Weakly Supervised Deep Nuclei Segmentation Using Partial Points Annotation in Histopathology Images
Rutgers University(罗格斯大学);SenseBrain Technology Limited LLC(SenseBrain科技有限公司);Rutgers New Jersey Medical School(罗格斯大学新泽西医学院);SenseTime Research(商汤科技研究院);Rutgers Cancer Institute of New Jersey(罗格斯大学新泽西癌症研究所)
Hui Qu, Pengxiang Wu, Qiaoying Huang, Jingru Yi, Zhennan Yan, Kang Li, Gregory M. Riedlinger, Subhajyoti De, Shaoting Zhang, Dimitris N. Metaxas
Nuclei segmentation is a fundamental task in histopathology image analysis. Typically, such segmentation tasks require significant effort to manually generate accurate pixel-wise annotations for fully supervised training. To alleviate such tedious and manual effort, in this paper we propose a novel weakly supervised segmentation framework based on partial points annotation, i.e., only a small portion of nuclei locations in each image are labeled. The framework consists of two learning stages. In the first stage, we design a semi-supervised strategy to learn a detection model from partially labeled nuclei locations. Specifically, an extended Gaussian mask is designed to train an initial model with partially labeled data. Then, selftraining with background propagation is proposed to make use of the unlabeled regions to boost nuclei detection and suppress false positives. In the second stage, a segmentation model is trained from the detected nuclei locations in a weakly-supervised fashion. Two types of coarse labels with complementary information are derived from the detected points and are then utilized to train a deep neural network. The fully-connected conditional random field loss is utilized in training to further refine the model without introducing extra computational complexity during inference. The proposed method is extensively evaluated on two nuclei segmentation datasets. The experimental results demonstrate that our method can achieve competitive performance compared to the fully supervised counterpart and the state-of-the-art methods while requiring significantly less annotation effort.
Histopathology images are gigapixel-sized and include features and information at different resolutions. Collecting annotations in histopathology requires highly specialized pathologists, making it expensive and time-consuming. Self-training can alleviate annotation constraints by learning from both labeled and unlabeled data, reducing the amount of annotations required from pathologists. We study the design of teacher-student self-training systems for Non-alcoholic Steatohepatitis (NASH) using clinical histopathology datasets with limited annotations. We evaluate the models on in-distribution…
Nuclei segmentation is a fundamental task that is critical for various computational pathology applications including nuclei morphology analysis, cell type classification, and cancer grading. Conventional vision-based methods for nuclei segmentation struggle in challenging cases and deep learning approaches have proven to be more robust and generalizable. However, CNNs require large amounts of labeled histopathology data. Moreover, conventional CNN-based approaches lack structured prediction capabilities which are required to distinguish overlapping and clumped nuclei. Here, we present an appr…
Prompt-Free Lightweight SAM Adaptation for Histopathology Nuclei Segmentation with Strong Cross-Dataset Generalization
School of Information and Communication Technology, Griffith University, QLD, Australia(信息与通信技术学院,格里菲斯大学,昆士兰,澳大利亚);School of MDP -- Clinical Medicine, Griffith University, QLD, Australia(MDP临床医学学院,格里菲斯大学,昆士兰,澳大利亚)
Beijing Institute of Technology(北京理工大学);North China University of Technology(北方工业大学)
Cell detection in histopathology images is of great value in clinical practice. \textit{Convolutional neural networks} (CNNs) have been applied to cell detection to improve the detection accuracy, where cell annotations are required for network training. However, due to the variety and large number of cells, complete annotations that include every cell of interest in the training images can be challenging. Usually, incomplete annotations can be achieved, where positive labeling results are carefully examined to ensure their reliability but there can be other positive instances, i.e., cells of …
Beijing Institute of Technology(北京理工大学);North China University of Technology(北方工业大学);Beijing Tiantan Hospital, Capital Medical University(首都医科大学附属北京天坛医院)
Cell detection in histopathology images is of great interest to clinical practice and research, and convolutional neural networks (CNNs) have achieved remarkable cell detection results. Typically, to train CNN-based cell detection models, every positive instance in the training images needs to be annotated, and instances that are not labeled as positive are considered negative samples. However, manual cell annotation is complicated due to the large number and diversity of cells, and it can be difficult to ensure the annotation of every positive instance. In many cases, only incomplete annotati…
