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Main Authors: Junayed, Masum Shah, Van Vessem, John Derek, Wan, Qian, Nam, Gahie, Nabavi, Sheida
Format: Preprint
Published: 2025
Subjects:
Online Access:https://arxiv.org/abs/2512.10808
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author Junayed, Masum Shah
Van Vessem, John Derek
Wan, Qian
Nam, Gahie
Nabavi, Sheida
author_facet Junayed, Masum Shah
Van Vessem, John Derek
Wan, Qian
Nam, Gahie
Nabavi, Sheida
contents Prostate cancer grading from whole-slide images (WSIs) remains a challenging task due to the large-scale nature of WSIs, the presence of heterogeneous tissue structures, and difficulty of selecting diagnostically relevant regions. Existing approaches often rely on random or static patch selection, leading to the inclusion of redundant or non-informative regions that degrade performance. To address this, we propose a Graph Laplacian Attention-Based Transformer (GLAT) integrated with an Iterative Refinement Module (IRM) to enhance both feature learning and spatial consistency. The IRM iteratively refines patch selection by leveraging a pretrained ResNet50 for local feature extraction and a foundation model in no-gradient mode for importance scoring, ensuring only the most relevant tissue regions are preserved. The GLAT models tissue-level connectivity by constructing a graph where patches serve as nodes, ensuring spatial consistency through graph Laplacian constraints and refining feature representations via a learnable filtering mechanism that enhances discriminative histological structures. Additionally, a convex aggregation mechanism dynamically adjusts patch importance to generate a robust WSI-level representation. Extensive experiments on five public and one private dataset demonstrate that our model outperforms state-of-the-art methods, achieving higher performance and spatial consistency while maintaining computational efficiency.
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spellingShingle Graph Laplacian Transformer with Progressive Sampling for Prostate Cancer Grading
Junayed, Masum Shah
Van Vessem, John Derek
Wan, Qian
Nam, Gahie
Nabavi, Sheida
Computer Vision and Pattern Recognition
Prostate cancer grading from whole-slide images (WSIs) remains a challenging task due to the large-scale nature of WSIs, the presence of heterogeneous tissue structures, and difficulty of selecting diagnostically relevant regions. Existing approaches often rely on random or static patch selection, leading to the inclusion of redundant or non-informative regions that degrade performance. To address this, we propose a Graph Laplacian Attention-Based Transformer (GLAT) integrated with an Iterative Refinement Module (IRM) to enhance both feature learning and spatial consistency. The IRM iteratively refines patch selection by leveraging a pretrained ResNet50 for local feature extraction and a foundation model in no-gradient mode for importance scoring, ensuring only the most relevant tissue regions are preserved. The GLAT models tissue-level connectivity by constructing a graph where patches serve as nodes, ensuring spatial consistency through graph Laplacian constraints and refining feature representations via a learnable filtering mechanism that enhances discriminative histological structures. Additionally, a convex aggregation mechanism dynamically adjusts patch importance to generate a robust WSI-level representation. Extensive experiments on five public and one private dataset demonstrate that our model outperforms state-of-the-art methods, achieving higher performance and spatial consistency while maintaining computational efficiency.
title Graph Laplacian Transformer with Progressive Sampling for Prostate Cancer Grading
topic Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2512.10808