Month: March 2024

Posted by Dave Steiner, Clinical Research Scientist, Google Health, and Rory Pilgrim, Product Manager, Google Research

There’s a worldwide shortage of access to medical imaging expert interpretation across specialties including radiology, dermatology and pathology. Machine learning (ML) technology can help ease this burden by powering tools that enable doctors to interpret these images more accurately and efficiently. However, the development and implementation of such ML tools are often limited by the availability of high-quality data, ML expertise, and computational resources.

One way to catalyze the use of ML for medical imaging is via domain-specific models that utilize deep learning (DL) to capture the information in medical images as compressed numerical vectors (called embeddings). These embeddings represent a type of pre-learned understanding of the important features in an image. Identifying patterns in the embeddings reduces the amount of data, expertise, and compute needed to train performant models as compared to working with high-dimensional data, such as images, directly. Indeed, these embeddings can be used to perform a variety of downstream tasks within the specialized domain (see animated graphic below). This framework of leveraging pre-learned understanding to solve related tasks is similar to that of a seasoned guitar player quickly learning a new song by ear. Because the guitar player has already built up a foundation of skill and understanding, they can quickly pick up the patterns and groove of a new song.

Path Foundation is used to convert a small dataset of (image, label) pairs into (embedding, label) pairs. These pairs can then be used to train a task-specific classifier using a linear probe, (i.e., a lightweight linear classifier) as represented in this graphic, or other types of models using the embeddings as input.

Once the linear probe is trained, it can be used to make predictions on embeddings from new images. These predictions can be compared to ground truth information in order to evaluate the linear probe’s performance.

In order to make this type of embedding model available and drive further development of ML tools in medical imaging, we are excited to release two domain-specific tools for research use: Derm Foundation and Path Foundation. This follows on the strong response we’ve already received from researchers using the CXR Foundation embedding tool for chest radiographs and represents a portion of our expanding research offerings across multiple medical-specialized modalities. These embedding tools take an image as input and produce a numerical vector (the embedding) that is specialized to the domains of dermatology and digital pathology images, respectively. By running a dataset of chest X-ray, dermatology, or pathology images through the respective embedding tool, researchers can obtain embeddings for their own images, and use these embeddings to quickly develop new models for their applications.

Path Foundation

In “Domain-specific optimization and diverse evaluation of self-supervised models for histopathology”, we showed that self-supervised learning (SSL) models for pathology images outperform traditional pre-training approaches and enable efficient training of classifiers for downstream tasks. This effort focused on hematoxylin and eosin (H&E) stained slides, the principal tissue stain in diagnostic pathology that enables pathologists to visualize cellular features under a microscope. The performance of linear classifiers trained using the output of the SSL models matched that of prior DL models trained on orders of magnitude more labeled data.

Due to substantial differences between digital pathology images and “natural image” photos, this work involved several pathology-specific optimizations during model training. One key element is that whole-slide images (WSIs) in pathology can be 100,000 pixels across (thousands of times larger than typical smartphone photos) and are analyzed by experts at multiple magnifications (zoom levels). As such, the WSIs are typically broken down into smaller tiles or patches for computer vision and DL applications. The resulting images are information dense with cells or tissue structures distributed throughout the frame instead of having distinct semantic objects or foreground vs. background variations, thus creating unique challenges for robust SSL and feature extraction. Additionally, physical (e.g., cutting) and chemical (e.g., fixing and staining) processes used to prepare the samples can influence image appearance dramatically.

Taking these important aspects into consideration, pathology-specific SSL optimizations included helping the model learn stain-agnostic features, generalizing the model to patches from multiple magnifications, augmenting the data to mimic scanning and image post processing, and custom data balancing to improve input heterogeneity for SSL training. These approaches were extensively evaluated using a broad set of benchmark tasks involving 17 different tissue types over 12 different tasks.

Utilizing the vision transformer (ViT-S/16) architecture, Path Foundation was selected as the best performing model from the optimization and evaluation process described above (and illustrated in the figure below). This model thus provides an important balance between performance and model size to enable valuable and scalable use in generating embeddings over the many individual image patches of large pathology WSIs.

SSL training with pathology-specific optimizations for Path Foundation.

