Evidence map›Paper›PMID 35512532›Full record

ArticleMedical image analysis2022

Attention2majority: Weak multiple instance learning for regenerative kidney grading on whole slide images.

Ziyu Su, Thomas E Tavolara, Gabriel Carreno-Galeano, Sang Jin Lee, Metin N Gurcan, M K K Niazi

Open access · hybridAbstract read
In one paragraph

Article in Medical image analysis, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
4.9field-weighted citation impact, top 3% of its field
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

21 citing papers in PubMed, 51 citations in OpenAlex.

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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 at 2 institutions in 1 country.

Ziyu SuCenter for Biomedical Informatics, Wake Forest School of Medicine, Winston-Salem, NC, USA. Electronic address: zsu@wakehealth.edu.
Thomas E TavolaraCenter for Biomedical Informatics, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Gabriel Carreno-GaleanoWake Forest Institute for Regenerative Medicine, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Sang Jin LeeWake Forest Institute for Regenerative Medicine, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Metin N GurcanCenter for Biomedical Informatics, Wake Forest School of Medicine, Winston-Salem, NC, USA.
M K K NiaziCenter for Biomedical Informatics, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Wake Forest University · USForest Institute · US

Funding

Wake Forest Clinical and Translational Science AwardUL1TR001420 · NCATS · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI ARD, JAMY D, FOLEY, KRISTIE L · 2015 to 2023
$32.3M
Development of quantitative tools to predict patients with difficult intubation to minimize treatment related complicationsR21EB029493 · NIBIB · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI NIAZI, MUHAMMAD KHALID KHAN, SEGAL, SCOTT · 2021 to 2023
$620k
NCATS NIH HHS UL1 TR001420NIBIB NIH HHS R21 EB029493
6 · The paper itself

Abstract

Deep learning consistently demonstrates high performance in classifying and segmenting medical images like CT, PET, and MRI. However, compared to these kinds of images, whole slide images (WSIs) of stained tissue sections are huge and thus much less efficient to process, especially for deep learning algorithms. To overcome these challenges, we present attention2majority, a weak multiple instance learning model to automatically and efficiently process WSIs for classification. Our method initially assigns exhaustively sampled label-free patches with the label of the respective WSIs and trains a convolutional neural network to perform patch-wise classification. Then, an intelligent sampling method is performed in which patches with high confidence are collected to form weak representations of WSIs. Lastly, we apply a multi-head attention-based multiple instance learning model to do slide-level classification based on high-confidence patches (intelligently sampled patches). Attention2majority was trained and tested on classifying the quality of 127 WSIs (of regenerated kidney sections) into three categories. On average, attention2majority resulted in 97.4%±2.4 AUC for the four-fold cross-validation. We demonstrate that the intelligent sampling module within attention2majority is superior to the current state-of-the-art random sampling method. Furthermore, we show that the replacement of random sampling with intelligent sampling in attention2majority results in its performance boost (from 94.9%±3.1 to 97.4%±2.4 average AUC for the four-fold cross-validation). We also tested a variation of attention2majority on the famous Camelyon16 dataset, which resulted in 89.1%±0.8 AUC

Indexed as

AlgorithmsNeural Networks, ComputerHumansKidneyDeep learningDigital pathologyMultiple instance learningRegenerative medicine

Identifiers

PMID35512532
PMCPMC10382794
OpenAlexW4223893058

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.