Self-Supervised Vision Transformers Learn Visual Concepts in Histopathology
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Abstract (arXiv)
Tissue phenotyping is a fundamental task in learning objective characterizations of histopathologic biomarkers within the tumor-immune microenvironment in cancer pathology. However, whole-slide imaging (WSI) is a complex computer vision in which: 1) WSIs have enormous image resolutions with precludes large-scale pixel-level efforts in data curation, and 2) diversity of morphological phenotypes results in inter- and intra-observer variability in tissue labeling. To address these limitations, current efforts have proposed using pretrained image encoders (transfer learning from ImageNet, self-supervised pretraining) in extracting morphological features from pathology, but have not been extensively validated. In this work, we conduct a search for good representations in pathology by training a variety of self-supervised models with validation on a variety of weakly-supervised and patch-level tasks. Our key finding is in discovering that Vision Transformers using DINO-based knowledge distillation are able to learn data-efficient and interpretable features in histology images wherein the different attention heads learn distinct morphological phenotypes. We make evaluation code and pretrained weights publicly-available at: https://github.com/Richarizardd/Self-Supervised-ViT-Path.
Key facts. Cited by 49 papers in the map (data through 7 Oct 2026). Builds on 28 of its 46 references that are in the map. First posted on arXiv 1 Mar 2022.
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28 of 46 references.
References · 28
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- 2020Dual-stream Multiple Instance Learning Network for Whole Slide Image Classification with Self-supervised Contrastive Learningcited by 473
- 2020Debiased Contrastive Learningcited by 354
- 2019Large Scale Adversarial Representation Learningcited by 238
- 2021Localizing Objects with Self-Supervised Transformers and no Labelscited by 227
- 2019Pathomic Fusion: An Integrated Framework for Fusing Histopathology and Genomic Features for Cancer Diagnosis and Prognosiscited by 165
- 2020Self supervised contrastive learning for digital histopathologycited by 146
- 2021Whole Slide Images are 2D Point Clouds: Context-Aware Survival Prediction using Patch-based Graph Convolutional Networkscited by 124
- 2016Towards a Neural Statisticiancited by 119
- 2020Self-Path: Self-supervision for Classification of Pathology Images with Limited Annotationscited by 89
- 2020Self-Supervision Closes the Gap Between Weak and Strong Supervision in Histologycited by 43
- 2021Self-supervised driven consistency training for annotation efficient histopathology image analysiscited by 39
- 2019Semi-Supervised Histology Classification using Deep Multiple Instance Learning and Contrastive Predictive Codingcited by 35
- 2021Self supervised learning improves dMMR/MSI detection from histology slides across multiple cancerscited by 23
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Citing papers per year: 2022: 11; 2023: 14; 2024: 15; 2025: 7; 2026: 2.
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- 2022Scaling Vision Transformers to Gigapixel Images via Hierarchical Self-Supervised Learningcited by 357
- 2023Artificial Intelligence for Digital and Computational Pathologycited by 106
- 2024Phikon-v2, A large and public feature extractor for biomarker predictioncited by 67
- 2023Task-specific Fine-tuning via Variational Information Bottleneck for Weakly-supervised Pathology Whole Slide Image Classificationcited by 54
- 2023A General-Purpose Self-Supervised Model for Computational Pathologycited by 42
- 2023The Rise of AI Language Pathologists: Exploring Two-level Prompt Learning for Few-shot Weakly-supervised Whole Slide Image Classificationcited by 41
- 2024RudolfV: A Foundation Model by Pathologists for Pathologistscited by 40
- 2022Towards Label-efficient Automatic Diagnosis and Analysis: A Comprehensive Survey of Advanced Deep Learning-based Weakly-supervised, Semi-supervised and Self-supervised Techniques in Histopathological Image Analysiscited by 29
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- 2023Domain-specific optimization and diverse evaluation of self-supervised models for histopathologycited by 11
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- 2024HoloHisto: End-to-end Gigapixel WSI Segmentation with 4K Resolution Sequential Tokenizationcited by 8
