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Multimodal Whole Slide Foundation Model for Pathology

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arxiv 2411.19666 v1 pith:G7TVLOQA submitted 2024-11-29 eess.IV cs.AIcs.CVcs.LGstat.AP

Multimodal Whole Slide Foundation Model for Pathology

classification eess.IV cs.AIcs.CVcs.LGstat.AP
keywords clinicalpathologyslidefoundationtitanlearningmultimodalrare
verification ladder T0 review T1 audit T2 compute T3 formal T4 reserved
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The field of computational pathology has been transformed with recent advances in foundation models that encode histopathology region-of-interests (ROIs) into versatile and transferable feature representations via self-supervised learning (SSL). However, translating these advancements to address complex clinical challenges at the patient and slide level remains constrained by limited clinical data in disease-specific cohorts, especially for rare clinical conditions. We propose TITAN, a multimodal whole slide foundation model pretrained using 335,645 WSIs via visual self-supervised learning and vision-language alignment with corresponding pathology reports and 423,122 synthetic captions generated from a multimodal generative AI copilot for pathology. Without any finetuning or requiring clinical labels, TITAN can extract general-purpose slide representations and generate pathology reports that generalize to resource-limited clinical scenarios such as rare disease retrieval and cancer prognosis. We evaluate TITAN on diverse clinical tasks and find that TITAN outperforms both ROI and slide foundation models across machine learning settings such as linear probing, few-shot and zero-shot classification, rare cancer retrieval and cross-modal retrieval, and pathology report generation.

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Cited by 10 Pith papers

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    Patient-level pretraining with a case transformer and multi-task public supervision yields transferable WSI embeddings that beat larger slide-centric models on held-out pathology tasks.

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