Paige and Microsoft Unveil Next-Generation AI Cancer Diagnosis ModelĀ 

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Microscopic view of bone marrow slide showing Multiple myeloma, also known as myeloma, is a type of bone marrow cancer.
Credit: Md Saiful Islam Khan / iStock / Getty Images Plus

In collaboration with Microsoft, Paige has unveiled the second generation of Virchow, its million-slide foundation model for cancer diagnosis, which the team says are ā€œthe worldā€™s largest and most advanced artificial intelligence (AI) models in clinical pathology, Virchow2 and Virchow2G. They say, offer a deeper understanding of cells and tissue, aiming to redefine cancer diagnosis and treatment.ā€

ā€œPathology is the cornerstone of medicine, but pathologists have been reliant on: microscopes for over a 100 years,ā€ said Razik Yousfi, senior vice president of technology at Paige. ā€œNow we have a chance to improve accuracy while speeding things up.ā€

Accelerating slide digitization, he points out, will be one of the key goals for the field. Also, achieving reimbursement, ā€œItā€™s slow and poor now,ā€ he said.

Foundation models are machine learning models trained on a broad spectrum of generalized and unlabeled data and capable of performing a wide variety of general tasks.Ā  Paige has used its foundation model technology to develop a universal clinical AI application for pathologists to aid in the identification and diagnosis of cancer across over 40 tissue types.Ā 

ā€œThis second generation of Paigeā€™s Virchow model outperforms anything in the industry and continues to grow in knowledge and capability, bringing us closer to making precision medicine a reality,ā€ said Yousfi.Ā 

Ā The models were built with a diverse dataset of over three million pathology slides from over 800 labs and 45 countries and trained using de-identified data from over 225,000 patients. The models aim to offer a broad spectrum of gender, race, ethnicity, and geographical regions, providing a more holistic understanding of cancer.

The dataset also includes over 40 different tissue types stained with H&E and diverse immune-stains (IHC). With 1.8 billion parameters, tripling the size of the teamā€™s previous models, they say Virchow2G is the largest pathology model ever created.Ā 

Trained in collaboration with Microsoft researchers and using Microsoftā€™s advanced supercomputing infrastructure, these models set a new record in AI training scale, surpassing previous performance standards have been detailed, as showcased in a recently published technical report.

ā€œOur collaboration with Microsoft has been pivotal in the development of Virchow, which has already earned recognition in Nature Medicine,ā€ said Thomas Fuchs, founder and chief scientist of Paige.Ā 

He added, ā€œWe are merely scratching the surface of what these foundation models can achieve in transforming our understanding of cancer through computational pathology. Virchowā€™s immense scale unlocks key information that can be used to drive groundbreaking innovations, enabling precise diagnostics, targeted treatments, and personalized patient careā€¦This is the beginning of a new era in oncology, where technology and science converge to combat cancer more effectively than ever before.ā€

Ā ā€œWe are not only expanding capabilities, increasing accuracy, and reducing time in the cancer diagnosis process, but also pushing the boundaries of whatā€™s possible. Our goal is to continue to bring the most advanced AI to pathology, leading to better patient outcomes and significant advancements in disease understanding and treatment,ā€ said Yousfi.



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