Cascaded Cross-Attention Networks for Data-Efficient Whole-Slide Image Classification Using Transformers

Research output: Contribution to book/conference proceedings/anthology/reportConference contributionContributedpeer-review

Contributors

  • Firas Khader - , RWTH Aachen University (Author)
  • Jakob Nikolas Kather - , RWTH Aachen University (Author)
  • Tianyu Han - , Medical Faculty Carl Gustav Carus (Author)
  • Sven Nebelung - , RWTH Aachen University (Author)
  • Christiane Kuhl - , RWTH Aachen University (Author)
  • Johannes Stegmaier - , RWTH Aachen University (Author)
  • Daniel Truhn - , RWTH Aachen University (Author)

Abstract

Whole-Slide Imaging allows for the capturing and digitization of high-resolution images of histological specimen. An automated analysis of such images using deep learning models is therefore of high demand. The transformer architecture has been proposed as a possible candidate for effectively leveraging the high-resolution information. Here, the whole-slide image is partitioned into smaller image patches and feature tokens are extracted from these image patches. However, while the conventional transformer allows for a simultaneous processing of a large set of input tokens, the computational demand scales quadratically with the number of input tokens and thus quadratically with the number of image patches. To address this problem we propose a novel cascaded cross-attention network (CCAN) based on the cross-attention mechanism that scales linearly with the number of extracted patches. Our experiments demonstrate that this architecture is at least on-par with and even outperforms other attention-based state-of-the-art methods on two public datasets: On the use-case of lung cancer (TCGA NSCLC) our model reaches a mean area under the receiver operating characteristic (AUC) of 0.970 ± 0.008 and on renal cancer (TCGA RCC) reaches a mean AUC of 0.985 ± 0.004. Furthermore, we show that our proposed model is efficient in low-data regimes, making it a promising approach for analyzing whole-slide images in resource-limited settings. To foster research in this direction, we make our code publicly available on GitHub: https://github.com/FirasGit/cascaded_cross_attention.

Details

Original languageEnglish
Title of host publicationMachine Learning in Medical Imaging
EditorsXiaohuan Cao, Xi Ouyang, Xuanang Xu, Islem Rekik, Zhiming Cui
PublisherSpringer Science and Business Media B.V.
Pages417-426
Number of pages10
ISBN (electronic)978-3-031-45676-3
ISBN (print)978-3-031-45675-6
Publication statusPublished - 2024
Peer-reviewedYes

Publication series

SeriesLecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics)
Volume14349 LNCS
ISSN0302-9743

Conference

Title14th International Workshop on Machine Learning in Medical Imaging, MLMI 2023
Duration8 October 2023
CityVancouver
CountryCanada

Keywords

Sustainable Development Goals

Keywords

  • Computational Pathology, Transformers, Whole-Slide Images