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WsiCaption: Multiple Instance Generation of Pathology Reports for Gigapixel Whole Slide Images [MICCAI2024 oral]

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Pre-requisites:

We will share our collected slide-level captions but WSIs still need to be downloaded due to their large resolution. [2024/12] We now provide the WSI features for convenience! The ResNet50 features on TCGA-BRCA is <a href="https://pan.baidu.com/s/1pAHuxJFAo80eA4Rd8RRuuQ?pwd=1mzw " target="blank"><b>here</b></a>:

Downloading TCGA Slides

To download diagnostic WSIs (formatted as .svs files), please refer to the NIH Genomic Data Commons Data Portal. WSIs for each cancer type can be downloaded using the GDC Data Transfer Tool.

Processing Whole Slide Images

To process WSIs, first, the tissue regions in each biopsy slide are segmented using Otsu's Segmentation on a downsampled WSI using OpenSlide. The 256 x 256 patches without spatial overlapping are extracted from the segmented tissue regions at the desired magnification. Consequently, a pretrained truncated ResNet50 is used to encode raw image patches into 1024-dim feature vectors, which we then save as .pt files for each WSI. We achieve the pre-processing of WSIs by using <a href="https://github.com/mahmoodlab/CLAM" target="blank"><b>CLAM</b></a>

PathText: Slide-Text captions

We notice that TCGA includes scanning copies of pathology reports in the format of PDF1. But they are too long with redundant information and present in a complex structure. Therefore, we propose a pipeline to extract and clean pathological texts from TCGA, which can convert complex PDF files to concise WSI-text pairs with the assistance of large language models (LLM). We also use a classifier to remove the pairs with bad quality.

Our dataset can be downloaded online now. The following folder structure is assumed for the PathText:

PathText/
    └──TCGA_BLCA/
        ├── case_1
              ├──annotation ##(slide-level captions we obtained by ocr and GPT)
              ├──case_1.pdf ##(softlink to the corresponding raw TCGA report)
              └── ...
        ├── case_2
        └── ...
    └──TCGA_BRCA/
        ├── case_1
        ├── case_2
        └── ...
    ...

TCGA-Slide-Features/
    └──TCGA_BLCA/
        ├── case_1.pt
        ├── case_2.pt
        └── ...
    └──TCGA_BRCA/
        ├── case_1.pt
        ├── case_2.pt
        └── ...
    ...

PathText contains the captions and TCGA-Slide-Features includes the extracted features of WSIs.

More details about the dataset are shown below. . (a) Histogram of text lengths. It shows that PathText includes longer pathology reports compared to ARCH which only describes small patches. (b) Word cloud showing 100 most frequent tokens.

Running Experiments

Experiments can be run using the following generic command-line:

Training model

python main.py --mode 'Train' --n_gpu <GPUs to be used, e.g '0,1,2,3' for 4 cards training> --image_dir <SLIDE FEATURE PATH> --ann_path <CAPTION PATH> --split_path <PATH to the directory containing the train/val/test splits> 

Testing model

python main.py --mode 'Test' --image_dir <SLIDE FEATURE PATH> --ann_path <CAPTION PATH> --split_path <PATH to the directory containing the train/val/test splits> --checkpoint_dir <PATH TO CKPT>

Basic Environment

• Linux (Tested on Ubuntu 18.04)
• NVIDIA GPU (Tested on Nvidia GeForce A100) with CUDA 12.0
• Python (3.8)
• PyTorch (1.10.0+cu111)
• torchvision (0.11.0+cu111)