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Dettagli Bibliografici
Autori principali: Diab, Abdul Rahman, Karn, Emily E., Wu, Renchin, Ruiz, Emily S., Lotter, William
Natura: Preprint
Pubblicazione: 2025
Soggetti:
Accesso online:https://arxiv.org/abs/2511.19751
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Sommario:
  • Despite the promise of computational pathology foundation models, adapting them to specific clinical tasks remains challenging due to the complexity of whole-slide image (WSI) processing, the opacity of learned features, and the wide range of potential adaptation strategies. To address these challenges, we introduce PathFMTools, a lightweight, extensible Python package that enables efficient execution, analysis, and visualization of pathology foundation models. We use this tool to interface with and evaluate two state-of-the-art vision-language foundation models, CONCH and MUSK, on the task of histological grading in cutaneous squamous cell carcinoma (cSCC), a critical criterion that informs cSCC staging and patient management. Using a cohort of 440 cSCC H&E WSIs, we benchmark multiple adaptation strategies, demonstrating trade-offs across prediction approaches and validating the potential of using foundation model embeddings to train small specialist models. These findings underscore the promise of pathology foundation models for real-world clinical applications, with PathFMTools enabling efficient analysis and validation.