The size of nuclei in histological preparations from excised breast tumors is predictive of patient outcome (large nuclei indicate poor outcome). Pathologists take into account nuclear size when performing breast cancer grading. In addition, the mean nuclear area (MNA) has been shown to have independent prognostic value. The straightforward approach to measuring nuclear size is by performing nuclei segmentation. We hypothesize that given an image of a tumor region with known nuclei locations, the area of the individual nuclei and region statistics such as the MNA can be reliably computed direc…
Shenzhen Research Institute of Big Data(深圳大数据研究院);The Chinese University of Hong Kong at Shenzhen(香港中文大学(深圳));Pazhou Lab(琶洲实验室);School of Computer Science and Engineering, Sun Yat-sen University(中山大学计算机科学与工程学院);Artificial Intelligence Thrust, The Hong Kong University of Science and Technology at Guangzhou(香港科技大学广州人工智能部);Shanghai Artificial Intelligence Laboratory(上海人工智能实验室);Guangdong Provincial Key Laboratory of Big Data Computing(广东省大数据计算重点实验室);Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases(广东省结直肠和盆底疾病重点实验室)
Nuclei classification provides valuable information for histopathology image analysis. However, the large variations in the appearance of different nuclei types cause difficulties in identifying nuclei. Most neural network based methods are affected by the local receptive field of convolutions, and pay less attention to the spatial distribution of nuclei or the irregular contour shape of a nucleus. In this paper, we first propose a novel polygon-structure feature learning mechanism that transforms a nucleus contour into a sequence of points sampled in order, and employ a recurrent neural netwo…
Stony Brook University(石溪大学);Oak Ridge National Laboratory(橡树岭国家实验室);Stony Brook University Hospital(石溪大学医院)
Histopathology images are crucial to the study of complex diseases such as cancer. The histologic characteristics of nuclei play a key role in disease diagnosis, prognosis and analysis. In this work, we propose a sparse Convolutional Autoencoder (CAE) for fully unsupervised, simultaneous nucleus detection and feature extraction in histopathology tissue images. Our CAE detects and encodes nuclei in image patches in tissue images into sparse feature maps that encode both the location and appearance of nuclei. Our CAE is the first unsupervised detection network for computer vision applications. T…
Sunnybrook Research Institute(桑尼布鲁克研究所);University of Toronto(多伦多大学)
Training a neural network with a large labeled dataset is still a dominant paradigm in computational histopathology. However, obtaining such exhaustive manual annotations is often expensive, laborious, and prone to inter and Intra-observer variability. While recent self-supervised and semi-supervised methods can alleviate this need by learn-ing unsupervised feature representations, they still struggle to generalize well to downstream tasks when the number of labeled instances is small. In this work, we overcome this challenge by leveraging both task-agnostic and task-specific unlabeled data ba…
Tissue Aware Nuclei Detection and Classification Model for Histopathology Images
TIA Centre, Department of Computer Science, University of Warwick, UK(沃里克大学计算机科学系TIA中心,英国);GSK, Artificial Intelligence and Machine Learning, London, UK(葛兰素史克人工智能与机器学习,英国)
Adaptive Multi-Scale Integration Unlocks Robust Cell Annotation in Histopathology Images
Department of Computer and Information Science, University of Pennsylvania(计算机与信息科学系,宾夕法尼亚大学);Department of Bioengineering, University of Pennsylvania(生物工程系,宾夕法尼亚大学);Department of Pathology and Laboratory Medicine, University of Pennsylvania(病理学与实验室医学系,宾夕法尼亚大学);Department of Biostatistics, Epidemiology and Informatics, University of Pennsylvania(生物统计学、流行病学与信息学系,宾夕法尼亚大学)
DeNuC: Decoupling Nuclei Detection and Classification in Histopathology
School of Automation and Electrical Engineering, University of Science and Technology Beijing(自动化与电气工程学院,北京科技大学);University of Science and Technology Beijing(北京科技大学);Beijing Engineering Research Center of Industrial Spectrum Imaging(工业光谱成像工程研究中心)
Isfahan University of Technology(伊斯法罕理工大学);McMaster University(麦克马斯特大学)
Digital pathology is one of the most significant developments in modern medicine. Pathological examinations are the gold standard of medical protocols and play a fundamental role in diagnosis. Recently, with the advent of digital scanners, tissue histopathology slides can now be digitized and stored as digital images. As a result, digitized histopathological tissues can be used in computer-aided image analysis programs and machine learning techniques. Detection and segmentation of nuclei are some of the essential steps in the diagnosis of cancers. Recently, deep learning has been used for nucl…
