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Quantifying Explainers of Graph Neural Networks in Computational Pathology

arXiv 2011.12646 ↗First posted 25 Nov 2020cs.CVcited by 35

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Abstract (arXiv)

Explainability of deep learning methods is imperative to facilitate their clinical adoption in digital pathology. However, popular deep learning methods and explainability techniques (explainers) based on pixel-wise processing disregard biological entities' notion, thus complicating comprehension by pathologists. In this work, we address this by adopting biological entity-based graph processing and graph explainers enabling explanations accessible to pathologists. In this context, a major challenge becomes to discern meaningful explainers, particularly in a standardized and quantifiable fashion. To this end, we propose herein a set of novel quantitative metrics based on statistics of class separability using pathologically measurable concepts to characterize graph explainers. We employ the proposed metrics to evaluate three types of graph explainers, namely the layer-wise relevance propagation, gradient-based saliency, and graph pruning approaches, to explain Cell-Graph representations for Breast Cancer Subtyping. The proposed metrics are also applicable in other domains by using domain-specific intuitive concepts. We validate the qualitative and quantitative findings on the BRACS dataset, a large cohort of breast cancer RoIs, by expert pathologists.

Key facts. Cited by 35 papers in the map (data through 7 Oct 2026). First posted on arXiv 25 Nov 2020.

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Citing papers per year: 2021: 10; 2022: 5; 2023: 14; 2024: 2; 2025: 2; 2026: 2.

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  1. 2021BRACS: A Dataset for BReAst Carcinoma Subtyping in H&E Histology Imagescited by 130
  2. 2021Whole Slide Images are 2D Point Clouds: Context-Aware Survival Prediction using Patch-based Graph Convolutional Networkscited by 124
  3. 2023Artificial Intelligence for Digital and Computational Pathologycited by 106
  4. 2021Lizard: A Large-Scale Dataset for Colonic Nuclear Instance Segmentation and Classificationcited by 89
  5. 2022Trustworthy Graph Neural Networks: Aspects, Methods and Trendscited by 88
  6. 2021Graph-Based Deep Learning for Medical Diagnosis and Analysis: Past, Present and Futurecited by 67
  7. 2021Hierarchical Graph Representations in Digital Pathologycited by 58
  8. 2021CoNIC: Colon Nuclei Identification and Counting Challenge 2022cited by 44
  9. 2023A General-Purpose Self-Supervised Model for Computational Pathologycited by 42
  10. 2021A Survey on Graph-Based Deep Learning for Computational Histopathologycited by 41
  11. 2023A Survey on Explainability of Graph Neural Networkscited by 28
  12. 2023SI-MIL: Taming Deep MIL for Self-Interpretability in Gigapixel Histopathologycited by 25
23 more
  1. 2023Interpretable Prototype-based Graph Information Bottleneckcited by 23
  2. 2021Learning Whole-Slide Segmentation from Inexact and Incomplete Labels using Tissue Graphscited by 22
  3. 2021HistoCartography: A Toolkit for Graph Analytics in Digital Pathologycited by 20
  4. 2022A Survey of Trustworthy Graph Learning: Reliability, Explainability, and Privacy Protectioncited by 20
  5. 2024Generative Modelling of Structurally Constrained Graphscited by 17
  6. 2023Structure Embedded Nucleus Classification for Histopathology Imagescited by 14
  7. 2022Towards Explainable Motion Prediction using Heterogeneous Graph Representationscited by 10
  8. 2023Weakly Supervised Joint Whole-Slide Segmentation and Classification in Prostate Cancercited by 10
  9. 2025GECKO: Gigapixel Vision-Concept Contrastive Pretraining in Histopathologycited by 8
  10. 2021Towards the Explanation of Graph Neural Networks in Digital Pathology with Information Flowscited by 4
  11. 2023Unsupervised Mutual Transformer Learning for Multi-Gigapixel Whole Slide Image Classificationcited by 3
  12. 2023Tertiary Lymphoid Structures Generation through Graph-based Diffusioncited by 2
  13. 2023GNNFormer: A Graph-based Framework for Cytopathology Report Generationcited by 1
  14. 2023KS-GNNExplainer: Global Model Interpretation Through Instance Explanations On Histopathology imagescited by 1
  15. 2022A Cognitive Explainer for Fetal ultrasound images classifier Based on Medical Conceptscited by 0
  16. 2022Scale dependant layer for self-supervised nuclei encodingcited by 0
  17. 2023Explainable and Position-Aware Learning in Digital Pathologycited by 0
  18. 2023Asymmetric Co-Training with Explainable Cell Graph Ensembling for Histopathological Image Classificationcited by 0
  19. 2023Whole Slide Multiple Instance Learning for Predicting Axillary Lymph Node Metastasiscited by 0
  20. 2024A Survey on Cell Nuclei Instance Segmentation and Classification: Leveraging Context and Attentioncited by 0
  21. 2025Explainable Classifier for Malignant Lymphoma Subtyping via Cell Graph and Image Fusioncited by 0
  22. 2026TVT-PAPD: Pathology-Aware Prototype Distillation for Self-Supervised Whole Slide Image Classificationcited by 0
  23. 2026End-to-End Cell Detection via Instance-aware Graph Modelingcited by 0