All Centers Are at most a Few Tokens Apart: Knowledge Distillation with Domain Invariant Prompt Tuning

Abstract

Domain generalization is critical in computational pathology (CPath) due to inherent domain shifts caused by variations in staining protocols, scanner devices, and imaging settings across clinical centers. Vision-language models (VLMs), such as PLIP-a pathology-tuned CLIP-trained on image-text pairs across diverse domains, serve as strong knowledge distillation sources. However, their zero-shot performance with predefined prompts remains limited due to sensitivity to prompt variations. Moreover, unlike natural images, histopathology centers lack semantic descriptors (e.g., 'sketch'), making it difficult to define domain-specific prompts for clinical centers. This requires a data-driven approach for learning domain-specific and ultimately class-generic continuous prompts. We propose Domain Invariant Prompt Tuning (DIPT) for knowledge distillation process, a novel step that learns multiple input tokens for each domain. These tokens are trained separately for each domain and are averaged across domains, leading to domain-invariant prompts. Our student model then distills knowledge from PLIP's text encoder by leveraging the prompts learned by DIPT. This leads to alignment of visual features with domain-invariant embeddings, enhancing generalization by training on multiple domains. Our method adds a significant improvement in average F1-score to existing state-of-the-art (SOTA) knowledge distillation approaches in domain generalization with histopathology datasets. This work helps the way of deploying robust CPath models in real-world clinical problems with heterogeneous data sources.