The Multiple Instance Learning (MIL) paradigm is attracting plenty of attention in medical imaging classification, where labeled data is scarce. MIL methods cast medical images as bags of instances (e.g. patches in whole slide images, or slices in CT scans), and only bag labels are required for training. Deep MIL approaches have obtained promising results by aggregating instance-level representations via an attention mechanism to compute the bag-level prediction. These methods typically capture both local interactions among adjacent instances and global, long-range dependencies through various mechanisms. However, they treat attention values deterministically, potentially overlooking uncertainty in the contribution of individual instances. In this work we propose a novel probabilistic framework that estimates a probability distribution over the attention values, and accounts for both global and local interactions. In a comprehensive evaluation involving eleven state-of-the-art baselines and three medical datasets, we show that our approach achieves top predictive performance in different metrics. Moreover, the probabilistic treatment of the attention provides uncertainty maps that are interpretable in terms of illness localization.

Multiple Instance Learning (MIL) is widely used in medical imaging classification to reduce the labeling effort. While only bag labels are available for training, one typically seeks predictions at both bag and instance levels (classification and localization tasks, respectively). Early MIL methods treated the instances in a bag independently. Recent methods account for global and local dependencies among instances. Although they have yielded excellent results in classification, their performance in terms of localization is comparatively limited. We argue that these models have been designed to target the classification task, while implications at the instance level have not been deeply investigated. Motivated by a simple observation -- that neighboring instances are likely to have the same label -- we propose a novel, principled, and flexible mechanism to model local dependencies. It can be used alone or combined with any mechanism to model global dependencies (e.g., transformers). A thorough empirical validation shows that our module leads to state-of-the-art performance in localization while being competitive or superior in classification. Our code is at https://github.com/Franblueee/SmMIL.

Multiple Instance Learning (MIL) is a weakly supervised paradigm that has been successfully applied to many different scientific areas and is particularly well suited to medical imaging. Probabilistic MIL methods, and more specifically Gaussian Processes (GPs), have achieved excellent results due to their high expressiveness and uncertainty quantification capabilities. One of the most successful GP-based MIL methods, VGPMIL, resorts to a variational bound to handle the intractability of the logistic function. Here, we formulate VGPMIL using Pólya-Gamma random variables. This approach yields the same variational posterior approximations as the original VGPMIL, which is a consequence of the two representations that the Hyperbolic Secant distribution admits. This leads us to propose a general GP-based MIL method that takes different forms by simply leveraging distributions other than the Hyperbolic Secant one. Using the Gamma distribution we arrive at a new approach that obtains competitive or superior predictive performance and efficiency. This is validated in a comprehensive experimental study including one synthetic MIL dataset, two well-known MIL benchmarks, and a real-world medical problem. We expect that this work provides useful ideas beyond MIL that can foster further research in the field.

Generative Adversarial Networks (GANs) have shown promise in augmenting datasets and boosting convolutional neural network (CNN) performance on image classification tasks. But they introduce more hyperparameters to tune as well as the need for additional time and computational power to train, supplementary to the CNN. In this work, we examine the potential for Auxiliary-Classifier GANs (AC-GANs) as a ’one-stop-shop’ architecture for image classification, particularly in low data regimes. Additionally, we explore modifications to the typical AC-GAN framework, changing the generator’s latent space sampling scheme and employing a Wasserstein loss with gradient penalty to stabilize the simultaneous training of image synthesis and classification. Through experiments on images of varying resolutions and complexity, we demonstrate that AC-GANs show promise in image classification, achieving competitive performance with standard CNNs. These methods can be employed as an ’all-in-one’ framework with particular utility in the absence of large amounts of training data.