With the increase in the use of deep learning for computer-aided diagnosis in medical images, the criticism of the black-box nature of the deep learning models is also on the rise. The medical community needs interpretable models for both due diligence and advancing the understanding of disease and treatment mechanisms. In histology, in particular, while there is rich detail available at the cellular level and that of spatial relationships between cells, it is difficult to modify convolutional neural networks to point out the relevant visual features. We adopt an approach to model histology tissue as a graph of nuclei and develop a graph convolutional network framework based on attention mechanism and node occlusion for disease diagnosis. The proposed method highlights the relative contribution of each cell nucleus in the whole-slide image. Our visualization of such networks trained to distinguish between invasive and in-situ breast cancers, and Gleason 3 and 4 prostate cancers generate interpretable visual maps that correspond well with our understanding of the structures that are important to experts for their diagnosis.

该论文提出了一种基于图卷积网络和注意机制的方法，将组织学检查作为细胞核图的形式来进行深度学习，达到疾病诊断的可解释性。

使用图卷积神经网络进行组织病理学图像的可视化