Constrained Deep Weak Supervision for Histopathology Image Segmentation
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Abstract (arXiv)
In this paper, we develop a new weakly-supervised learning algorithm to learn to segment cancerous regions in histopathology images. Our work is under a multiple instance learning framework (MIL) with a new formulation, deep weak supervision (DWS); we also propose an effective way to introduce constraints to our neural networks to assist the learning process. The contributions of our algorithm are threefold: (1) We build an end-to-end learning system that segments cancerous regions with fully convolutional networks (FCN) in which image-to-image weakly-supervised learning is performed. (2) We develop a deep week supervision formulation to exploit multi-scale learning under weak supervision within fully convolutional networks. (3) Constraints about positive instances are introduced in our approach to effectively explore additional weakly-supervised information that is easy to obtain and enjoys a significant boost to the learning process. The proposed algorithm, abbreviated as DWS-MIL, is easy to implement and can be trained efficiently. Our system demonstrates state-of-the-art results on large-scale histopathology image datasets and can be applied to various applications in medical imaging beyond histopathology images such as MRI, CT, and ultrasound images.
Key facts. Cited by 51 papers in the map (data through 14 Oct 2026). First posted on arXiv 3 Jan 2017.
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Citing papers per year: 2021: 11; 2022: 16; 2023: 10; 2024: 8; 2025: 3; 2026: 3.
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- 2021Source-Free Domain Adaptation for Image Segmentationcited by 45
- 2021Multi-Layer Pseudo-Supervision for Histopathology Tissue Semantic Segmentation using Patch-level Classification Labelscited by 43
- 2022Differentiable Zooming for Multiple Instance Learning on Whole-Slide Imagescited by 43
- 2022WSSS4LUAD: Grand Challenge on Weakly-supervised Tissue Semantic Segmentation for Lung Adenocarcinomacited by 36
- 2022Transformer based multiple instance learning for weakly supervised histopathology image segmentationcited by 26
- 2021Learning Whole-Slide Segmentation from Inexact and Incomplete Labels using Tissue Graphscited by 22
- 2022Constrained unsupervised anomaly segmentationcited by 19
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- 2021Weakly supervised segmentation with cross-modality equivariant constraintscited by 18
- 2023AMIGO: Sparse Multi-Modal Graph Transformer with Shared-Context Processing for Representation Learning of Giga-pixel Imagescited by 18
- 2023Label-Efficient Deep Learning in Medical Image Analysis: Challenges and Future Directionscited by 16
- 2022Online Easy Example Mining for Weakly-supervised Gland Segmentation from Histology Imagescited by 15
38 more
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- 2021Vessel-CAPTCHA: an efficient learning framework for vessel annotation and segmentationcited by 12
- 2023Weakly Supervised Joint Whole-Slide Segmentation and Classification in Prostate Cancercited by 10
- 2021WeGleNet: A Weakly-Supervised Convolutional Neural Network for the Semantic Segmentation of Gleason Grades in Prostate Histology Imagescited by 9
- 2022Recent Progress in Transformer-based Medical Image Analysiscited by 9
- 2023Weakly-Supervised 3D Medical Image Segmentation using Geometric Prior and Contrastive Similaritycited by 9
- 2022Negative Evidence Matters in Interpretable Histology Image Classificationcited by 8
- 2024Learning to Optimize for Mixed-Integer Non-linear Programming with Feasibility Guaranteescited by 8
- 2024MergeUp-augmented Semi-Weakly Supervised Learning for WSI Classificationcited by 7
