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Multiple Instance Learning (MIL) has garnered widespread attention in the field of Whole Slide Image (WSI) classification as it replaces pixel-level manual annotation with diagnostic reports as labels, significantly reducing labor costs. Recent research has shown that bag-level MIL methods often yield better results because they can consider all patches of the WSI as a whole. However, a drawback of such methods is the incorporation of more redundant patches, leading to interference. To extract patches with high diagnostic value while excluding interfering patches to address this issue, we developed an attention-based feature distillation multi-instance learning (AFD-MIL) approach. This approach proposed the exclusion of redundant patches as a preprocessing operation in weakly supervised learning, directly mitigating interference from extensive noise. It also pioneers the use of attention mechanisms to distill features with high diagnostic value, as opposed to the traditional practice of indiscriminately and forcibly integrating all patches. Additionally, we introduced global loss optimization to finely control the feature distillation module. AFD-MIL is orthogonal to many existing MIL methods, leading to consistent performance improvements. This approach has surpassed the current state-of-the-art method, achieving 91.47% ACC (accuracy) and 94.29% AUC (area under the curve) on the Camelyon16 (Camelyon Challenge 2016, breast cancer), while 93.33% ACC and 98.17% AUC on the TCGA-NSCLC (The Cancer Genome Atlas Program: non-small cell lung cancer). Different feature distillation methods were used for the two datasets, tailored to the specific diseases, thereby improving performance and interpretability.

Due to the lack of fine-grained annotation guidance, current Multiple Instance Learning (MIL) struggles to establish a robust causal relationship between Whole Slide Image (WSI) diagnosis and evidence sub-images, just like fully supervised learning. So many noisy images can undermine the network's prediction. The proposed Causal Inference Multiple Instance Learning (CI-MIL), uses out-of-distribution generalization to reduce the recognition confusion of sub-images by MIL network, without requiring pixelwise annotations. Specifically, feature distillation is introduced to roughly identify the feature representation of lesion patches. Then, in the random Fourier feature space, these features are re-weighted to minimize the cross-correlation, effectively correcting the feature distribution deviation. These processes reduce the uncertainty when tracing the prediction results back to patches. Predicted diagnoses are more direct and reliable because the causal relationship between them and diagnostic evidence images is more clearly recognized by the network. Experimental results demonstrate that CI-MIL outperforms state-of-the-art methods, achieving 92.25% accuracy and 95.28% AUC on the Camelyon16 dataset (breast cancer), while 94.29% accuracy and 98.07% AUC on the TCGA-NSCLC dataset (non-small cell lung cancer). Additionally, CI-MIL exhibits superior interpretability, as its selected regions demonstrate high consistency with ground truth annotations, promising more reliable diagnostic assistance for pathologists.

In pathology, the rarity of certain diseases and the complexity in annotating pathological images significantly hinder the creation of extensive, high-quality datasets. This limitation impedes the progress of deep learning-assisted diagnostic systems in pathology. Consequently, it becomes imperative to devise a technology that can discern new disease categories from a minimal number of annotated examples. Such a technology would substantially advance deep learning models for rare diseases. Addressing this need, we introduce the Dual-channel Prototype Network (DCPN), rooted in the few-shot learning paradigm, to tackle the challenge of classifying pathological images with limited samples. DCPN augments the Pyramid Vision Transformer (PVT) framework for few-shot classification via self-supervised learning and integrates it with convolutional neural networks. This combination forms a dual-channel architecture that extracts multi-scale, highly precise pathological features. The approach enhances the versatility of prototype representations and elevates the efficacy of prototype networks in few-shot pathological image classification tasks. We evaluated DCPN using three publicly available pathological datasets, configuring small-sample classification tasks that mirror varying degrees of clinical scenario domain shifts. Our experimental findings robustly affirm DCPN's superiority in few-shot pathological image classification, particularly in tasks within the same domain, where it achieves the benchmarks of supervised learning.

