Evidence map›Paper›PMID 38428271›Full record

ArticleMedical image analysis2024

Cross-scale multi-instance learning for pathological image diagnosis.

Ruining Deng, Can Cui, Lucas W Remedios, Shunxing Bao, R Michael Womick, Sophie Chiron, Jia Li, Joseph T Roland, Ken S Lau, Qi Liu and 5 more

Abstract read
In one paragraph

Article in Medical image analysis, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing 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

25 citing papers in PubMed.

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  14. Machine-learning models based on histological images from healthy donors identify imageQTLs and predict chronological age.Proceedings of the National Academy of Sciences of the United States of America · 2025
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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

15 authors.

Ruining DengVanderbilt University, Nashville, TN 37215, USA.
Can CuiVanderbilt University, Nashville, TN 37215, USA.
Lucas W RemediosVanderbilt University, Nashville, TN 37215, USA.
Shunxing BaoVanderbilt University, Nashville, TN 37215, USA.
R Michael WomickThe University of North Carolina at Chapel Hill, Chapel Hill, NC 27514, USA.
Sophie ChironVanderbilt University Medical Center, Nashville, TN 37232, USA.
Jia LiVanderbilt University Medical Center, Nashville, TN 37232, USA.
Joseph T RolandVanderbilt University Medical Center, Nashville, TN 37232, USA.
Ken S LauVanderbilt University, Nashville, TN 37215, USA.
Qi LiuVanderbilt University Medical Center, Nashville, TN 37232, USA.
Keith T WilsonVanderbilt University Medical Center, Nashville, TN 37232, USA; Veterans Affairs Tennessee Valley Healthcare System, Nashville, TN 37212, USA.
Yaohong WangVanderbilt University Medical Center, Nashville, TN 37232, USA.
Lori A CoburnVanderbilt University Medical Center, Nashville, TN 37232, USA; Veterans Affairs Tennessee Valley Healthcare System, Nashville, TN 37212, USA.
Bennett A LandmanVanderbilt University, Nashville, TN 37215, USA; Vanderbilt University Medical Center, Nashville, TN 37232, USA.
Yuankai HuoVanderbilt University, Nashville, TN 37215, USA. Electronic address: yuankai.huo@vanderbilt.edu.

Funding

Translational Analysis CoreP30DK058404 · NIDDK · VANDERBILT UNIVERSITY MEDICAL CENTER · PI RICHARD M. PEEK · 2002 to 2026
$29.9M
Tuft cell heterogeneity in function, lineage, and structure in ileal inflammatory diseaseR01DK103831 · NIDDK · VANDERBILT UNIVERSITY · PI LAU, KEN S · 2016 to 2024
$4.4M
Integrated Training in Engineering and DiabetesT32DK101003 · NIDDK · VANDERBILT UNIVERSITY · PI Jamey D. Young · 2014 to 2026
$3.9M
Spermidine as a New Therapy for Colitis and Chemopreventive for Colitis-associated CarcinogenesisR01DK128200 · NIDDK · VANDERBILT UNIVERSITY MEDICAL CENTER · PI WILSON, KEITH T. · 2021 to 2024
$2.7M
AI-empowered 3D Computer Vision and Image-Omics Integration for Digital Kidney HistopathologyR01DK135597 · NIDDK · VANDERBILT UNIVERSITY · PI Yuankai Huo · 2023 to 2026
$2.1M
BCCMA: Targeting Gut-Microbiome in Veterans Deployment Related Gastrointestinal and Liver Diseases: Dysbiosis, PTSD, and Epithelial and Immune Biology in Inflammatory Bowel Disease in VeteransI01CX002473 · VA · VETERANS HEALTH ADMINISTRATION · PI Keith T. Wilson · 2023 to 2026
–
Dysregulated Polyamine Metabolism in H. pylori-associated Gastric Inflammation and Disease ProgressionI01CX002171 · VA · VETERANS HEALTH ADMINISTRATION · PI Keith T. Wilson · 2020 to 2026
–
CCL11 as a New Therapeutic Target for Colitis and Colon CancerI01BX004366 · VA · VETERANS HEALTH ADMINISTRATION · PI COBURN, LORI A · 2019 to 2022
–
BLRD VA I01 BX004366CSRD VA I01 CX002171CSRD VA I01 CX002473NIDDK NIH HHS P30 DK058404NIDDK NIH HHS R01 DK103831NIDDK NIH HHS R01 DK128200NIDDK NIH HHS R01 DK135597NIDDK NIH HHS T32 DK101003
6 · The paper itself

Abstract

Analyzing high resolution whole slide images (WSIs) with regard to information across multiple scales poses a significant challenge in digital pathology. Multi-instance learning (MIL) is a common solution for working with high resolution images by classifying bags of objects (i.e. sets of smaller image patches). However, such processing is typically performed at a single scale (e.g., 20× magnification) of WSIs, disregarding the vital inter-scale information that is key to diagnoses by human pathologists. In this study, we propose a novel cross-scale MIL algorithm to explicitly aggregate inter-scale relationships into a single MIL network for pathological image diagnosis. The contribution of this paper is three-fold: (1) A novel cross-scale MIL (CS-MIL) algorithm that integrates the multi-scale information and the inter-scale relationships is proposed; (2) A toy dataset with scale-specific morphological features is created and released to examine and visualize differential cross-scale attention; (3) Superior performance on both in-house and public datasets is demonstrated by our simple cross-scale MIL strategy. The official implementation is publicly available at https://github.com/hrlblab/CS-MIL.

Indexed as

AlgorithmsDiagnostic ImagingHumansAttention mechanismMulti-instance learningMulti-scalePathology

Identifiers

PMID38428271
PMCPMC11016375

What OpenQuestion holds

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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.