Morphological Prototyping for Unsupervised Slide Representation Learning in Computational Pathology
Authors: Andrew H. Song, Richard J. Chen, Tong Ding, Drew F.K. Williamson, Guillaume Jaume, Faisal Mahmood

Representation learning of pathology whole-slide images (WSIs) has been has primarily relied on weak supervision with Multiple Instance Learning (MIL). However the slide representations resulting from this approach are highly tailored to specific clinical tasks which limits their expressivity and generalization particularly in scenarios with limited data. Instead we hypothesize that morphological redundancy in tissue can be leveraged to build a task-agnostic slide representation in an unsupervised fashion. To this end we introduce PANTHER a prototype-based approach rooted in the Gaussian mixture model that summarizes the set of WSI patches into a much smaller set of morphological prototypes. Specifically each patch is assumed to have been generated from a mixture distribution where each mixture component represents a morphological exemplar. Utilizing the estimated mixture parameters we then construct a compact slide representation that can be readily used for a wide range of downstream tasks. By performing an extensive evaluation of PANTHER on subtyping and survival tasks using 13 datasets we show that 1) PANTHER outperforms or is on par with supervised MIL baselines and 2) the analysis of morphological prototypes brings new qualitative and quantitative insights into model interpretability. The code is available at https://github.com/mahmoodlab/Panther.