Large-vocabulary forensic pathological analyses via prototypical cross-modal contrastive learning.

Journal: Nature communications
Published Date:

Abstract

Forensic pathology plays a vital role in determining the cause and manner of death through macroscopic and microscopic post-mortem examinations. However, the field faces challenges such as variability in outcomes, labor-intensive processes, and a shortage of skilled professionals. This paper introduces SongCi, a visual-language model tailored for forensic pathology. Leveraging advanced prototypical cross-modal self-supervised contrastive learning, SongCi improves the accuracy, efficiency, and generalizability of forensic analyses. Pre-trained and validated on a large multi-center dataset comprising over 16 million high-resolution image patches, 2, 228 vision-language pairs from post-mortem whole slide images, gross key findings, and 471 unique diagnostic outcomes, SongCi demonstrates superior performance over existing multi-modal models and computational pathology foundation models in forensic tasks. It matches experienced forensic pathologists' capabilities, significantly outperforms less experienced practitioners, and offers robust multi-modal explainability.

Authors

  • Chen Shen
    Department of Foreign Languages, Xi'an Jiaotong University City College, Xi'an, China.
  • Chunfeng Lian
    Department of Radiology and BRIC, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA. Electronic address: chunfeng_lian@med.unc.edu.
  • Wanqing Zhang
    College of Food Science and Engineering, Northwest University, Xi'an 710069, China.
  • Fan Wang
    Faculty of Information Engineering and Automation, Kunming University of Science and Technology, Kunming, China.
  • Jianhua Zhang
  • Shuanliang Fan
    Key Laboratory of National Ministry of Health for Forensic Sciences, School of Medicine & Forensics, Health Science Center, Xi'an Jiaotong University, Xi'an, Shaanxi, China.
  • Xin Wei
    Department of Urology, The Fifth Affiliated Hospital of Guangzhou Medical University, Guangzhou, 510700, China.
  • Gongji Wang
    College of Forensic Medicine, Xi'an Jiaotong University, Xi'an, 710061, China.
  • Kehan Li
    Department of Epidemiology, School of Public Health, China Medical University, Shenyang, Liaoning, China.
  • Hongshu Mu
    Weicheng Branch, Xian'yang Public Security Bureau, Xian'yang, Shaanxi, China.
  • Hao Wu
    Zhejiang Institute of Tianjin University (Shaoxing), Shaoxing, China.
  • Xinggong Liang
    Department of Forensic Pathology, College of Forensic Medicine, Xi'an Jiaotong University, Xi'an 710061, Shaanxi, People's Republic of China.
  • Jianhua Ma
  • Zhenyuan Wang
    Department of Forensic Pathology, College of Forensic Medicine, Xian Jiaotong University, Xi'an, Shaanxi, 710061, China.