Hepato-LLaVA: An Expert MLLM with Sparse Topo-Pack Attention for Hepatocellular Pathology Analysis on Whole Slide Images

Fuente: arXiv
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Autores principales: Yang, Yuxuan, Yan, Zhonghao, Zhang, Yi, Yun, Bo, Diao, Muxi, Zhao, Guowei, Liang, Kongming, Li, Wenbin, Ma, Zhanyu
Formato: Preprint
Publicado: 2026
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author Yang, Yuxuan
Yan, Zhonghao
Zhang, Yi
Yun, Bo
Diao, Muxi
Zhao, Guowei
Liang, Kongming
Li, Wenbin
Ma, Zhanyu
author_facet Yang, Yuxuan
Yan, Zhonghao
Zhang, Yi
Yun, Bo
Diao, Muxi
Zhao, Guowei
Liang, Kongming
Li, Wenbin
Ma, Zhanyu
contents Hepatocellular Carcinoma diagnosis relies heavily on the interpretation of gigapixel Whole Slide Images. However, current computational approaches are constrained by fixed-resolution processing mechanisms and inefficient feature aggregation, which inevitably lead to either severe information loss or high feature redundancy. To address these challenges, we propose Hepato-LLaVA, a specialized Multi-modal Large Language Model designed for fine-grained hepatocellular pathology analysis. We introduce a novel Sparse Topo-Pack Attention mechanism that explicitly models 2D tissue topology. This mechanism effectively aggregates local diagnostic evidence into semantic summary tokens while preserving global context. Furthermore, to overcome the lack of multi-scale data, we present HepatoPathoVQA, a clinically grounded dataset comprising 33K hierarchically structured question-answer pairs validated by expert pathologists. Our experiments demonstrate that Hepato-LLaVA achieves state-of-the-art performance on HCC diagnosis and captioning tasks, significantly outperforming existing methods. Our code and implementation details are available at https://pris-cv.github.io/Hepto-LLaVA/.
format Preprint
id arxiv_https___arxiv_org_abs_2602_19424
institution arXiv
publishDate 2026
record_format arxiv
spellingShingle Hepato-LLaVA: An Expert MLLM with Sparse Topo-Pack Attention for Hepatocellular Pathology Analysis on Whole Slide Images
Yang, Yuxuan
Yan, Zhonghao
Zhang, Yi
Yun, Bo
Diao, Muxi
Zhao, Guowei
Liang, Kongming
Li, Wenbin
Ma, Zhanyu
Computer Vision and Pattern Recognition
Hepatocellular Carcinoma diagnosis relies heavily on the interpretation of gigapixel Whole Slide Images. However, current computational approaches are constrained by fixed-resolution processing mechanisms and inefficient feature aggregation, which inevitably lead to either severe information loss or high feature redundancy. To address these challenges, we propose Hepato-LLaVA, a specialized Multi-modal Large Language Model designed for fine-grained hepatocellular pathology analysis. We introduce a novel Sparse Topo-Pack Attention mechanism that explicitly models 2D tissue topology. This mechanism effectively aggregates local diagnostic evidence into semantic summary tokens while preserving global context. Furthermore, to overcome the lack of multi-scale data, we present HepatoPathoVQA, a clinically grounded dataset comprising 33K hierarchically structured question-answer pairs validated by expert pathologists. Our experiments demonstrate that Hepato-LLaVA achieves state-of-the-art performance on HCC diagnosis and captioning tasks, significantly outperforming existing methods. Our code and implementation details are available at https://pris-cv.github.io/Hepto-LLaVA/.
title Hepato-LLaVA: An Expert MLLM with Sparse Topo-Pack Attention for Hepatocellular Pathology Analysis on Whole Slide Images
topic Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2602.19424