Generating Hypergraph-Based High-Order Representations of Whole-Slide Histopathological Images for Survival Prediction.

Patient survival prediction based on gigapixel whole-slide histopathological images (WSIs) has become increasingly prevalent in recent years. A key challenge of this task is achieving an informative survival-specific global representation from those WSIs with highly complicated data correlation. This article proposes a multi-hypergraph based learning framework, called "HGSurvNet," to tackle this challenge. HGSurvNet achieves an effective high-order global representation of WSIs via multilateral correlation modeling in multiple spaces and a general hypergraph convolution network. It has the ability to alleviate over-fitting issues caused by the lack of training data by using a new convolution structure called hypergraph max-mask convolution. Extensive validation experiments were conducted on three widely-used carcinoma datasets: Lung Squamous Cell Carcinoma (LUSC), Glioblastoma Multiforme (GBM), and National Lung Screening Trial (NLST). Quantitative analysis demonstrated that the proposed method consistently outperforms state-of-the-art methods, coupled with the Bayesian Concordance Readjust loss. We also demonstrate the individual effectiveness of each module of the proposed framework and its application potential for pathology diagnosis and reporting empowered by its interpretability potential.

Big-Hypergraph Factorization Neural Network for Survival Prediction From Whole Slide Image.

Survival prediction for patients based on histopa- thological whole-slide images (WSIs) has attracted increasing attention in recent years. Due to the massive pixel data in a single WSI, fully exploiting cell-level structural information (e.g., stromal/tumor microenvironment) from the gigapixel WSI is challenging. Most of the current studies resolve the problem by sampling limited image patches to construct a graph-based model (e.g., hypergraph). However, the sampling scale is a critical bottleneck since it is a fundamental obstacle of broadening samples for transductive learning. To overcome the limitation of the sampling scale for constructing a big hypergraph model, we propose a factorization neural network that embeds the correlation among large-scale vertices and hyperedges into two low-dimensional latent semantic spaces separately, empowering the dense sampling. Thanks to the compressed low-dimensional correlation embedding, the hypergraph convolutional layers generate the high-order global representation for each WSI. To minimize the effect of the uncertainty data as well as to achieve the metric-driven learning, we also propose a multi-level ranking supervision to enable the network learning by a queue of patients on the global horizon. Extensive experiments are conducted on three public carcinoma datasets (i.e., LUSC, GBM, and NLST), and the quantitative results demonstrate the proposed method outperforms state-of-the-art methods across-the-board.

Cost-Sensitive Uncertainty Hypergraph Learning for Identification of Lymph Node Involvement With CT Imaging.

Lung adenocarcinoma (LUAD) is the most common type of lung cancer. Accurate identification of lymph node (LN) involvement in patients with LUAD is crucial for prognosis and making decisions of the treatment strategy. CT imaging has been used as a tool to identify lymph node involvement. To tackle the shortage of high-quality data and improve the sensitivity of diagnosis, we propose a Cost-Sensitive Uncertainty Hypergraph Learning (CSUHL) model to identify the lymph node based on the CT images. We design a step named "Multi-Uncertainty Measurement" to measure the epistemic and the aleatoric uncertainty, respectively. Given the two types of attentional uncertainty weights, we further propose a cost-sensitive hypergraph learning to boost the sensitivity of diagnosing, targeting task-driven optimization of the clinical scenarios. Extensive qualitative and quantitative experiments on the real clinical dataset demonstrate our method is capable of accurately identifying the lymph node and outperforming state-of-the-art methods across the board.

Hypergraph learning for identification of COVID-19 with CT imaging.

The coronavirus disease, named COVID-19, has become the largest global public health crisis since it started in early 2020. CT imaging has been used as a complementary tool to assist early screening, especially for the rapid identification of COVID-19 cases from community acquired pneumonia (CAP) cases. The main challenge in early screening is how to model the confusing cases in the COVID-19 and CAP groups, with very similar clinical manifestations and imaging features. To tackle this challenge, we propose an Uncertainty Vertex-weighted Hypergraph Learning (UVHL) method to identify COVID-19 from CAP using CT images. In particular, multiple types of features (including regional features and radiomics features) are first extracted from CT image for each case. Then, the relationship among different cases is formulated by a hypergraph structure, with each case represented as a vertex in the hypergraph. The uncertainty of each vertex is further computed with an uncertainty score measurement and used as a weight in the hypergraph. Finally, a learning process of the vertex-weighted hypergraph is used to predict whether a new testing case belongs to COVID-19 or not. Experiments on a large multi-center pneumonia dataset, consisting of 2148 COVID-19 cases and 1182 CAP cases from five hospitals, are conducted to evaluate the prediction accuracy of the proposed method. Results demonstrate the effectiveness and robustness of our proposed method on the identification of COVID-19 in comparison to state-of-the-art methods.