WSInfer

The WSInfer QuPath extension makes it possible to do patch-based deep learning inference for digital pathology, without any need for scripting.

It’s a collaboration between Stony Brook University (WSInfer) and the QuPath group (the extension that brings WSInfer models to QuPath).

Cite the paper!

If you use WSInfer and/or this extension in a publication, please make sure to cite our paper.

Kaczmarzyk, J.R., O’Callaghan, A., Inglis, F. et al. Open and reusable deep learning for pathology with WSInfer and QuPath. npj Precis. Onc. 8, 9 (2024). https://doi.org/10.1038/s41698-024-00499-9

(And if you use it in combination with QuPath, be sure to cite the QuPath paper too!)

Requirements

Tip

A GPU is not required but can dramatically speed up processing. If you have an NVIDIA GPU and want to use it with WSInfer, you will need to install a version of CUDA compatible with PyTorch - please see GPU support.

Set-up

With QuPath installed and running, drag and drop the WSInfer extension into the application and restart QuPath. Once installed, open up an image and run the extension via Extensions ‣ WSInfer. You should see the window below:

../../_images/wsinfer.png

The WSInfer user interface

Note

Please note that you’ll need internet access to start the extension and download the models.

Whole Slide Inference

1. Select a model

Select the a model from the dropdown menu and click the download icon button to start the download. You should see a notification when the download is complete.

2. Create or select an annotation

Create an annotation or select a pre-existing annotations/tiles you wish to run the model on. It’s recommended that if this is the first time running WSInfer to keep the annotation smaller to test the processing speed before running it on a larger region. This might take some time, depending on your computers processing speed.

Select tiles or annotations?

WSInfer assign classifications to tile objects.

Most of the time, you should draw/select annotations on the image before running WSInfer. The WSInfer extension will then create the tiles that it needs.

The size of the tiles created automatically will match the size of the patch WSInfer is using to for inference. That’s why the tile sizes generated for different models can be different: it depends what size of patch was used to train the model.

Sometimes you might want to reuse existing tiles, and append the measurements made by WSInfer to them. This is especially useful if you want to run WSInfer multiple times using different models. This is why there is also an option to select tiles, as an alternative to selecting annotations.

When you do that, WSInfer won’t create new tiles - but it will still use patches based on the resolution and patch size used to train the model. These patches don’t necessarily have to correspond exactly to the tiles shown in QuPath - they might be bigger or smaller - but they should still be centered on the same pixels.

3. Run

Check you have an annotation selected and click run and if all the requirements are present then the processing will begin. If you don’t have PyTorch yet, you will be prompted to download it (this may well be > 100 MB, so may take a while).

4. View Results

Once the progress bar is complete the results can be visualized using the tools in the View Results section.

The Measurement Maps tool presents the score of each tile by color and can be interacted with using the 3 toggle buttons to either show, hide or fill the annotations and detections.

The slider can be used to increase or decrease the fill opacity so the tissue features can be seen under the WSInfer scores.

The Results Table provides details for each tile and the option to export for further analysis.

Additional Options

You can also use the additional options to specify where models should be stored, and also the number of parallel threads used to read patches from the image (usually 1 or 2).

../../_images/wsinfer_options.png

WSInfer’s additional options

However the most (potentially) exciting additional option is the Preferred device: the one that promises to (maybe) make things run much faster.

The options available will depend upon your computer’s capabilities (at least as far as they could be discerned by Deep Java Library):

  • CPU: This is generally the safest - and slowest - option, because it should be supported on all computers.

  • MPS: This stands for Metal Performance Shaders, and should be available on recent Apple silicon - it is the Mac version of GPU acceleration

  • GPU: This should appear if you have an NVIDIA GPU, CUDA… and a little bit of luck.

If either MPS or GPU work for you, they should reduce the time required for inference by a lot. However configuration for GPU can be tricky, as it will depend upon other hardware and software on your computer - CUDA in particular. For more info, see GPU support.

PyTorch & CUDA versions

The WSInfer extension is using Deep Java Library to manage its PyTorch installation. It won’t automatically find any existing PyTorch you might have installed: Deep Java Library will download its own.

If you have a compatible GPU, and want CUDA support, you’ll need to ensure you have an appropriate CUDA installed before PyTorch is downloaded.

Scripting

The QuPath WSInfer extension is scriptable, which makes it much easier to apply across multiple images.

When a model is run, the command parameters are stored in the workflow so that a script can be generated automatically.

An example script would be

selectAnnotations()
qupath.ext.wsinfer.WSInfer.runInference("kaczmarj/pancancer-lymphocytes-inceptionv4.tcga")

where the selectAnnotation() line was added when I pressed the Annotations button in the WSInfer dialog, and the following line runs the specified model (creating tiles automatically).

To process in batch, I would need to

  • Add my images to a QuPath project

  • Annotate the regions of interest in the images (and save the data)

  • Open the above script in QuPath’s script editor

  • Choose Run ‣ Run for project, and select the images I want to process

Identifying TILs (overlaying predictions of two models)

By combining multiple WSInfer models, it’s possible to develop more complex end-to-end workflows in QuPath. This is easiest to achieve using scripting.

The script below aims to identify regions containing tumor-infiltrating lymphocytes (TILs). It does this by applying a lymphocyte patch classification model and then a breast tumor classification model on the same patches.

After running the script, you can export results or markup images.