Evidence map›Paper›PMID 33649564›Full record

ArticleNature biomedical engineering2021

Data-efficient and weakly supervised computational pathology on whole-slide images.

Ming Y Lu, Drew F K Williamson, Tiffany Y Chen, Richard J Chen, Matteo Barbieri, Faisal Mahmood

Abstract read
In one paragraph

Article in Nature biomedical engineering, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 750 papers.

0numbers the graph read from it
0cells of the map it votes in
750citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

750 citing papers in PubMed.

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  6. DeepLNM: A Multimodal Model for Predicting Lymph Node Metastasis in Colorectal Cancer.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
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690 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Ming Y LuDepartment of Pathology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0003-0009-9699
Drew F K Williamson *Department of Pathology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0003-1745-8846
Tiffany Y Chen *Department of Pathology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0003-2546-2941
Richard J ChenDepartment of Pathology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0003-0389-1331
Matteo BarbieriDepartment of Pathology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Faisal MahmoodDepartment of Pathology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA. faisalmahmood@bwh.harvard.edu.ORCID http://orcid.org/0000-0001-7587-1562

Funding

Training Program in Bioinformatics and Integrative GenomicsT32HG002295 · NHGRI · MASSACHUSETTS INSTITUTE OF TECHNOLOGY · PI Peter J Park · 2001 to 2026
$15.8M
Multimodal and Generative AI for PathologyR35GM138216 · NIGMS · BROAD INSTITUTE, INC. · PI Faisal Mahmood · 2020 to 2026
$3.4M
NHGRI NIH HHS T32 HG002295NIGMS NIH HHS R35 GM138216
6 · The paper itself

Abstract

Deep-learning methods for computational pathology require either manual annotation of gigapixel whole-slide images (WSIs) or large datasets of WSIs with slide-level labels and typically suffer from poor domain adaptation and interpretability. Here we report an interpretable weakly supervised deep-learning method for data-efficient WSI processing and learning that only requires slide-level labels. The method, which we named clustering-constrained-attention multiple-instance learning (CLAM), uses attention-based learning to identify subregions of high diagnostic value to accurately classify whole slides and instance-level clustering over the identified representative regions to constrain and refine the feature space. By applying CLAM to the subtyping of renal cell carcinoma and non-small-cell lung cancer as well as the detection of lymph node metastasis, we show that it can be used to localize well-known morphological features on WSIs without the need for spatial labels, that it overperforms standard weakly supervised classification algorithms and that it is adaptable to independent test cohorts, smartphone microscopy and varying tissue content.

Indexed as

Deep LearningArea Under CurveCarcinoma, Non-Small-Cell LungCarcinoma, Renal CellHistocytochemistryHumansImage Interpretation, Computer-AssistedKidney NeoplasmsLung NeoplasmsLymphatic MetastasisMicroscopySmartphone

Identifiers

PMID33649564
PMCPMC8711640

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.