the mean Pearson correlation to change in classification performance, where FDD achieved 0.70 on 10-fold cross-validation models. The baselines included Deep ensemble, Difference of Confidence, and Representation shift which resulted in 0.45, -0.29, and 0.56 mean Pearson correlation, respectively. FDD could be a valuable tool for care providers and vendors who need to verify if a MIL system is likely to perform reliably when implemented at a new site, without requiring any additional annotations from pathologists.
Place, publisher, year, edition, pages
Springer, 2023
Series
Lecture Notes in Computer Science, ISSN 0302-9743, E-ISSN 1611-3349 ; 14224
Keywords
Deep learning, domain shift detection, multiple instance learning, digital pathology
National Category
Medical Image Processing
Identifiers
urn:nbn:se:liu:diva-199190 (URN)10.1007/978-3-031-43904-9_16 (DOI)001109633700016 ()2-s2.0-85174689282 (Scopus ID)9783031439032 (ISBN)9783031439049 (ISBN)
Conference
MICCAI 2023, Vancouver, BC, Canada, October 8–12, 2023
Funder
Vinnova
Note
Funding: Swedish e-Science Research Center; VINNOVA; CENIIT career development program at Linkoping University; Wallenberg AI, WASP - Knut and Alice Wallenberg Foundation
2023-11-152023-11-152024-12-03Bibliographically approved