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Auteurs principaux: Umer, Rao Muhammad, Sens, Daniel, Noll, Jonathan, Dey, Sohom, Matek, Christian, Wolfseher, Lukas, Spang, Rainer, Huss, Ralf, Raffler, Johannes, Reinke, Sarah, Sadafi, Ario, Klapper, Wolfram, Steiger, Katja, Schwamborn, Kristina, Marr, Carsten
Format: Preprint
Publié: 2025
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Accès en ligne:https://arxiv.org/abs/2512.14640
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author Umer, Rao Muhammad
Sens, Daniel
Noll, Jonathan
Dey, Sohom
Matek, Christian
Wolfseher, Lukas
Spang, Rainer
Huss, Ralf
Raffler, Johannes
Reinke, Sarah
Sadafi, Ario
Klapper, Wolfram
Steiger, Katja
Schwamborn, Kristina
Marr, Carsten
author_facet Umer, Rao Muhammad
Sens, Daniel
Noll, Jonathan
Dey, Sohom
Matek, Christian
Wolfseher, Lukas
Spang, Rainer
Huss, Ralf
Raffler, Johannes
Reinke, Sarah
Sadafi, Ario
Klapper, Wolfram
Steiger, Katja
Schwamborn, Kristina
Marr, Carsten
contents Timely and accurate lymphoma diagnosis is essential for guiding cancer treatment. Standard diagnostic practice combines hematoxylin and eosin (HE)-stained whole slide images with immunohistochemistry, flow cytometry, and molecular genetic tests to determine lymphoma subtypes, a process requiring costly equipment, and skilled personnel, causing treatment delays. Deep learning methods could assist pathologists by extracting diagnostic information from routinely available HE-stained slides directly, yet comprehensive benchmarks for lymphoma subtyping on multicenter data are lacking. In this work, we present the first multicenter lymphoma benchmark, covering four common lymphoma subtypes and healthy control tissue. We systematically evaluate five publicly available pathology foundation models (H-optimus-1, H0-mini, Virchow2, UNI2, Titan) combined with attention-based (AB-MIL) and transformer-based (TransMIL) multiple instance learning aggregators across three magnifications (10x, 20x, 40x). On in-distribution test sets, models achieve multiclass balanced accuracies exceeding 80% across all magnifications, with foundation models performing similarly, and aggregation methods showing comparable results. The magnification study reveals that 40x resolution is sufficient, with no performance gains from higher resolutions or cross-magnification aggregation. However, on out-of-distribution test sets, performance drops substantially to around 60%, highlighting significant generalization challenges. To advance the field, larger multicenter studies covering additional rare lymphoma subtypes are needed. We provide an automated benchmarking pipeline to facilitate such future research. Our paper codes is publicly available at https://github.com/RaoUmer/LymphomaMIL.
format Preprint
id arxiv_https___arxiv_org_abs_2512_14640
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle A Multicenter Benchmark of Multiple Instance Learning Models for Lymphoma Subtyping from HE-stained Whole Slide Images
Umer, Rao Muhammad
Sens, Daniel
Noll, Jonathan
Dey, Sohom
Matek, Christian
Wolfseher, Lukas
Spang, Rainer
Huss, Ralf
Raffler, Johannes
Reinke, Sarah
Sadafi, Ario
Klapper, Wolfram
Steiger, Katja
Schwamborn, Kristina
Marr, Carsten
Computer Vision and Pattern Recognition
Artificial Intelligence
Timely and accurate lymphoma diagnosis is essential for guiding cancer treatment. Standard diagnostic practice combines hematoxylin and eosin (HE)-stained whole slide images with immunohistochemistry, flow cytometry, and molecular genetic tests to determine lymphoma subtypes, a process requiring costly equipment, and skilled personnel, causing treatment delays. Deep learning methods could assist pathologists by extracting diagnostic information from routinely available HE-stained slides directly, yet comprehensive benchmarks for lymphoma subtyping on multicenter data are lacking. In this work, we present the first multicenter lymphoma benchmark, covering four common lymphoma subtypes and healthy control tissue. We systematically evaluate five publicly available pathology foundation models (H-optimus-1, H0-mini, Virchow2, UNI2, Titan) combined with attention-based (AB-MIL) and transformer-based (TransMIL) multiple instance learning aggregators across three magnifications (10x, 20x, 40x). On in-distribution test sets, models achieve multiclass balanced accuracies exceeding 80% across all magnifications, with foundation models performing similarly, and aggregation methods showing comparable results. The magnification study reveals that 40x resolution is sufficient, with no performance gains from higher resolutions or cross-magnification aggregation. However, on out-of-distribution test sets, performance drops substantially to around 60%, highlighting significant generalization challenges. To advance the field, larger multicenter studies covering additional rare lymphoma subtypes are needed. We provide an automated benchmarking pipeline to facilitate such future research. Our paper codes is publicly available at https://github.com/RaoUmer/LymphomaMIL.
title A Multicenter Benchmark of Multiple Instance Learning Models for Lymphoma Subtyping from HE-stained Whole Slide Images
topic Computer Vision and Pattern Recognition
Artificial Intelligence
url https://arxiv.org/abs/2512.14640