Evidence map›Paper›PMID 34531005›Full record

ArticleArtificial intelligence in medicine2021

Resolution-based distillation for efficient histology image classification.

Joseph DiPalma, Arief A Suriawinata, Laura J Tafe, Lorenzo Torresani, Saeed Hassanpour

Abstract read
In one paragraph

Article in Artificial intelligence in medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–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

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  15. Improving Representation Learning for Histopathologic Images with Cluster Constraints.Proceedings. IEEE International Conference on Computer Vision · 2023
    Article
  16. Review
  17. Self-supervised learning in medicine and healthcare.Nature biomedical engineering · 2022
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  18. Article
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

5 authors.

Joseph DiPalmaDepartment of Computer Science, Dartmouth College, Hanover, NH 03755, USA.
Arief A SuriawinataDepartment of Pathology and Laboratory Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, NH 03756, USA.
Laura J TafeDepartment of Pathology and Laboratory Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, NH 03756, USA.
Lorenzo TorresaniDepartment of Computer Science, Dartmouth College, Hanover, NH 03755, USA.
Saeed HassanpourDepartment of Computer Science, Dartmouth College, Hanover, NH 03755, USA; Department of Biomedical Data Science, Geisel School of Medicine at Dartmouth, Hanover, NH 03755, USA; Department of Epidemiology, Geisel School of Medicine at Dartmouth, Hanover, NH 03755, USA. Electronic address: Saeed.Hassanpour@dartmouth.edu.

Funding

Clinicopathologic and Genetic Profiling through Machine Learning and Natural Language Processing for Precision Lung Cancer ManagementR01CA249758 · NCI · DARTMOUTH COLLEGE · PI HASSANPOUR, SAEED · 2019 to 2022
$1.5M
Improving Colorectal Cancer Screening and Risk Assessment through Deep Learning on Medical Images and RecordsR01LM012837 · NLM · DARTMOUTH COLLEGE · PI HASSANPOUR, SAEED · 2019 to 2022
$1.4M
NCI NIH HHS R01 CA249758NLM NIH HHS R01 LM012837
6 · The paper itself

Abstract

Developing deep learning models to analyze histology images has been computationally challenging, as the massive size of the images causes excessive strain on all parts of the computing pipeline. This paper proposes a novel deep learning-based methodology for improving the computational efficiency of histology image classification. The proposed approach is robust when used with images that have reduced input resolution, and it can be trained effectively with limited labeled data. Moreover, our approach operates at either the tissue- or slide-level, removing the need for laborious patch-level labeling. Our method uses knowledge distillation to transfer knowledge from a teacher model pre-trained at high resolution to a student model trained on the same images at a considerably lower resolution. Also, to address the lack of large-scale labeled histology image datasets, we perform the knowledge distillation in a self-supervised fashion. We evaluate our approach on three distinct histology image datasets associated with celiac disease, lung adenocarcinoma, and renal cell carcinoma. Our results on these datasets demonstrate that a combination of knowledge distillation and self-supervision allows the student model to approach and, in some cases, surpass the teacher model's classification accuracy while being much more computationally efficient. Additionally, we observe an increase in student classification performance as the size of the unlabeled dataset increases, indicating that there is potential for this method to scale further with additional unlabeled data. Our model outperforms the high-resolution teacher model for celiac disease in accuracy, F1-score, precision, and recall while requiring 4 times fewer computations. For lung adenocarcinoma, our results at 1.25× magnification are within 1.5% of the results for the teacher model at 10× magnification, with a reduction in computational cost by a factor of 64. Our model on renal cell carcinoma at 1.25× magnification performs within 1% of the teacher model at 5× magnification while requiring 16 times fewer computations. Furthermore, our celiac disease outcomes benefit from additional performance scaling with the use of more unlabeled data. In the case of 0.625× magnification, using unlabeled data improves accuracy by 4% over the tissue-level baseline. Therefore, our approach can improve the feasibility of deep learning solutions for digital pathology on standard computational hardware and infrastructures.

Indexed as

Deep LearningAdenocarcinoma of LungCarcinoma, Renal CellCeliac DiseaseHistologyHumansKidney NeoplasmsLung NeoplasmsMachine LearningDeep neural networksDigital pathologyKnowledge distillationSelf-supervised learning

Identifiers

PMID34531005
PMCPMC8449014

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

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.