This study verified the effectiveness of Donald Trump's Twitter campaign in guiding agen-da-setting and deflecting political risk and examined Trump's Twitter communication strategy and explores the communication effects of his tweet content during Covid-19 pandemic. We collected all tweets posted by Trump on the Twitter platform from January 1, 2020 to December 31, 2020.We used Ordinary Least Squares (OLS) regression analysis with a fixed effects model to analyze the existence of the Twitter strategy. The correlation between the number of con-firmed daily Covid-19 diagnoses and the number of particular thematic tweets was investigated using time series analysis. Empirical analysis revealed Twitter's strategy is used to divert public attention from negative Covid-19 reports during the epidemic, and it posts a powerful political communication effect on Twitter. However, findings suggest that Trump did not use false claims to divert political risk and shape public opinion., Comment: 14 pages, 6 tables

There is a growing literature on sums of reciprocals of polynomial functions of recurrence relations with constant coefficients and fixed depth, such as Fibonacci and Tribonacci numbers, products of such numbers, and balancing numbers (numbers $n$ such that the sum of the integers less than $n$ equals the sum of the $r$ integers immediately after, for some $r$ which is called the balancer of $n$; If $n$ is included in the summation, we have the cobalancing numbers, and $r$ is called the cobalancer of $n$). We generalize previous work to reciprocal sums of depth two recurrence sequences with arbitrary coefficients and the Tribonacci numbers, and show our method provides an alternative proof of some existing results. We define $(a,b)$ balancing and cobalancing numbers, where $a$ and $b$ are constants that multiply the left-hand side and right-hand side respectively, and derive recurrence relations describing these sequences. We show that for balancing numbers, the coefficients $(3,1)$ is unique such that every integer is a $(3,1)$ balancing number, and proved there does not exist an analogous set of coefficients for cobalancing numbers. We also found patterns for certain coefficients that have no balancing or cobalancing numbers., Comment: 31 pages, 2 figures, 3 tables

Based on digital pathology slice scanning technology, artificial intelligence algorithms represented by deep learning have achieved remarkable results in the field of computational pathology. Compared to other medical images, pathology images are more difficult to annotate, and thus, there is an extreme lack of available datasets for conducting supervised learning to train robust deep learning models. In this paper, we propose a self-supervised learning (SSL) model, the global contrast-masked autoencoder (GCMAE), which can train the encoder to have the ability to represent local-global features of pathological images, also significantly improve the performance of transfer learning across data sets. In this study, the ability of the GCMAE to learn migratable representations was demonstrated through extensive experiments using a total of three different disease-specific hematoxylin and eosin (HE)-stained pathology datasets: Camelyon16, NCTCRC and BreakHis. In addition, this study designed an effective automated pathology diagnosis process based on the GCMAE for clinical applications. The source code of this paper is publicly available at https://github.com/StarUniversus/gcmae.

The deep neural network is a research hotspot for histopathological image analysis, which can improve the efficiency and accuracy of diagnosis for pathologists or be used for disease screening. The whole slide pathological image can reach one gigapixel and contains abundant tissue feature information, which needs to be divided into a lot of patches in the training and inference stages. This will lead to a long convergence time and large memory consumption. Furthermore, well-annotated data sets are also in short supply in the field of digital pathology. Inspired by the pathologist's clinical diagnosis process, we propose a weakly supervised deep reinforcement learning framework, which can greatly reduce the time required for network inference. We use neural network to construct the search model and decision model of reinforcement learning agent respectively. The search model predicts the next action through the image features of different magnifications in the current field of view, and the decision model is used to return the predicted probability of the current field of view image. In addition, an expert-guided model is constructed by multi-instance learning, which not only provides rewards for search model, but also guides decision model learning by the knowledge distillation method. Experimental results show that our proposed method can achieve fast inference and accurate prediction of whole slide images without any pixel-level annotations.

The feature extraction methods of radiomics are mainly based on static tomographic images at a certain moment, while the occurrence and development of disease is a dynamic process that cannot be fully reflected by only static characteristics. This study proposes a new dynamic radiomics feature extraction workflow that uses time-dependent tomographic images of the same patient, focuses on the changes in image features over time, and then quantifies them as new dynamic features for diagnostic or prognostic evaluation. We first define the mathematical paradigm of dynamic radiomics and introduce three specific methods that can describe the transformation process of features over time. Three different clinical problems are used to validate the performance of the proposed dynamic feature with conventional 2D and 3D static features., Comment: Appl Intell (2022)