Survival Modeling from Whole Slide Images via Patch-Level Graph Clustering and Mixture Density Experts

Fuente: arXiv
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Autori principali: Sekhar, Ardhendu, Soni, Vasu, Aske, Keshav, Jain, Garima, Jeevan, Pranav, Sethi, Amit
Natura: Preprint
Pubblicazione: 2025
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author Sekhar, Ardhendu
Soni, Vasu
Aske, Keshav
Jain, Garima
Jeevan, Pranav
Sethi, Amit
author_facet Sekhar, Ardhendu
Soni, Vasu
Aske, Keshav
Jain, Garima
Jeevan, Pranav
Sethi, Amit
contents We propose a modular framework for predicting cancer specific survival directly from whole slide pathology images (WSIs). The framework consists of four key stages designed to capture prognostic and morphological heterogeneity. First, a Quantile Based Patch Filtering module selects prognostically informative tissue regions through quantile thresholding. Second, Graph Regularized Patch Clustering models phenotype level variations using a k nearest neighbor graph that enforces spatial and morphological coherence. Third, Hierarchical Feature Aggregation learns both intra and inter cluster dependencies to represent multiscale tumor organization. Finally, an Expert Guided Mixture Density Model estimates complex survival distributions via Gaussian mixtures, enabling fine grained risk prediction. Evaluated on TCGA LUAD, TCGA KIRC, and TCGA BRCA cohorts, our model achieves concordance indices of 0.653 ,0.719 ,and 0.733 respectively, surpassing existing state of the art approaches in survival prediction from WSIs.
format Preprint
id arxiv_https___arxiv_org_abs_2507_16476
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Survival Modeling from Whole Slide Images via Patch-Level Graph Clustering and Mixture Density Experts
Sekhar, Ardhendu
Soni, Vasu
Aske, Keshav
Jain, Garima
Jeevan, Pranav
Sethi, Amit
Computer Vision and Pattern Recognition
We propose a modular framework for predicting cancer specific survival directly from whole slide pathology images (WSIs). The framework consists of four key stages designed to capture prognostic and morphological heterogeneity. First, a Quantile Based Patch Filtering module selects prognostically informative tissue regions through quantile thresholding. Second, Graph Regularized Patch Clustering models phenotype level variations using a k nearest neighbor graph that enforces spatial and morphological coherence. Third, Hierarchical Feature Aggregation learns both intra and inter cluster dependencies to represent multiscale tumor organization. Finally, an Expert Guided Mixture Density Model estimates complex survival distributions via Gaussian mixtures, enabling fine grained risk prediction. Evaluated on TCGA LUAD, TCGA KIRC, and TCGA BRCA cohorts, our model achieves concordance indices of 0.653 ,0.719 ,and 0.733 respectively, surpassing existing state of the art approaches in survival prediction from WSIs.
title Survival Modeling from Whole Slide Images via Patch-Level Graph Clustering and Mixture Density Experts
topic Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2507.16476