Explainable and Position-Aware Learning in Digital Pathology

Encoding whole slide images (WSI) as graphs is well motivated since it makes it possible for the gigapixel resolution WSI to be represented in its entirety for the purpose of graph learning. To this end, WSIs can be broken into smaller patches that represent the nodes of the graph. Then, graph-based learning methods can be utilized for the grading and classification of cancer. Message passing among neighboring nodes is the foundation of graph-based learning methods. However, they do not take into consideration any positional information for any of the patches, and if two patches are found in topologically isomorphic neighborhoods, their embeddings are nearly similar to one another. In this work, classification of cancer from WSIs is performed with positional embedding and graph attention. In order to represent the positional embedding of the nodes in graph classification, the proposed method makes use of spline convolutional neural networks (CNN). The algorithm is then tested with the WSI dataset for grading prostate cancer and kidney cancer. A comparison of the proposed method with leading approaches in cancer diagnosis and grading verify improved performance. The identification of cancerous regions in WSIs is another critical task in cancer diagnosis. In this work, the explainability of the proposed model is also addressed. A gradient-based explainbility approach is used to generate the saliency mapping for the WSIs. This can be used to look into regions of WSI that are responsible for cancer diagnosis thus rendering the proposed model explainable.