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In recent years, the advent of foundation models (FM) for digital pathology has relied heavily on scaling the pre-training datasets and the model size, yielding large and powerful models. While it resulted in improving the performance on diverse downstream tasks, it also introduced increased computational cost and inference time. In this work, we explore the distillation of a large foundation model into a smaller one, reducing the number of parameters by several orders of magnitude. Leveraging distillation techniques, our distilled model, H0-mini, achieves nearly comparable performance to large FMs at a significantly reduced inference cost. It is evaluated on several public benchmarks, achieving 3rd place on the HEST benchmark and 5th place on the EVA benchmark. Additionally, a robustness analysis conducted on the PLISM dataset demonstrates that our distilled model reaches excellent robustness to variations in staining and scanning conditions, significantly outperforming other state-of-the art models. This opens new perspectives to design lightweight and robust models for digital pathology, without compromising on performance., Comment: Preprint

In Self-Supervised Learning (SSL), models are typically pretrained, fine-tuned, and evaluated on the same domains. However, they tend to perform poorly when evaluated on unseen domains, a challenge that Unsupervised Domain Generalization (UDG) seeks to address. Current UDG methods rely on domain labels, which are often challenging to collect, and domain-specific architectures that lack scalability when confronted with numerous domains, making the current methodology impractical and rigid. Inspired by contrastive-based UDG methods that mitigate spurious correlations by restricting comparisons to examples from the same domain, we hypothesize that eliminating style variability within a batch could provide a more convenient and flexible way to reduce spurious correlations without requiring domain labels. To verify this hypothesis, we introduce Batch Styles Standardization (BSS), a relatively simple yet powerful Fourier-based method to standardize the style of images in a batch specifically designed for integration with SSL methods to tackle UDG. Combining BSS with existing SSL methods offers serious advantages over prior UDG methods: (1) It eliminates the need for domain labels or domain-specific network components to enhance domain-invariance in SSL representations, and (2) offers flexibility as BSS can be seamlessly integrated with diverse contrastive-based but also non-contrastive-based SSL methods. Experiments on several UDG datasets demonstrate that it significantly improves downstream task performances on unseen domains, often outperforming or rivaling with UDG methods. Finally, this work clarifies the underlying mechanisms contributing to BSS's effectiveness in improving domain-invariance in SSL representations and performances on unseen domain., Comment: Accepted at ICLR 2024

Histopathology whole slide images (WSIs) can reveal significant inter-hospital variability such as illumination, color or optical artifacts. These variations, caused by the use of different scanning protocols across medical centers (staining, scanner), can strongly harm algorithms generalization on unseen protocols. This motivates development of new methods to limit such drop of performances. In this paper, to enhance robustness on unseen target protocols, we propose a new test-time data augmentation based on multi domain image-to-image translation. It allows to project images from unseen protocol into each source domain before classifying them and ensembling the predictions. This test-time augmentation method results in a significant boost of performances for domain generalization. To demonstrate its effectiveness, our method has been evaluated on 2 different histopathology tasks where it outperforms conventional domain generalization, standard H&E specific color augmentation/normalization and standard test-time augmentation techniques. Our code is publicly available at https://gitlab.com/vitadx/articles/test-time-i2i-translation-ensembling., Comment: Accepted at MICCAI2022 Conference

Multi-Source Unsupervised Domain Adaptation (multi-source UDA) aims to learn a model from several labeled source domains while performing well on a different target domain where only unlabeled data are available at training time. To align source and target features distributions, several recent works use source and target explicit statistics matching such as features moments or class centroids. Yet, these approaches do not guarantee class conditional distributions alignment across domains. In this work, we propose a new framework called Contrastive Multi-Source Domain Adaptation (CMSDA) for multi-source UDA that addresses this limitation. Discriminative features are learned from interpolated source examples via cross entropy minimization and from target examples via consistency regularization and hard pseudo-labeling. Simultaneously, interpolated source examples are leveraged to align source class conditional distributions through an interpolated version of the supervised contrastive loss. This alignment leads to more general and transferable features which further improves the generalization on the target domain. Extensive experiments have been carried out on three standard multi-source UDA datasets where our method reports state-of-the-art results.