- 2025Self-Supervision Enhances Instance-based Multiple Instance Learning Methods in Digital Pathology: A Benchmark Studycited by 6
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- 2024Lifelong Histopathology Whole Slide Image Retrieval via Distance Consistency Rehearsalcited by 5
- 2025Towards Effective and Efficient Context-aware Nucleus Detection in Histopathology Whole Slide Imagescited by 5
- 2023Attention De-sparsification Matters: Inducing Diversity in Digital Pathology Representation Learningcited by 4
- 2024Hierarchical Text-to-Vision Self Supervised Alignment for Improved Histopathology Representation Learningcited by 4
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- 2022Self-supervised contrastive learning of echocardiogram videos enables label-efficient cardiac disease diagnosiscited by 3
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- 2025Benchmarking Foundation Models for Mitotic Figure Classification6 Aug 2025
- 2025Self-Supervision Enhances Instance-based Multiple Instance Learning Methods in Digital Pathology: A Benchmark Study2 May 2025
- 2025Advanced Deep Learning and Large Language Models: Comprehensive Insights for Cancer Detection30 Mar 2025
- 2025Hierarchical Self-Supervised Adversarial Training for Robust Vision Models in Histopathology13 Mar 2025
- 2025Towards Effective and Efficient Context-aware Nucleus Detection in Histopathology Whole Slide Images4 Mar 2025
- 2024Phikon-v2, A large and public feature extractor for biomarker prediction13 Sep 2024
- 2024Rethinking Pre-Trained Feature Extractor Selection in Multiple Instance Learning for Whole Slide Image Classification2 Aug 2024
- 2024PreMix: Label-Efficient Multiple Instance Learning via Non-Contrastive Pre-training and Feature Mixing2 Aug 2024
37 more
- 2024Lifelong Histopathology Whole Slide Image Retrieval via Distance Consistency Rehearsal11 Jul 2024
- 2024HoloHisto: End-to-end Gigapixel WSI Segmentation with 4K Resolution Sequential Tokenization3 Jul 2024
- 2024AI-based Anomaly Detection for Clinical-Grade Histopathological Diagnostics21 Jun 2024
- 2024Genomics-guided Representation Learning for Pathologic Pan-cancer Tumor Microenvironment Subtype Prediction10 Jun 2024
- 2024Predicting Genetic Mutation from Whole Slide Images via Biomedical-Linguistic Knowledge Enhanced Multi-label Classification5 Jun 2024
- 2024Benchmarking Hierarchical Image Pyramid Transformer for the classification of colon biopsies and polyps in histopathology images24 May 2024
- 2024Deep Learning-based Prediction of Breast Cancer Tumor and Immune Phenotypes from Histopathology25 Apr 2024
- 2024Primary liver cancer classification from routine tumour biopsy using weakly supervised deep learning7 Apr 2024
- 2024Hierarchical Text-to-Vision Self Supervised Alignment for Improved Histopathology Representation Learning21 Mar 2024
- 2024Reducing self-supervised learning complexity improves weakly-supervised classification performance in computational pathology7 Mar 2024
- 2024BioFusionNet: Deep Learning-Based Survival Risk Stratification in ER+ Breast Cancer Through Multifeature and Multimodal Data Fusion16 Feb 2024
- 2024RudolfV: A Foundation Model by Pathologists for Pathologists8 Jan 2024
- 2023Artificial Intelligence for Digital and Computational Pathology13 Dec 2023
- 2023Semi-supervised ViT knowledge distillation network with style transfer normalization for colorectal liver metastases survival prediction17 Nov 2023
- 2023Limited Data, Unlimited Potential: A Study on ViTs Augmented by Masked Autoencoders31 Oct 2023
- 2023Domain-specific optimization and diverse evaluation of self-supervised models for histopathology20 Oct 2023
- 2023Out-Of-Domain Unlabeled Data Improves Generalization29 Sep 2023
- 2023Attention De-sparsification Matters: Inducing Diversity in Digital Pathology Representation Learning12 Sep 2023
- 2023A General-Purpose Self-Supervised Model for Computational Pathology29 Aug 2023
- 2023A vision transformer-based framework for knowledge transfer from multi-modal to mono-modal lymphoma subtyping models2 Aug 2023
- 2023OpenAL: An Efficient Deep Active Learning Framework for Open-Set Pathology Image Classification11 Jul 2023
- 2023Rethinking Multiple Instance Learning for Whole Slide Image Classification: A Good Instance Classifier is All You Need5 Jul 2023
- 2023LESS: Label-efficient Multi-scale Learning for Cytological Whole Slide Image Screening6 Jun 2023
- 2023The Rise of AI Language Pathologists: Exploring Two-level Prompt Learning for Few-shot Weakly-supervised Whole Slide Image Classification29 May 2023
