医学影像与生物视觉 · CVPR2026 ·2026.06.03

每种错误都有其严重程度:面向多类多示例学习的不对称错误严重度训练

Every Error has Its Magnitude: Asymmetric Mistake Severity Training for Multiclass Multiple Instance Learning

Sungrae Hong、Jiwon Jeong、Jisu Shin、Donghee Han、Sol Lee、Kyungeun Kim 等 7 人

与你有关的部分

把类别间的临床严重程度编码成层次结构与严重度加权交叉熵,可直接迁移到任何多类医学图像分类(如分级诊断、病变分型)中,用来压低高危误判;配套的非对称 Mikel's Wheel 指标也提供了一个可复用的、按错误严重度加权的评测方式。

原文依据 a severity-weighted cross-entropy loss that penalizes high-severity misclassifications more strongly
可迁移到 全切片图像分类多示例学习医学图像分级诊断

摘要译文

由模型翻译 · 术语统一 · 请对照原文核对关键结论

多示例学习(MIL)已成为全切片图像(WSI)诊断的一种有前景的范式,能够在标注有限的情况下实现有效学习。然而,现有的 MIL 框架忽视了诊断优先级,也未能在多类设定下区分误分类的严重程度,导致临床关键错误未被处理。我们提出一种错误严重度感知的训练策略,将诊断类别组织为层次结构,每一层均使用严重度加权交叉熵损失进行优化,对高严重度误分类施加更强的惩罚。此外,我们通过对示例包施加语义特征混合的概率对齐来强制层次一致性,从而稳健地训练类别优先级,并适应涉及多种症状的临床病例。我们还引入了一种基于非对称 Mikel's Wheel 的指标,用于量化医学领域特有的错误严重度。在具有挑战性的公开数据集和真实世界内部数据集上的实验表明,与现有方法相比,我们的方法显著缓解了 MIL 诊断中的关键错误。我们还在自然领域数据上给出了额外实验结果,以证明所提方法在医学语境之外的泛化能力。

英文原文摘要 1289 字符

Multiple Instance Learning (MIL) has emerged as a promising paradigm for Whole Slide Image (WSI) diagnosis, offering effective learning with limited annotations. However, existing MIL frameworks overlook diagnostic priorities and fail to differentiate the severity of misclassifications in multiclass, leaving clinically critical errors unaddressed. We propose a mistake-severity-aware training strategy that organizes diagnostic classes into a hierarchical structure, with each level optimized using a severity-weighted cross-entropy loss that penalizes high-severity misclassifications more strongly. Additionally, hierarchical consistency is enforced through probabilistic alignment, a semantic feature remix applied to the instance bag to robustly train class priority and accommodate clinical cases involving multiple symptoms. An asymmetric Mikel's Wheel-based metric is also introduced to quantify the severity of errors specific to medical fields. Experiments on challenging public and real-world in-house datasets demonstrate that our approach significantly mitigates critical errors in MIL diagnosis compared to existing methods. We present additional experimental results on natural domain data to demonstrate the generalizability of our proposed method beyond medical contexts.

标签

会议 CVPR2026
页码 28244-28253
Bibkey
来源 CVF Open Access