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The diagnosis of primary liver cancers (PLCs) can be challenging, especially on biopsies and for combined hepatocellular-cholangiocarcinoma (cHCC-CCA). We automatically classified PLCs on routine-stained biopsies using a weakly supervised learning method. Weak tumour/non-tumour annotations served as labels for training a Resnet18 neural network, and the network's last convolutional layer was used to extract new tumour tile features. Without knowledge of the precise labels of the malignancies, we then applied an unsupervised clustering algorithm. Our model identified specific features of hepatocellular carcinoma (HCC) and intrahepatic cholangiocarcinoma (iCCA). Despite no specific features of cHCC-CCA being recognized, the identification of HCC and iCCA tiles within a slide could facilitate the diagnosis of primary liver cancers, particularly cHCC-CCA. Method and results: 166 PLC biopsies were divided into training, internal and external validation sets: 90, 29 and 47 samples. Two liver pathologists reviewed each whole-slide hematein eosin saffron (HES)-stained image (WSI). After annotating the tumour/non-tumour areas, 256x256 pixel tiles were extracted from the WSIs and used to train a ResNet18. The network was used to extract new tile features. An unsupervised clustering algorithm was then applied to the new tile features. In a two-cluster model, Clusters 0 and 1 contained mainly HCC and iCCA histological features. The diagnostic agreement between the pathological diagnosis and the model predictions in the internal and external validation sets was 100% (11/11) and 96% (25/26) for HCC and 78% (7/9) and 87% (13/15) for iCCA, respectively. For cHCC-CCA, we observed a highly variable proportion of tiles from each cluster (Cluster 0: 5-97%; Cluster 1: 2-94%)., Comment: https://www.sciencedirect.com/science/article/pii/S2589555924000090

The multivariate generalized Gaussian distribution (MGGD), also known as the multivariate exponential power (MEP) distribution, is widely used in signal and image processing. However, estimating MGGD parameters, which is required in practical applications, still faces specific theoretical challenges. In particular, establishing convergence properties for the standard fixed-point approach when both the distribution mean and the scatter (or the precision) matrix are unknown is still an open problem. In robust estimation, imposing classical constraints on the precision matrix, such as sparsity, has been limited by the non-convexity of the resulting cost function. This paper tackles these issues from an optimization viewpoint by proposing a convex formulation with well-established convergence properties. We embed our analysis in a noisy scenario where robustness is induced by modelling multiplicative perturbations. The resulting framework is flexible as it combines a variety of regularizations for the precision matrix, the mean and model perturbations. This paper presents proof of the desired theoretical properties, specifies the conditions preserving these properties for different regularization choices and designs a general proximal primal-dual optimization strategy. The experiments show a more accurate precision and covariance matrix estimation with similar performance for the mean vector parameter compared to Tyler's M-estimator. In a high-dimensional setting, the proposed method outperforms the classical GLASSO, one of its robust extensions, and the regularized Tyler's estimator.