The value of domain-specific image representations can also be seen in the figure below, which shows the linear probing performance improvement of Path Foundation (as measured by AUROC) compared to traditional pre-training on natural images (ImageNet-21k). This includes evaluation for tasks such as metastatic breast cancer detection in lymph nodes, prostate cancer grading, and breast cancer grading, among others.

Path Foundation embeddings significantly outperform traditional ImageNet embeddings as evaluated by linear probing across multiple evaluation tasks in histopathology.

Derm Foundation

Derm Foundation is an embedding tool derived from our research in applying DL to interpret images of dermatology conditions and includes our recent work that adds improvements to generalize better to new datasets. Due to its dermatology-specific pre-training it has a latent understanding of features present in images of skin conditions and can be used to quickly develop models to classify skin conditions. The model underlying the API is a BiT ResNet-101×3 trained in two stages. The first pre-training stage uses contrastive learning, similar to ConVIRT, to train on a large number of image-text pairs from the internet. In the second stage, the image component of this pre-trained model is then fine-tuned for condition classification using clinical datasets, such as those from teledermatology services.

Unlike histopathology images, dermatology images more closely resemble the real-world images used to train many of today’s computer vision models. However, for specialized dermatology tasks, creating a high-quality model may still require a large dataset. With Derm Foundation, researchers can use their own smaller dataset to retrieve domain-specific embeddings, and use those to build smaller models (e.g., linear classifiers or other small non-linear models) that enable them to validate their research or product ideas. To evaluate this approach, we trained models on a downstream task using teledermatology data. Model training involved varying dataset sizes (12.5%, 25%, 50%, 100%) to compare embedding-based linear classifiers against fine-tuning.

The modeling variants considered were:

• A linear classifier on frozen embeddings from BiT-M (a standard pre-trained image model)
• Fine-tuned version of BiT-M with an extra dense layer for the downstream task
• A linear classifier on frozen embeddings from the Derm Foundation API
• Fine-tuned version of the model underlying the Derm Foundation API with an extra layer for the downstream task

We found that models built on top of the Derm Foundation embeddings for dermatology-related tasks achieved significantly higher quality than those built solely on embeddings or fine tuned from BiT-M. This advantage was found to be most pronounced for smaller training dataset sizes.

These results demonstrate that the Derm Foundation tooI can serve as a useful starting point to accelerate skin-related modeling tasks. We aim to enable other researchers to build on the underlying features and representations of dermatology that the model has learned.

However, there are limitations with this analysis. We’re still exploring how well these embeddings generalize across task types, patient populations, and image settings. Downstream models built using Derm Foundation still require careful evaluation to understand their expected performance in the intended setting.

Access Path and Derm Foundation

We envision that the Derm Foundation and Path Foundation embedding tools will enable a range of use cases, including efficient development of models for diagnostic tasks, quality assurance and pre-analytical workflow improvements, image indexing and curation, and biomarker discovery and validation. We are releasing both tools to the research community so they can explore the utility of the embeddings for their own dermatology and pathology data.

To get access, please sign up to each tool’s terms of service using the following Google Forms.

• Derm Foundation Access Form
• Path Foundation Access Form

After gaining access to each tool, you can use the API to retrieve embeddings from dermatology images or digital pathology images stored in Google Cloud. Approved users who are just curious to see the model and embeddings in action can use the provided example Colab notebooks to train models using public data for classifying six common skin conditions or identifying tumors in histopathology patches. We look forward to seeing the range of use-cases these tools can unlock.

Acknowledgements

We would like to thank the many collaborators who helped make this work possible including Yun Liu, Can Kirmizi, Fereshteh Mahvar, Bram Sterling, Arman Tajback, Kenneth Philbrik, Arnav Agharwal, Aurora Cheung, Andrew Sellergren, Boris Babenko, Basil Mustafa, Jan Freyberg, Terry Spitz, Yuan Liu, Pinal Bavishi, Ayush Jain, Amit Talreja, Rajeev Rikhye, Abbi Ward, Jeremy Lai, Faruk Ahmed, Supriya Vijay,Tiam Jaroensri, Jessica Loo, Saurabh Vyawahare, Saloni Agarwal, Ellery Wulczyn, Jonathan Krause, Fayaz Jamil, Tom Small, Annisah Um’rani, Lauren Winer, Sami Lachgar, Yossi Matias, Greg Corrado, and Dale Webster.

