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Combatting out-of-distribution errors using model-agnostic meta-learning for digital pathology
Sectra AB, Sweden.
Linköping University, Department of Science and Technology, Media and Information Technology. Linköping University, Faculty of Science & Engineering. Sectra AB, Sweden.ORCID iD: 0000-0003-1066-3070
Sectra AB, Sweden.ORCID iD: 0000-0003-1004-3146
2021 (English)In: Proceedings of SPIE Medical Imaging: Digital Pathology / [ed] John E. Tomaszewski; Aaron D. Ward, SPIE - International Society for Optical Engineering, 2021, Vol. 11603, article id 116030SConference paper, Published paper (Refereed)
Abstract [en]

Clinical deployment of systems based on deep neural networks is hampered by sensitivity to domain shift, caused by e.g. new scanners or rare events, factors usually overcome by human supervision. We suggest a correct-then-predict approach, where the user labels a few samples of the new data for each slide, which is used to update the network. This few-shot meta-learning method is based on Model-Agnostic Meta-Learning (MAML), with the goal of training to adapt quickly to new tasks. Here we adapt and apply the method to the histopathological setting by identifying a task as a whole-slide image with its corresponding classification problem. We evaluated the method on three datasets, while purposefully leaving out-of-distribution data out from the training data, such as whole-slide images from other centers, scanners or with different tumor classes. Our results show that MAML outperforms conventionally trained baseline networks on all our datasets in average accuracy per slide. Furthermore, MAML is useful as a robustness mechanism to out-of-distribution data. The model becomes less sensitive to differences between whole-slide images and is viable for clinical implementation when used with the correct-then-predict workflow. This offers a reduced need for data annotation when training networks, and a reduced risk of performance loss when domain shift data occurs after deployment.

Place, publisher, year, edition, pages
SPIE - International Society for Optical Engineering, 2021. Vol. 11603, article id 116030S
Series
Progress in biomedical optics and imaging, ISSN 1605-7422, E-ISSN 2410-9045
Keywords [en]
digital pathology, deep learning, meta learning, domain shift, MAML
National Category
Computer Sciences Medical Imaging Computer graphics and computer vision
Identifiers
URN: urn:nbn:se:liu:diva-174913DOI: 10.1117/12.2579796ISI: 000671008800023Scopus ID: 2-s2.0-85103271794ISBN: 9781510640351 (print)ISBN: 9781510640368 (electronic)OAI: oai:DiVA.org:liu-174913DiVA, id: diva2:1542757
Conference
Medical Imaging 2021: Digital Pathology, 15 February 2021 - 19 February 2021,online only, United States
Note

Copyright 2021 Society of Photo-Optical Instrumentation Engineers. One print or electronic copy may be made for personal use only. Systematic reproduction and distribution, duplication of any material in this paper for a fee or for commercial purposes, or modification of the content of the paper are prohibited. 

Available from: 2021-04-08 Created: 2021-04-08 Last updated: 2025-02-09
In thesis
1. Deep Learning for Digital Pathology in Limited Data Scenarios
Open this publication in new window or tab >>Deep Learning for Digital Pathology in Limited Data Scenarios
2022 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The impressive technical advances seen for machine learning algorithms in combination with the digitalization of medical images in the radiology and pathology departments show great promise in introducing powerful image analysis tools for image diagnostics. In particular, deep learning, a subfield within machine learning, has shown great success, advancing fields such as image classification and detection. However, these types of algorithms are only used to a very small extent in clinical practice. 

One reason is that the unique nature of radiology and pathology images and the clinical setting in which they are acquired poses challenges not seen in other image domains. Differences relate to capturing methods, as well as the image contents. In addition, these datasets are not only unique on a per-image basis but as a collective dataset. Characteristics such as size, class balance, and availability of annotated labels make creating robust and generalizable deep learning methods a challenge. 

This thesis investigates how deep learning models can be trained for applications in this domain, with particular focus on histopathology data. We investigate how domain shift between different scanners causes performance drop, and present ways of mitigating this. We also present a method to detect when domain shift occurs between different datasets. Another hurdle is the shortage of labeled data for medical applications, and this thesis looks at two different approaches to solving this problem. The first approach investigates how labeled data from one organ and cancer type can boost cancer classification in another organ where labeled data is scarce. The second approach looks at a specific type of unsupervised learning method, self-supervised learning, where the model is trained on unlabeled data. For both of these approaches, we present strategies to handle low-data regimes that may greatly increase the availability to build deep learning models for a wider range of applications. 

Furthermore, deep learning technology enables us to go beyond traditional medical domains, and combine the data from both radiology and pathology. This thesis presents a method for improved cancer characterization on contrast-enhanced CT by incorporating corresponding pathology data during training. The method shows the potential of im-proving future healthcare by intergraded diagnostics made possible by machine-learning technology. 

Place, publisher, year, edition, pages
Linköping: Linköping University Electronic Press, 2022. p. 60
Series
Linköping Studies in Science and Technology. Dissertations, ISSN 0345-7524 ; 2253
Keywords
Medical imaging, Digital pathology, Radiology, Machine learning, Deep learning.
National Category
Cancer and Oncology
Identifiers
urn:nbn:se:liu:diva-189009 (URN)10.3384/9789179294748 (DOI)9789179294731 (ISBN)9789179294748 (ISBN)
Public defence
2022-11-14, Kåkenhus, K3, Campus Norrköping, Norrköping, 09:15 (English)
Opponent
Supervisors
Available from: 2022-10-07 Created: 2022-10-07 Last updated: 2023-04-03Bibliographically approved

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Stacke, Karin

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