The field of Deep Learning (DL) has seen a remarkable series of developments with increasingly accurate and robust algorithms. However, the increase in performance has been accompanied by an increase in the parameters, complexity, and training and inference time of the models, which means that we are rapidly reaching a point where DL may no longer be feasible. On the other hand, some specific applications need to be carefully considered when developing DL models due to hardware limitations or power requirements. In this context, there is a growing interest in efficient DL algorithms, with Spiking Neural Networks (SNNs) being one of the most promising paradigms. Due to the inherent asynchrony and sparseness of spike trains, these types of networks have the potential to reduce power consumption while maintaining relatively good performance. This is attractive for efficient DL and, if successful, could replace traditional Artificial Neural Networks (ANNs) in many applications. However, despite significant progress, the performance of SNNs on benchmark datasets is often lower than that of traditional ANNs. Moreover, due to the non-differentiable nature of their activation functions, it is difficult to train SNNs with direct backpropagation, so appropriate training strategies must be found. Nevertheless, significant efforts have been made to develop competitive models. This survey covers the main ideas behind SNNs and reviews recent trends in learning rules and network architectures, with a particular focus on biologically inspired strategies. It also provides some practical considerations of state-of-the-art SNNs and discusses relevant research opportunities.

Due to the high variability in Hematoxylin and Eosin (H&E)-stained Whole Slide Images (WSIs), hidden stratification, and batch effects, generalizing beyond the training distribution is one of the main challenges in Deep Learning (DL) for Computational Pathology (CPath). But although DL depends on large volumes of diverse and annotated data, it is common to have a significant number of annotated samples from one or multiple source distributions, and another partially annotated or unlabeled dataset representing a target distribution for which we want to generalize, the so-called Domain Adaptation (DA). In this work, we focus on the task of generalizing from a single source distribution to a target domain. As it is still not clear which domain adaptation strategy is best suited for CPath, we evaluate three different DA strategies, namely FixMatch, CycleGAN, and a self-supervised feature extractor, and show that DA is still a challenge in CPath.

Manually annotating nuclei from the gigapixel Hematoxylin and Eosin (H&E)-stained Whole Slide Images (WSIs) is a laborious and costly task, meaning automated algorithms for cell nuclei instance segmentation and classification could alleviate the workload of pathologists and clinical researchers and at the same time facilitate the automatic extraction of clinically interpretable features. But due to high intra- and inter-class variability of nuclei morphological and chromatic features, as well as H&E-stains susceptibility to artefacts, state-of-the-art algorithms cannot correctly detect and classify instances with the necessary performance. In this work, we hypothesise context and attention inductive biases in artificial neural networks (ANNs) could increase the generalization of algorithms for cell nuclei instance segmentation and classification. We conduct a thorough survey on context and attention methods for cell nuclei instance segmentation and classification from H&E-stained microscopy imaging, while providing a comprehensive discussion of the challenges being tackled with context and attention. Besides, we illustrate some limitations of current approaches and present ideas for future research. As a case study, we extend both a general instance segmentation and classification method (Mask-RCNN) and a tailored cell nuclei instance segmentation and classification model (HoVer-Net) with context- and attention-based mechanisms, and do a comparative analysis on a multi-centre colon nuclei identification and counting dataset. Although pathologists rely on context at multiple levels while paying attention to specific Regions of Interest (RoIs) when analysing and annotating WSIs, our findings suggest translating that domain knowledge into algorithm design is no trivial task, but to fully exploit these mechanisms, the scientific understanding of these methods should be addressed.