Advancement in digital pathology and artificial intelligence has enabled deep learning-based computer vision techniques for automated disease diagnosis and prognosis. However, WSIs present unique computational and algorithmic challenges. WSIs are gigapixel-sized, making them infeasible to be used directly for training deep neural networks. Hence, for modeling, a two-stage approach is adopted: Patch representations are extracted first, followed by the aggregation for WSI prediction. These approaches require detailed pixel-level annotations for training the patch encoder. However, obtaining thes…
University of Idaho(爱达荷大学);Hunan University of Technology of Business(湖南工商大学)
Separating overlapped nuclei is a major challenge in histopathology image analysis. Recently published approaches have achieved promising overall performance on nuclei segmentation; however, their performance on separating overlapped nuclei is quite limited. To address the issue, we propose a novel multitask learning network with a bending loss regularizer to separate overlapped nuclei accurately. The newly proposed multitask learning architecture enhances the generalization by learning shared representation from three tasks: instance segmentation, nuclei distance map prediction, and overlappe…
National University of Sciences and Technology (NUST)(巴基斯坦国立科技大学(NUST));Riphah International University(里法国际大学)
Unavailability of large training datasets is a bottleneck that needs to be overcome to realize the true potential of deep learning in histopathology applications. Although slide digitization via whole slide imaging scanners has increased the speed of data acquisition, labeling of virtual slides requires a substantial time investment from pathologists. Eye gaze annotations have the potential to speed up the slide labeling process. This work explores the viability and timing comparisons of eye gaze labeling compared to conventional manual labeling for training object detectors. Challenges associ…
SWAN -- Enabling Fast and Mobile Histopathology Image Annotation through Swipeable Interfaces
Flensburg University of Applied Sciences(弗劳恩霍夫应用科技大学);University of Veterinary Medicine(兽医大学);Schwarzman Animal Medical Center(施瓦茨曼动物医疗中心);Medical University of Vienna(维也纳医学大学);Technische Hochschule Ingolstadt(英戈尔施塔特技术大学)
AWGUNET: Attention-Aided Wavelet Guided U-Net for Nuclei Segmentation in Histopathology Images
Jadavpur University(jadavpur大学);Artificial Intelligence Research Institute, China University of Mining and Technology(中国矿业大学人工智能研究院);Saint Petersburg Electrotechnical University "LETI"(圣彼得堡国立电工技术大学"LETI")
Hispathological image segmentation algorithms play a critical role in computer aided diagnosis technology. The development of weakly supervised segmentation algorithm alleviates the problem of medical image annotation that it is time-consuming and labor-intensive. As a subset of weakly supervised learning, Multiple Instance Learning (MIL) has been proven to be effective in segmentation. However, there is a lack of related information between instances in MIL, which limits the further improvement of segmentation performance. In this paper, we propose a novel weakly supervised method for pixel-l…
Automated grading of prostate cancer histopathology images is a challenging task, with one key challenge being the scarcity of annotations down to the level of regions of interest (strong labels), as typically the prostate cancer Gleason score is known only for entire tissue slides (weak labels). In this study, we focus on automated Gleason score assignment of prostate cancer whole-slide images on the basis of a large weakly-labeled dataset and a smaller strongly-labeled one. We efficiently leverage information from both label sources by jointly training a classifier on the two datasets and by…
The distribution and appearance of nuclei are essential markers for the diagnosis and study of cancer. Despite the importance of nuclear morphology, there is a lack of large scale, accurate, publicly accessible nucleus segmentation data. To address this, we developed an analysis pipeline that segments nuclei in whole slide tissue images from multiple cancer types with a quality control process. We have generated nucleus segmentation results in 5,060 Whole Slide Tissue images from 10 cancer types in The Cancer Genome Atlas. One key component of our work is that we carried out a multi-level qual…
Beihang University(北京航空航天大学);Hefei University of Technology(合肥工业大学)