- 2023Weakly Supervised Temporal Convolutional Networks for Fine-grained Surgical Activity Recognitioncited by 5
- 2021Looking at the whole picture: constrained unsupervised anomaly segmentationcited by 4
- 20233D Arterial Segmentation via Single 2D Projections and Depth Supervision in Contrast-Enhanced CT Imagescited by 4
- 2024Beyond Pixel-Wise Supervision for Medical Image Segmentation: From Traditional Models to Foundation Modelscited by 4
- 2022A comprehensive survey on recent deep learning-based methods applied to surgical datacited by 3
- 2023Boundary-RL: Reinforcement Learning for Weakly-Supervised Prostate Segmentation in TRUS Imagescited by 3
- 2022NFANet: A Novel Method for Weakly Supervised Water Extraction from High-Resolution Remote Sensing Imagerycited by 2
- 2022OCTAve: 2D en face Optical Coherence Tomography Angiography Vessel Segmentation in Weakly-Supervised Learning with Locality Augmentationcited by 2
- 2022Weakly-supervised detection of AMD-related lesions in color fundus images using explainable deep learningcited by 2
- 2023Hierarchical learning, forecasting coherent spatio-temporal individual and aggregated building loadscited by 2
- 2024HisynSeg: Weakly-Supervised Histopathological Image Segmentation via Image-Mixing Synthesis and Consistency Regularizationcited by 2
- 2025Prompt learning with bounding box constraints for medical image segmentationcited by 2
- 2021Multi-Instance Learning by Utilizing Structural Relationship among Instancescited by 1
- 2021Histopathology WSI Encoding based on GCNs for Scalable and Efficient Retrieval of Diagnostically Relevant Regionscited by 1
- 2022Automated Detection of Acute Promyelocytic Leukemia in Blood Films and Bone Marrow Aspirates with Annotation-free Deep Learningcited by 1
- 2024Enhancing Weakly-Supervised Histopathology Image Segmentation with Knowledge Distillation on MIL-Based Pseudo-Labelscited by 1
- 2024EP-SAM: Weakly Supervised Histopathology Segmentation via Enhanced Prompt with Segment Anythingcited by 1
- 2024Advancing Histopathology with Deep Learning Under Data Scarcity: A Decade in Reviewcited by 1
- 2025Implicit Bias in Matrix Factorization and its Explicit Realization in a New Architecturecited by 1
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- 2022Neuro-physical dynamic load modeling using differentiable parametric optimizationcited by 0
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- 2023CAMEL2: Enhancing weakly supervised learning for histopathology images by incorporating the significance ratiocited by 0
- 2023Enhancing Transformer-Based Segmentation for Breast Cancer Diagnosis using Auto-Augmentation and Search Optimisation Techniquescited by 0
- 2024Competing for pixels: a self-play algorithm for weakly-supervised segmentationcited by 0
- 2025Leveraging Spatial Context for Positive Pair Sampling in Histopathology Image Representation Learningcited by 0
- 2026ZScribbleSeg: A comprehensive segmentation framework with modeling of efficient annotation and maximization of scribble supervisioncited by 0
- 2026Latent Ordinal Evidence, Misaligned Outputs: Inference-Time Ordinal Lens Alignment for Multimodal LLMscited by 0
50 most cited of 51 All 51 (JSON)
- 2026Weakly supervised neural network: segmentation of complex structures in X-ray microCT7 Sep 2026
- 2026Latent Ordinal Evidence, Misaligned Outputs: Inference-Time Ordinal Lens Alignment for Multimodal LLMs21 Aug 2026
- 2026ZScribbleSeg: A comprehensive segmentation framework with modeling of efficient annotation and maximization of scribble supervision7 May 2026
- 2025Prompt learning with bounding box constraints for medical image segmentation3 Jul 2025
- 2025Leveraging Spatial Context for Positive Pair Sampling in Histopathology Image Representation Learning7 Mar 2025
