When an Image is Worth 1,024 x 1,024 Words: A Case Study in Computational Pathology

This technical report presents LongViT, a vision Transformer that can process gigapixel images in an end-to-end manner. Specifically, we split the gigapixel image into a sequence of millions of patches and project them linearly into embeddings. LongNet is then employed to model the extremely long sequence, generating representations that capture both short-range and long-range dependencies. The linear computation complexity of LongNet, along with its distributed algorithm, enables us to overcome the constraints of both computation and memory. We apply LongViT in the field of computational pathology, aiming for cancer diagnosis and prognosis within gigapixel whole-slide images. Experimental results demonstrate that LongViT effectively encodes gigapixel images and outperforms previous state-of-the-art methods on cancer subtyping and survival prediction. Code and models will be available at https://aka.ms/LongViT.