Local representation learning has been a key challenge to promote the performance of the histopathological whole slide images analysis. The previous representation learning methods followed the supervised learning paradigm. However, manual annotation for large-scale WSIs is time-consuming and labor-intensive. Hence, the self-supervised contrastive learning has recently attracted intensive attention. The present contrastive learning methods treat each sample as a single class, which suffers from class collision problems, especially in the domain of histopathology image analysis. In this paper, …
Modern histopathological image analysis relies on the segmentation of cell structures to derive quantitative metrics required in biomedical research and clinical diagnostics. State-of-the-art deep learning approaches predominantly apply convolutional layers in segmentation and are typically highly customized for a specific experimental configuration; often unable to generalize to unknown data. As the model capacity of classical convolutional layers is limited by a finite set of learned kernels, our approach uses a graph representation of the image and focuses on the node transitions in multipl…
The Pennsylvania State University(宾夕法尼亚州立大学);Lister Hill National Center for Biomedical Communications(利斯特希尔国家生物医学通信中心);National Library of Medicine(国家医学图书馆);Penn State Health Milton S. Hershey Medical Center(宾夕法尼亚州立大学健康米尔顿·S·赫尔希医学中心);Penn State College Of Medicine(宾夕法尼亚州立大学医学院)
Histopathological analysis is the present gold standard for precancerous lesion diagnosis. The goal of automated histopathological classification from digital images requires supervised training, which requires a large number of expert annotations that can be expensive and time-consuming to collect. Meanwhile, accurate classification of image patches cropped from whole-slide images is essential for standard sliding window based histopathology slide classification methods. To mitigate these issues, we propose a carefully designed conditional GAN model, namely HistoGAN, for synthesizing realisti…
Large annotated datasets have been a key component in the success of deep learning. However, annotating medical images is challenging as it requires expertise and a large budget. In particular, annotating different types of cells in histopathology suffer from high inter- and intra-rater variability due to the ambiguity of the task. Under this setting, the relation between annotators' variability and model performance has received little attention. We present a large-scale study on the variability of cell annotations among 120 board-certified pathologists and how it affects the performance of a…
Pennsylvania State University(宾夕法尼亚州立大学);National Library of Medicine, National Institutes of Health(美国国立卫生研究院国家医学图书馆)
Cervical intraepithelial neoplasia (CIN) grade of histopathology images is a crucial indicator in cervical biopsy results. Accurate CIN grading of epithelium regions helps pathologists with precancerous lesion diagnosis and treatment planning. Although an automated CIN grading system has been desired, supervised training of such a system would require a large amount of expert annotations, which are expensive and time-consuming to collect. In this paper, we investigate the CIN grade classification problem on segmented epithelium patches. We propose to use conditional Generative Adversarial Netw…
Rotation-invariance is a desired property of machine-learning models for medical image analysis and in particular for computational pathology applications. We propose a framework to encode the geometric structure of the special Euclidean motion group SE(2) in convolutional networks to yield translation and rotation equivariance via the introduction of SE(2)-group convolution layers. This structure enables models to learn feature representations with a discretized orientation dimension that guarantees that their outputs are invariant under a discrete set of rotations. Conventional approaches fo…
A Lung Nodule Dataset with Histopathology-based Cancer Type Annotation
School of Computer Science and Technology, Shandong University of Finance and Economics(山东财经大学计算机科学与技术学院);School of Information Science and Technology, Linyi University(临沂大学信息科学与技术学院);Thoracic Surgery Department of Linyi Central Hospital(临沂市中心医院胸外科);Personnel Department of Linyi Central Hospital(临沂市中心医院人事科)
We propose a virtual staining methodology based on Generative Adversarial Networks to map histopathology images of breast cancer tissue from H&E stain to PHH3 and vice versa. We use the resulting synthetic images to build Convolutional Neural Networks (CNN) for automatic detection of mitotic figures, a strong prognostic biomarker used in routine breast cancer diagnosis and grading. We propose several scenarios, in which CNN trained with synthetically generated histopathology images perform on par with or even better than the same baseline model trained with real images. We discuss the potentia…
Helmholtz Munich(亥姆霍兹慕尼黑中心);Technical University of Munich(慕尼黑工业大学);Johns Hopkins University(约翰斯·霍普金斯大学)
