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Seeing Beyond the Lesion: Disease Recognition from Reactive CNS Tissue

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The study evaluates whether disease can be identified from reactive, non‑lesional brain tissue in intracranial biopsies. Using four foundation‑model encoders as frozen patch encoders within an attention‑based multiple‑instance learning framework, the authors benchmark performance on 245 whole‑slide images from 186 patients. They find that coarse disease‑category prediction can be largely explained by slide size, but finer diagnostic distinctions remain predictive above chance, with no significant difference among the encoders, suggesting weak morphological signals can be recovered even from tissue traditionally considered non‑diagnostic.

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arXiv Computer Vision
Sep 3

Seeing Beyond the Lesion: Disease Recognition from Reactive CNS Tissue

The study evaluates whether disease can be identified from reactive, non‑lesional brain tissue in intracranial biopsies. Using four foundation‑model encoders within an attention‑based multiple‑instance learning framework on 245 whole‑slide images, the authors find that disease labels remain predictive even after controlling for slide size and sampling bias, and that performance is similar across all encoders. Signed instance‑contribution maps and expert review confirm that predictive signals localize to reactive parenchyma rather than artifacts such as blood. "whyItMatters":"The findings demonstrate that weakly supervised models can recover disease signals from tissue traditionally considered non‑diagnostic, highlighting the need for provenance‑only baselines in computational pathology benchmarks."

By Jan Schnorrenberg, Jan Ernsting, Enrico K\"ullenberg, Tim Hahn, Benjamin Risse, Christian Thomas
arXiv Machine Learning
Oct 12

The Predictability Bias of Joint-Embedding Predictive Learning in Medical Imaging

The paper introduces TAP-JEPA, a joint‑embedding predictive architecture trained on over 113,000 CT volumes, which achieves performance comparable to leading encoders in scan‑level classification. It demonstrates a predictability bias: while anatomy is largely predictable from context, pathology is not, leading to significant degradation in pathology detection when predictions are applied. The study audits the model’s predictive pathway, showing that pathology representations shift toward control regions and that removing pathology tokens minimally affects downstream decisions, underscoring that contextual predictability alone is insufficient for clinical relevance.

By Fabian Drexel, Bernhard Kainz, Jakob N. Kather, Daniel Rueckert, Lisa C. Adams, Keno K. Bressem, Cosmin I. Bercea
arXiv AI
Jun 12

BrainDINO: A Brain MRI Foundation Model for Generalizable Clinical Representation Learning

arXiv:2604. 27277v3 Announce Type: replace-cross Abstract: Brain MRI underpins a wide range of neuroscientific and clinical applications, yet most learning-based methods remain task-specific and require substantial labeled data.

By Yizhou Wu, Shansong Wang, Yuheng Li, Mojtaba Safari, Mingzhe Hu, Chih-Wei Chang, Harini Veeraraghavan, Xiaofeng Yang