Posted by Zilong Wang, Student Researcher, and Chen-Yu Lee, Research Scientist, Cloud AI Team

People use tables every day to organize and interpret complex information in a structured, easily accessible format. Due to the ubiquity of such tables, reasoning over tabular data has long been a central topic in natural language processing (NLP). Researchers in this field have aimed to leverage language models to help users answer questions, verify statements, and analyze data based on tables. However, language models are trained over large amounts of plain text, so the inherently structured nature of tabular data can be difficult for language models to fully comprehend and utilize.

Recently, large language models (LLMs) have achieved outstanding performance across diverse natural language understanding (NLU) tasks by generating reliable reasoning chains, as shown in works like Chain-of-Thought and Least-to-Most. However, the most suitable way for LLMs to reason over tabular data remains an open question.

In “Chain-of-Table: Evolving Tables in the Reasoning Chain for Table Understanding”, we propose a framework to tackle table understanding tasks, where we train LLMs to outline their reasoning step by step, updating a given table iteratively to reflect each part of a thought process, akin to how people solve the table-based problems. This enables the LLM to transform the table into simpler and more manageable segments so that it can understand and analyze each part of the table in depth. This approach has yielded significant improvements and achieved new state-of-the-art results on the WikiTQ, TabFact, and FeTaQA benchmarks. The figure below shows the high-level overview of the proposed Chain-of-Table and other methods.

Given a complex table where a cyclist’s nationality and name are in the same cell, (a) generic, multi-step reasoning is unable to provide the correct answer (b) program-aided reasoning generates and executes programs (e.g., SQL queries) to deliver the answer, but falls short in accurately addressing the question. In contrast, (c) Chain-of-Table iteratively samples a chain of operations that effectively transform the complex table into a version specifically tailored to the question.

Chain-of-Table

In Chain-of-Table, we guide LLMs using in-context learning to iteratively generate operations and to update the table to represent its reasoning chain over tabular data. This enables LLMs to dynamically plan the next operation based on the results of previous ones. This continuous evolution of the table forms a chain, which provides a more structured and clear representation of the reasoning process for a given problem and enables more accurate and reliable predictions from the LLM.

For example, when asked, “Which actor has the most NAACP image awards?” the Chain-of-Table framework prompts an LLM to generate tabular operations mirroring tabular reasoning processes. It first identifies the relevant columns. Then, it aggregates rows based on shared content. Finally, it reorders the aggregated results to yield a final table that clearly answers the posed question.

These operations transform the table to align with the question presented. To balance performance with computational expense on large tables, we construct the operation chain according to a subset of tabular rows.. Meanwhile, the step-by-step operations reveal the underlying reasoning process through the display of intermediate results from the tabular operations, fostering enhanced interpretability and understanding.

Illustration of the tabular reasoning process in Chain-of-Table. This iterative process involves dynamically planning an operation chain and accurately storing intermediate results in the transformed tables. These intermediate tables serve as a tabular thought process that can guide the LLM to land to the correct answer more reliably.

Chain-of-Table consists of three main stages. In the first stage, it instructs the LLM to dynamically plan the next operation by in-context learning. Specifically, the prompt involves three components as shown in the following figure:

1. The question Q: “Which country had the most cyclists finish in the top 3?”
2. The operation history chain: f_add_col(Country) and f_select_row(1, 2, 3).
3. The latest intermediate table T: the transformed intermediate table.

By providing the triplet (T, Q, chain) in the prompt, the LLM can observe the previous tabular reasoning process and select the next operation from the operation pool to complete the reasoning chain step by step.

Illustration of how Chain-of-Table selects the next operation from the operation pool and generates the arguments for the operation.(a) Chain-of-Table samples the next operation from the operation pool. (b) It takes the selected operation as input and generates its arguments.

After the next operation f is determined, in the second stage, we need to generate the arguments. As above, Chain-of-Table considers three components in the prompt as shown in the figure: (1) the question, (2) the selected operation and its required arguments, and (3) the latest intermediate table.

For instance, when the operation f_group_by is selected, it requires a header name as its argument.

The LLM selects a suitable header within the table. Equipped with the selected operation and the generated arguments, Chain-of-Table executes the operation and constructs a new intermediate table for the following reasoning.