- 2025Implicit Bias in Matrix Factorization and its Explicit Realization in a New Architecture27 Jan 2025
- 2024HisynSeg: Weakly-Supervised Histopathological Image Segmentation via Image-Mixing Synthesis and Consistency Regularization30 Dec 2024
- 2024Advancing Histopathology with Deep Learning Under Data Scarcity: A Decade in Review18 Oct 2024
- 2024EP-SAM: Weakly Supervised Histopathology Segmentation via Enhanced Prompt with Segment Anything17 Oct 2024
- 2024Learning to Optimize for Mixed-Integer Non-linear Programming with Feasibility Guarantees14 Oct 2024
- 2024MergeUp-augmented Semi-Weakly Supervised Learning for WSI Classification23 Aug 2024
- 2024Enhancing Weakly-Supervised Histopathology Image Segmentation with Knowledge Distillation on MIL-Based Pseudo-Labels14 Jul 2024
38 more
- 2024Competing for pixels: a self-play algorithm for weakly-supervised segmentation26 May 2024
- 2024Beyond Pixel-Wise Supervision for Medical Image Segmentation: From Traditional Models to Foundation Models20 Apr 2024
- 2023Enhancing Transformer-Based Segmentation for Breast Cancer Diagnosis using Auto-Augmentation and Search Optimisation Techniques18 Nov 2023
- 2023CAMEL2: Enhancing weakly supervised learning for histopathology images by incorporating the significance ratio9 Oct 2023
- 20233D Arterial Segmentation via Single 2D Projections and Depth Supervision in Contrast-Enhanced CT Images15 Sep 2023
- 2023Boundary-RL: Reinforcement Learning for Weakly-Supervised Prostate Segmentation in TRUS Images22 Aug 2023
- 2023Label-Efficient Deep Learning in Medical Image Analysis: Challenges and Future Directions22 Mar 2023
- 2023AMIGO: Sparse Multi-Modal Graph Transformer with Shared-Context Processing for Representation Learning of Giga-pixel Images1 Mar 2023
- 2023Weakly Supervised Temporal Convolutional Networks for Fine-grained Surgical Activity Recognition21 Feb 2023
- 2023Weakly-Supervised 3D Medical Image Segmentation using Geometric Prior and Contrastive Similarity4 Feb 2023
- 2023Hierarchical learning, forecasting coherent spatio-temporal individual and aggregated building loads30 Jan 2023
- 2023Weakly Supervised Joint Whole-Slide Segmentation and Classification in Prostate Cancer7 Jan 2023
- 2022Weakly-supervised detection of AMD-related lesions in color fundus images using explainable deep learning1 Dec 2022
- 2022A comprehensive survey on recent deep learning-based methods applied to surgical data3 Sep 2022
- 2022Recent Progress in Transformer-based Medical Image Analysis13 Aug 2022
- 2022OCTAve: 2D en face Optical Coherence Tomography Angiography Vessel Segmentation in Weakly-Supervised Learning with Locality Augmentation25 Jul 2022
- 2022Attention-based Dynamic Subspace Learners for Medical Image Analysis18 Jun 2022
- 2022Online Easy Example Mining for Weakly-supervised Gland Segmentation from Histology Images14 Jun 2022
- 20223D Segmentation Guided Style-based Generative Adversarial Networks for PET Synthesis18 May 2022
- 2022Transformer based multiple instance learning for weakly supervised histopathology image segmentation18 May 2022
- 2022Test-Time Adaptation with Shape Moments for Image Segmentation16 May 2022
- 2022Differentiable Zooming for Multiple Instance Learning on Whole-Slide Images26 Apr 2022
- 2022WSSS4LUAD: Grand Challenge on Weakly-supervised Tissue Semantic Segmentation for Lung Adenocarcinoma13 Apr 2022
- 2022Automated Detection of Acute Promyelocytic Leukemia in Blood Films and Bone Marrow Aspirates with Annotation-free Deep Learning20 Mar 2022
- 2022Neuro-physical dynamic load modeling using differentiable parametric optimization20 Mar 2022
- 2022Constrained unsupervised anomaly segmentation3 Mar 2022
- 2022NFANet: A Novel Method for Weakly Supervised Water Extraction from High-Resolution Remote Sensing Imagery10 Jan 2022