In many histopathology tasks, sample classification depends on morphological details in tissue or single cells that are only visible at the highest magnification. For a pathologist, this implies tedious zooming in and out, while for a computational decision support algorithm, it leads to the analysis of a huge number of small image patches per whole slide image (WSI). Attention-based multiple instance learning (MIL), where attention estimation is learned in a weakly supervised manner, has been successfully applied in computational histopathology, but it is challenged by large numbers of irrele…
ConStruct: Structural Distillation of Foundation Models for Prototype-Based Weakly Supervised Histopathology Segmentation
Ho Chi Minh City University of Technology(胡志明市技术大学);University of Technology Sydney(悉尼技术大学);University of Houston(休斯顿大学);University of Information Technology(信息科技大学);College of Medical Science and Technology, Taipei Medical University(台北医学院医学科技学院);Department of Computer Science, Emory University(埃默里大学计算机科学系);Montefiore Medical Center, Albert Einstein College of Medicine(蒙特福伊医疗中心,阿尔伯特·爱因斯坦医学院);School of Computer Science, Carnegie Mellon University(卡内基梅隆大学计算机科学学院)
Semi-supervised Segmentation of Histopathology Images with Noise-Aware Topological Consistency
Stony Brook University(石溪大学);Athinoula A. Martinos Center for Biomedical Imaging(阿西努拉·A.马蒂诺斯生物医学成像中心);Massachusetts General Hospital(麻省总医院);Harvard Medical School(哈佛医学院)
Google AI Healthcare(谷歌AI医疗保健);Avoneaux Medical Institute(阿沃诺医疗研究所);University of Tennessee Health Science Center(田纳西大学健康科学中心)
The increasing availability of large institutional and public histopathology image datasets is enabling the searching of these datasets for diagnosis, research, and education. Though these datasets typically have associated metadata such as diagnosis or clinical notes, even carefully curated datasets rarely contain annotations of the location of regions of interest on each image. Because pathology images are extremely large (up to 100,000 pixels in each dimension), further laborious visual search of each image may be needed to find the feature of interest. In this paper, we introduce a deep le…
Nuclei segmentation is one of the important tasks for whole slide image analysis in digital pathology. With the drastic advance of deep learning, recent deep networks have demonstrated successful performance of the nuclei segmentation task. However, a major bottleneck to achieving good performance is the cost for annotation. A large network requires a large number of segmentation masks, and this annotation task is given to pathologists, not the public. In this paper, we propose a weakly supervised nuclei segmentation method, which requires only point annotations for training. This method can s…
In this paper, we develop a complete pipeline for stain normalization, segmentation, and classification of nuclei in hematoxylin and eosin (H&E) stained breast cancer histopathology images. In the first step, we use a CNN-based stain transfer technique to normalize the staining characteristics of (H&E) images. We then train a neural network to segment images of nuclei from the H&E images. Finally, we train an Information Maximizing Generative Adversarial Network (InfoGAN) to learn visual representations of different types of nuclei and classify them in an entirely unsupervised manner. The resu…
University of British Columbia(不列颠哥伦比亚大学);BC Cancer Agency(不列颠哥伦比亚省癌症局);Deeley Research Centre(迪利研究中心)
In clinical practice, many diagnosis tasks rely on the identification of cells in histopathology images. While supervised machine learning techniques require labels, providing manual cell annotations is time-consuming due to the large number of cells. In this paper, we propose a self-supervised framework (VOLTA) for cell representation learning in histopathology images using a novel technique that accounts for the cell's mutual relationship with its environment for improved cell representations. We subjected our model to extensive experiments on the data collected from multiple institutions ar…
Learning from the Right Patches: A Two-Stage Wavelet-Driven Masked Autoencoder for Histopathology Representation Learning
PLRI Medical Informatics Institute(PLRI医学信息学研究所);CAIMed Reserch Center(CAIMed研究中心);Hannover Medical School(汉诺威医学院);Computer Science Institute(计算机科学研究所);Leibniz University Hannover(莱比锡大学汉诺威分校);Sanford Burnham Prebys Medical Discovery Institute(桑福医疗发现研究所);Rady Children’s Institute for Genomic Medicine(拉迪儿童基因医学研究所);University of California San Diego(加州大学圣地亚哥分校)
It is commonly recognized that color variations caused by differences in stains is a critical issue for histopathology image analysis. Existing methods adopt color matching, stain separation, stain transfer or the combination of them to alleviate the stain variation problem. In this paper, we propose a novel Stain-Adaptive Self-Supervised Learning(SASSL) method for histopathology image analysis. Our SASSL integrates a domain-adversarial training module into the SSL framework to learn distinctive features that are robust to both various transformations and stain variations. The proposed SASSL i…
