BioX-CPath: Biologically-driven Explainable Diagnostics for Multistain IHC Computational Pathology

Fuente: arXiv
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Autores principales: Gallagher-Syed, Amaya, Senior, Henry, Alwazzan, Omnia, Pontarini, Elena, Bombardieri, Michele, Pitzalis, Costantino, Lewis, Myles J., Barnes, Michael R., Rossi, Luca, Slabaugh, Gregory
Formato: Preprint
Publicado: 2025
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author Gallagher-Syed, Amaya
Senior, Henry
Alwazzan, Omnia
Pontarini, Elena
Bombardieri, Michele
Pitzalis, Costantino
Lewis, Myles J.
Barnes, Michael R.
Rossi, Luca
Slabaugh, Gregory
author_facet Gallagher-Syed, Amaya
Senior, Henry
Alwazzan, Omnia
Pontarini, Elena
Bombardieri, Michele
Pitzalis, Costantino
Lewis, Myles J.
Barnes, Michael R.
Rossi, Luca
Slabaugh, Gregory
contents The development of biologically interpretable and explainable models remains a key challenge in computational pathology, particularly for multistain immunohistochemistry (IHC) analysis. We present BioX-CPath, an explainable graph neural network architecture for whole slide image (WSI) classification that leverages both spatial and semantic features across multiple stains. At its core, BioX-CPath introduces a novel Stain-Aware Attention Pooling (SAAP) module that generates biologically meaningful, stain-aware patient embeddings. Our approach achieves state-of-the-art performance on both Rheumatoid Arthritis and Sjogren's Disease multistain datasets. Beyond performance metrics, BioX-CPath provides interpretable insights through stain attention scores, entropy measures, and stain interaction scores, that permit measuring model alignment with known pathological mechanisms. This biological grounding, combined with strong classification performance, makes BioX-CPath particularly suitable for clinical applications where interpretability is key. Source code and documentation can be found at: https://github.com/AmayaGS/BioX-CPath.
format Preprint
id arxiv_https___arxiv_org_abs_2503_20880
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle BioX-CPath: Biologically-driven Explainable Diagnostics for Multistain IHC Computational Pathology
Gallagher-Syed, Amaya
Senior, Henry
Alwazzan, Omnia
Pontarini, Elena
Bombardieri, Michele
Pitzalis, Costantino
Lewis, Myles J.
Barnes, Michael R.
Rossi, Luca
Slabaugh, Gregory
Computer Vision and Pattern Recognition
Cell Behavior
Quantitative Methods
Tissues and Organs
The development of biologically interpretable and explainable models remains a key challenge in computational pathology, particularly for multistain immunohistochemistry (IHC) analysis. We present BioX-CPath, an explainable graph neural network architecture for whole slide image (WSI) classification that leverages both spatial and semantic features across multiple stains. At its core, BioX-CPath introduces a novel Stain-Aware Attention Pooling (SAAP) module that generates biologically meaningful, stain-aware patient embeddings. Our approach achieves state-of-the-art performance on both Rheumatoid Arthritis and Sjogren's Disease multistain datasets. Beyond performance metrics, BioX-CPath provides interpretable insights through stain attention scores, entropy measures, and stain interaction scores, that permit measuring model alignment with known pathological mechanisms. This biological grounding, combined with strong classification performance, makes BioX-CPath particularly suitable for clinical applications where interpretability is key. Source code and documentation can be found at: https://github.com/AmayaGS/BioX-CPath.
title BioX-CPath: Biologically-driven Explainable Diagnostics for Multistain IHC Computational Pathology
topic Computer Vision and Pattern Recognition
Cell Behavior
Quantitative Methods
Tissues and Organs
url https://arxiv.org/abs/2503.20880