CASC-AI: Consensus-aware Self-corrective AI Agents for Noise Cell Segmentation

📅 2025-02-11
📈 Citations: 0
Influential: 0
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🤖 AI Summary
Existing methods for multi-class cell segmentation in high-resolution whole-slide images (WSIs) struggle to handle pixel-level annotation noise introduced by non-expert annotators, leading to substantial increases in false positives (FP) and false negatives (FN). To address this, we propose a consensus-aware self-correcting AI agent framework. Our method introduces a novel dynamic supervision mechanism based on a consensus matrix, integrating feature-similarity-driven adaptive weighting and pixel-wise contrastive learning to decouple representations of noisy versus reliable regions. Supervisory signal quality is further enhanced via multi-stage iterative label purification. Evaluated on real-world non-expert-annotated WSIs and two types of synthetically corrupted datasets, our approach achieves significant improvements in segmentation accuracy while effectively suppressing FP and FN errors. The source code and annotations are publicly available.

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Application Category

📝 Abstract
Multi-class cell segmentation in high-resolution gigapixel whole slide images (WSI) is crucial for various clinical applications. However, training such models typically requires labor-intensive, pixel-wise annotations by domain experts. Recent efforts have democratized this process by involving lay annotators without medical expertise. However, conventional non-agent-based approaches struggle to handle annotation noise adaptively, as they lack mechanisms to mitigate false positives (FP) and false negatives (FN) at both the image-feature and pixel levels. In this paper, we propose a consensus-aware self-corrective AI agent that leverages the Consensus Matrix to guide its learning process. The Consensus Matrix defines regions where both the AI and annotators agree on cell and non-cell annotations, which are prioritized with stronger supervision. Conversely, areas of disagreement are adaptively weighted based on their feature similarity to high-confidence agreement regions, with more similar regions receiving greater attention. Additionally, contrastive learning is employed to separate features of noisy regions from those of reliable agreement regions by maximizing their dissimilarity. This paradigm enables the AI to iteratively refine noisy labels, enhancing its robustness. Validated on one real-world lay-annotated cell dataset and two simulated noisy datasets, our method demonstrates improved segmentation performance, effectively correcting FP and FN errors and showcasing its potential for training robust models on noisy datasets. The official implementation and cell annotations are publicly available at https://github.com/ddrrnn123/CASC-AI.
Problem

Research questions and friction points this paper is trying to address.

Handles annotation noise adaptively
Improves multi-class cell segmentation
Corrects false positives and negatives
Innovation

Methods, ideas, or system contributions that make the work stand out.

Consensus Matrix guides AI learning
Contrastive learning separates noisy features
Iterative refinement enhances label robustness
Ruining Deng
Ruining Deng
Weill Cornell Medicine
Medical Image AnalysisDeep LearningDigital Pathology
Yihe Yang
Yihe Yang
Northwell Health
Renal PathologyAnatomic and Clinical PathologyEpidemiology and BiostatisticsNephrologyClinical Research
D
D.J. Pisapia
Weill Cornell Medicine, New York, NY 10021
Benjamin Liechty
Benjamin Liechty
Assistant Professor of Neuropathology, Weill-Cornell Medical College
neuropathologyneurooncologymachine learningcomputer visionmolecular pathology
Junchao Zhu
Junchao Zhu
Vanderbilt University
Juming Xiong
Juming Xiong
Vanderbilt University
deep learningcomputer visionmedical image processing
Junlin Guo
Junlin Guo
Vanderbilt University
Deep LearningFoundation ModelsMedical Image AnalysisRemote Sensing
Z
Zhengyi Lu
Vanderbilt University, Nashville, TN, USA 37215
Jiacheng Wang
Jiacheng Wang
Nanyang Technological University
ISACGenAILow-altitude wireless networkSemantic Communications
X
Xing Yao
Vanderbilt University, Nashville, TN, USA 37215
R
Runxuan Yu
Vanderbilt University, Nashville, TN, USA 37215
Rendong Zhang
Rendong Zhang
Ph.D. Student, Vanderbilt University
Deep learningMedical imaging
Gaurav Rudravaram
Gaurav Rudravaram
Research Assistant
Deep LearningAIHistologyConnectomicsDiffusion
M
Mengmeng Yin
Vanderbilt University Medical Center, Nashville, TN, USA 37232
P
P. Sarder
University of Florida, Gainesville, FL, USA 32611
Haichun Yang
Haichun Yang
Vanderbilt Medical University
Nephrology
Yuankai Huo
Yuankai Huo
Computer Science, Vanderbilt University
Medical Image AnalysisDeep LearningData Mining
M
M. Sabuncu
Weill Cornell Medicine, New York, NY 10021; Cornell Tech, New York, NY, USA 10044