Chain-of-Table iterates the previous two stages to plan the next operation and generate the required arguments. During this process, we create an operation chain acting as a proxy for the tabular reasoning steps. These operations generate intermediate tables presenting the results of each step to the LLM. Consequently, the output table contains comprehensive information about the intermediate phases of tabular reasoning. In our final stage, we employ this output table in formulating the final query and prompt the LLM along with the question for the final answer.

Experimental setup

We use PaLM 2-S and GPT 3.5 as the backbone LLMs and conduct the experiments on three public table understanding benchmarks: WikiTQ, TabFact, and FeTaQA. WikiTQ and FeTaQA are datasets for table-based question answering. TabFact is a table-based fact verification benchmark. In this blogpost, we will focus on the results on WikiTQ and TabFact. We compare Chain-of-Table with the generic reasoning methods (e.g., End-to-End QA, Few-Shot QA, and Chain-of-Thought) and the program-aided methods (e.g., Text-to-SQL, Binder, and Dater).

More accurate answers

Compared to the generic reasoning methods and program-aided reasoning methods, Chain-of-Table achieves better performance across PaLM 2 and GPT 3.5. This is attributed to the dynamically sampled operations and the informative intermediate tables.

Understanding results on WikiTQ and TabFact with PaLM 2 and GPT 3.5 compared with various models.

Better robustness on harder questions

In Chain-of-Table, longer operation chains indicate the higher difficulty and complexity of the questions and their corresponding tables. We categorize the test samples according to their operation lengths in Chain-of-Table. We compare Chain-of-Table with Chain-of-Thought and Dater, as representative generic and program-aided reasoning methods. We illustrate this using results from PaLM 2 on WikiTQ.

Performance of Chain-of-Thought, Dater, and the proposed Chain-of-Table on WikiTQ for questions that require an operation chain of varying lengths. Our proposed atomic operations significantly improve performance over generic and program-aided reasoning counterparts.

Notably, Chain-of-Table consistently surpasses both baseline methods across all operation chain lengths, with a significant margin up to 11.6% compared with Chain-of-Thought, and up to 7.9% compared with Dater. Moreover, the performance of Chain-of-Table declines gracefully with increasing number of operations compared to other baseline methods, exhibiting only a minimal decrease when the number of operations increases from four to five.

Better robustness with larger tables

We categorize the tables from WikiTQ into three groups based on token number: small (<2000 tokens), medium (2000 to 4000 tokens) and large (>4000 tokens). We then compare Chain-of-Table with Dater and Binder, the two latest and strongest baselines.

Performance of Binder, Dater, and the proposed Chain-of-Table on small (<2000 tokens), medium (2000 to 4000 tokens), and large (>4000 tokens) tables from WikiTQ. We observe that the performance decreases with larger input tables while Chain-of-Table diminishes gracefully, achieving significant improvements over competing methods. (As above, underlined text denotes the second-best performance; bold denotes the best performance.)

Performance of Binder, Dater, and the proposed Chain-of-Table on small (<2000 tokens), medium (2000 to 4000 tokens), and large (>4000 tokens) tables from WikiTQ. We observe that the performance decreases with larger input tables while Chain-of-Table diminishes gracefully, achieving significant improvements over competing methods. (As above, underlined text denotes the second-best performance; bold denotes the best performance.)

As anticipated, the performance decreases with larger input tables, as models are required to reason through longer contexts. Nevertheless, the performance of the proposed Chain-of-Table diminishes gracefully, achieving a significant 10+% improvement over the second best competing method when dealing with large tables. This demonstrates the efficacy of the reasoning chain in handling long tabular inputs.

Conclusion

Our proposed Chain-of-Table method enhances the reasoning capability of LLMs by leveraging the tabular structure to express intermediate steps for table-based reasoning. It instructs LLMs to dynamically plan an operation chain according to the input table and its associated question. This evolving table design sheds new light on the understanding of prompting LLMs for table understanding.

Acknowledgements

This research was conducted by Zilong Wang, Hao Zhang, Chun-Liang Li, Julian Martin Eisenschlos, Vincent Perot, Zifeng Wang, Lesly Miculicich, Yasuhisa Fujii, Jingbo Shang, Chen-Yu Lee, Tomas Pfister. Thanks to Chih-Kuan Yeh and Sergey Ioffe for their valuable feedback.