Pathological diagnosis is the gold standard for cancer diagnosis, but it is labor-intensive, in which tasks such as cell detection, classification, and counting are particularly prominent. A common solution for automating these tasks is using nucleus segmentation technology. However, it is hard to train a robust nucleus segmentation model, due to several challenging problems, the nucleus adhesion, stacking, and excessive fusion with the background. Recently, some researchers proposed a series of automatic nucleus segmentation methods based on point annotation, which can significant improve the…
Cell detection is a fundamental task in computational pathology that can be used for extracting high-level medical information from whole-slide images. For accurate cell detection, pathologists often zoom out to understand the tissue-level structures and zoom in to classify cells based on their morphology and the surrounding context. However, there is a lack of efforts to reflect such behaviors by pathologists in the cell detection models, mainly due to the lack of datasets containing both cell and tissue annotations with overlapping regions. To overcome this limitation, we propose and publicl…
University of Houston(休斯顿大学);University Hospital of Cologne(科隆大学医院);Weill Cornell Medicine(威尔康奈尔医学院);Cornell University(康奈尔大学);University of Turin(都灵大学)
Self-supervised learning (SSL) methods are enabling an increasing number of deep learning models to be trained on image datasets in domains where labels are difficult to obtain. These methods, however, struggle to scale to the high resolution of medical imaging datasets, where they are critical for achieving good generalization on label-scarce medical image datasets. In this work, we propose the Histopathology DatasetGAN (HDGAN) framework, an extension of the DatasetGAN semi-supervised framework for image generation and segmentation that scales well to large-resolution histopathology images. W…
Central South University(中南大学);Nanjing Tech University(南京工业大学);The third affiliated hospital of Soochow University(苏州大学第三附属医院)
Digital pathological analysis is run as the main examination used for cancer diagnosis. Recently, deep learning-driven feature extraction from pathology images is able to detect genetic variations and tumor environment, but few studies focus on differential gene expression in tumor cells. In this paper, we propose a self-supervised contrastive learning framework, HistCode, to infer differential gene expressions from whole slide images (WSIs). We leveraged contrastive learning on large-scale unannotated WSIs to derive slide-level histopathological feature in latent space, and then transfer it t…
Indian Institute of Technology Bombay(印度理工学院孟买分校);University of Illinois(伊利诺伊大学)
Spatial arrangement of cells of various types, such as tumor infiltrating lymphocytes and the advancing edge of a tumor, are important features for detecting and characterizing cancers. However, convolutional neural networks (CNNs) do not explicitly extract intricate features of the spatial arrangements of the cells from histopathology images. In this work, we propose to classify cancers using graph convolutional networks (GCNs) by modeling a tissue section as a multi-attributed spatial graph of its constituent cells. Cells are detected using their nuclei in H&E stained tissue image, and each …
ProBAG: Prototype-Guided Boundary-Aware Graph Diffusion for Weakly Supervised Histopathology Segmentation
AI VIETNAM Lab(AI越南实验室);Washington University School of Medicine(华盛顿大学医学院);Jeonbuk National University(全北国立大学);Perelman School of Medicine, University of Pennsylvania(宾夕法尼亚大学佩雷尔曼医学院)
Instance segmentation and classification of nuclei is an important task in computational pathology. We show that StarDist, a deep learning nuclei segmentation method originally developed for fluorescence microscopy, can be extended and successfully applied to histopathology images. This is substantiated by conducting experiments on the Lizard dataset, and through entering the Colon Nuclei Identification and Counting (CoNIC) challenge 2022, where our approach achieved the first spot on the leaderboard for the segmentation and classification task for both the preliminary and final test phase.
Are nuclear masks all you need for improved out-of-domain generalisation? A closer look at cancer classification in histopathology
University of Oslo(奥斯陆大学);Otto-von-Guericke University Magdeburg(马格德堡奥托·冯·格里克大学);Singapore Institute of Technology(新加坡科技学院);Oslo University Hospital(奥斯陆大学医院);UiT The Arctic University of Norway(挪威北极大学)