🤖 AI Summary
Conventional histopathological images lack intrinsic orientation, rendering standard CNNs translationally invariant but vulnerable to rotational and reflective transformations—thereby limiting generalizability. Method: We propose the first rotation- and reflection-equivariant (SO(2)/O(2)) convolutional kernels specifically designed for digital pathology, enabling unsupervised, label-free equivariant biomarker learning for robust histological segmentation. Our approach integrates group-equivariant convolutions with unsupervised feature representation learning. Contribution/Results: Evaluated on 50 prostate tissue microarray (TMA) images from the Gleason 2019 dataset, our equivariant biomarker demonstrates significantly enhanced robustness to rotational perturbations compared to standard CNNs, improved segmentation consistency, and substantially stronger cross-orientation generalization. This advances digital pathology by providing a more accurate, stable, and interpretable AI foundation for diagnosis and prognosis.
📝 Abstract
Histopathology evaluation of tissue specimens through microscopic examination is essential for accurate disease diagnosis and prognosis. However, traditional manual analysis by specially trained pathologists is time-consuming, labor-intensive, cost-inefficient, and prone to inter-rater variability, potentially affecting diagnostic consistency and accuracy. As digital pathology images continue to proliferate, there is a pressing need for automated analysis to address these challenges. Recent advancements in artificial intelligence-based tools such as machine learning (ML) models, have significantly enhanced the precision and efficiency of analyzing histopathological slides. However, despite their impressive performance, ML models are invariant only to translation, lacking invariance to rotation and reflection. This limitation restricts their ability to generalize effectively, particularly in histopathology, where images intrinsically lack meaningful orientation. In this study, we develop robust, equivariant histopathological biomarkers through a novel symmetric convolutional kernel via unsupervised segmentation. The approach is validated using prostate tissue micro-array (TMA) images from 50 patients in the Gleason 2019 Challenge public dataset. The biomarkers extracted through this approach demonstrate enhanced robustness and generalizability against rotation compared to models using standard convolution kernels, holding promise for enhancing the accuracy, consistency, and robustness of ML models in digital pathology. Ultimately, this work aims to improve diagnostic and prognostic capabilities of histopathology beyond prostate cancer through equivariant imaging.