- 2023Task-specific Fine-tuning via Variational Information Bottleneck for Weakly-supervised Pathology Whole Slide Image Classification15 Mar 2023
- 2023Classification in Histopathology: A unique deep embeddings extractor for multiple classification tasks9 Mar 2023
- 2022Vision Transformers in Medical Imaging: A Review18 Nov 2022
- 2022Seeded iterative clustering for histology region identification14 Nov 2022
- 2022Language models are good pathologists: using attention-based sequence reduction and text-pretrained transformers for efficient WSI classification14 Nov 2022
- 2022Multiple Instance Learning via Iterative Self-Paced Supervised Contrastive Learning17 Oct 2022
- 2022HistoPerm: A Permutation-Based View Generation Approach for Improving Histopathologic Feature Representation Learning13 Sep 2022
- 2022Multi-modal Masked Autoencoders Learn Compositional Histopathological Representations4 Sep 2022
- 2022Patient-level Microsatellite Stability Assessment from Whole Slide Images By Combining Momentum Contrast Learning and Group Patch Embeddings22 Aug 2022
- 2022Towards Label-efficient Automatic Diagnosis and Analysis: A Comprehensive Survey of Advanced Deep Learning-based Weakly-supervised, Semi-supervised and Self-supervised Techniques in Histopathological Image Analysis18 Aug 2022
- 2022Self-supervised contrastive learning of echocardiogram videos enables label-efficient cardiac disease diagnosis23 Jul 2022
- 2022Scaling Vision Transformers to Gigapixel Images via Hierarchical Self-Supervised Learning6 Jun 2022
- 2022From Modern CNNs to Vision Transformers: Assessing the Performance, Robustness, and Classification Strategies of Deep Learning Models in Histopathology11 Apr 2022
- 2022Scaling Vision Transformers to Gigapixel Images via Hierarchical Self-Supervised Learningcited by 357
- 2023Artificial Intelligence for Digital and Computational Pathologycited by 106
- 2024Phikon-v2, A large and public feature extractor for biomarker predictioncited by 67
- 2023Task-specific Fine-tuning via Variational Information Bottleneck for Weakly-supervised Pathology Whole Slide Image Classificationcited by 54
- 2023A General-Purpose Self-Supervised Model for Computational Pathologycited by 42
- 2023The Rise of AI Language Pathologists: Exploring Two-level Prompt Learning for Few-shot Weakly-supervised Whole Slide Image Classificationcited by 41
- 2024RudolfV: A Foundation Model by Pathologists for Pathologistscited by 40
- 2022Towards Label-efficient Automatic Diagnosis and Analysis: A Comprehensive Survey of Advanced Deep Learning-based Weakly-supervised, Semi-supervised and Self-supervised Techniques in Histopathological Image Analysiscited by 29
- 2022Multiple Instance Learning via Iterative Self-Paced Supervised Contrastive Learningcited by 22
- 2023Rethinking Multiple Instance Learning for Whole Slide Image Classification: A Good Instance Classifier is All You Needcited by 21
- 2023Limited Data, Unlimited Potential: A Study on ViTs Augmented by Masked Autoencoderscited by 17
- 2023Domain-specific optimization and diverse evaluation of self-supervised models for histopathologycited by 11
12 most cited of 48 All 48 (JSON)
- 2026Learning Where to Focus: Self-Supervised Multi-Scale ViTs for Histopathology16 Sep 2026
- 2026Consistency-Driven Co-Evolution for Self-Supervised Cross-Representation Learning5 Aug 2026
- 2025Dynamic Residual Encoding with Slide-Level Contrastive Learning for End-to-End Whole Slide Image Representation7 Nov 2025
- 2025Benchmarking Foundation Models for Mitotic Figure Classification6 Aug 2025
- 2025Self-Supervision Enhances Instance-based Multiple Instance Learning Methods in Digital Pathology: A Benchmark Study2 May 2025
- 2025Advanced Deep Learning and Large Language Models: Comprehensive Insights for Cancer Detection30 Mar 2025
- 2025Hierarchical Self-Supervised Adversarial Training for Robust Vision Models in Histopathology13 Mar 2025
- 2025Towards Effective and Efficient Context-aware Nucleus Detection in Histopathology Whole Slide Images4 Mar 2025
- 2024Phikon-v2, A large and public feature extractor for biomarker prediction13 Sep 2024
- 2024Rethinking Pre-Trained Feature Extractor Selection in Multiple Instance Learning for Whole Slide Image Classification2 Aug 2024
- 2024PreMix: Label-Efficient Multiple Instance Learning via Non-Contrastive Pre-training and Feature Mixing2 Aug 2024
- 2024Lifelong Histopathology Whole Slide Image Retrieval via Distance Consistency Rehearsal11 Jul 2024
12 newest of 48 All 48 (JSON)