- 2022Negative Evidence Matters in Interpretable Histology Image Classification7 Jan 2022
- 2021Multi-Layer Pseudo-Supervision for Histopathology Tissue Semantic Segmentation using Patch-level Classification Labels14 Oct 2021
- 2021Label Cleaning Multiple Instance Learning: Refining Coarse Annotations on Single Whole-Slide Images22 Sep 2021
- 2021Looking at the whole picture: constrained unsupervised anomaly segmentation1 Sep 2021
- 2021Source-Free Domain Adaptation for Image Segmentation6 Aug 2021
- 2021Context-aware virtual adversarial training for anatomically-plausible segmentation12 Jul 2021
- 2021WeGleNet: A Weakly-Supervised Convolutional Neural Network for the Semantic Segmentation of Gleason Grades in Prostate Histology Images21 May 2021
- 2021Histopathology WSI Encoding based on GCNs for Scalable and Efficient Retrieval of Diagnostically Relevant Regions16 Apr 2021
- 2021Weakly supervised segmentation with cross-modality equivariant constraints6 Apr 2021
- 2021Learning Whole-Slide Segmentation from Inexact and Incomplete Labels using Tissue Graphs4 Mar 2021
- 2021Multi-Instance Learning by Utilizing Structural Relationship among Instances3 Feb 2021
50 newest of 51 All 51 (JSON)
- 2021Source-Free Domain Adaptation for Image Segmentationcited by 45
- 2021Multi-Layer Pseudo-Supervision for Histopathology Tissue Semantic Segmentation using Patch-level Classification Labelscited by 43
- 2022Differentiable Zooming for Multiple Instance Learning on Whole-Slide Imagescited by 43
- 2022WSSS4LUAD: Grand Challenge on Weakly-supervised Tissue Semantic Segmentation for Lung Adenocarcinomacited by 36
- 2022Transformer based multiple instance learning for weakly supervised histopathology image segmentationcited by 26
- 2021Learning Whole-Slide Segmentation from Inexact and Incomplete Labels using Tissue Graphscited by 22
- 2022Constrained unsupervised anomaly segmentationcited by 19
- 2022Test-Time Adaptation with Shape Moments for Image Segmentationcited by 19
- 2021Weakly supervised segmentation with cross-modality equivariant constraintscited by 18
- 2023AMIGO: Sparse Multi-Modal Graph Transformer with Shared-Context Processing for Representation Learning of Giga-pixel Imagescited by 18
- 2023Label-Efficient Deep Learning in Medical Image Analysis: Challenges and Future Directionscited by 16
- 2022Online Easy Example Mining for Weakly-supervised Gland Segmentation from Histology Imagescited by 15
12 most cited of 49 All 49 (JSON)
- 2026Weakly supervised neural network: segmentation of complex structures in X-ray microCT7 Sep 2026
- 2026ZScribbleSeg: A comprehensive segmentation framework with modeling of efficient annotation and maximization of scribble supervision7 May 2026
- 2025Prompt learning with bounding box constraints for medical image segmentation3 Jul 2025
- 2025Leveraging Spatial Context for Positive Pair Sampling in Histopathology Image Representation Learning7 Mar 2025
- 2025Implicit Bias in Matrix Factorization and its Explicit Realization in a New Architecture27 Jan 2025
- 2024HisynSeg: Weakly-Supervised Histopathological Image Segmentation via Image-Mixing Synthesis and Consistency Regularization30 Dec 2024
- 2024Advancing Histopathology with Deep Learning Under Data Scarcity: A Decade in Review18 Oct 2024
- 2024EP-SAM: Weakly Supervised Histopathology Segmentation via Enhanced Prompt with Segment Anything17 Oct 2024
- 2024Learning to Optimize for Mixed-Integer Non-linear Programming with Feasibility Guarantees14 Oct 2024
- 2024MergeUp-augmented Semi-Weakly Supervised Learning for WSI Classification23 Aug 2024
- 2024Competing for pixels: a self-play algorithm for weakly-supervised segmentation26 May 2024
- 2024Beyond Pixel-Wise Supervision for Medical Image Segmentation: From Traditional Models to Foundation Models20 Apr 2024
12 newest of 49 All 49 (JSON)