Domain Generalization in Computational Pathology: Survey and Guidelines
Mostafa Jahanifar Manahil Raza Kesi Xu Trinh Vuong Rob Jewsbury Adam Shephard Neda Zamanitajeddin Jin Tae Kwak Shan E Ahmed Raza Fayyaz Minhas Nasir Rajpoot
Deep learning models have exhibited exceptional effectiveness in
Computational Pathology (CPath) by tackling intricate tasks across an array of
histology image analysis applications. Nevertheless, the presence of
out-of-distribution data (stemming from a multitude of sources such as
disparate imaging devices and diverse tissue preparation methods) can cause
\emph{domain shift} (DS). DS decreases the generalization of trained models to
unseen datasets with slightly different data distributions, prompting the need
for innovative \emph{domain generalization} (DG) solutions. Recognizing the
potential of DG methods to significantly influence diagnostic and prognostic
models in cancer studies and clinical practice, we present this survey along
with guidelines on achieving DG in CPath. We rigorously define various DS
types, systematically review and categorize existing DG approaches and
resources in CPath, and provide insights into their advantages, limitations,
and applicability. We also conduct thorough benchmarking experiments with 28
cutting-edge DG algorithms to address a complex DG problem. Our findings
suggest that careful experiment design and CPath-specific Stain Augmentation
technique can be very effective. However, there is no one-size-fits-all
solution for DG in CPath. Therefore, we establish clear guidelines for
detecting and managing DS depending on different scenarios. While most of the
concepts, guidelines, and recommendations are given for applications in CPath,
we believe that they are applicable to most medical image analysis tasks as
well.