arXiv:2511.03693stat.MLcs.LG2025-11

用联邦学习实现多尺度结直肠癌分级,兼顾隐私与准确率。

Colorectal Cancer Histopathological Grading using Multi-Scale Federated Learning

  • 采用双流残差网络捕获细胞细节与组织上下文。
  • 在40倍放大下达88.0%准确率,Ⅲ级肿瘤召回率达87.5%。
  • 适合医疗数据隐私要求高、需多中心协作的病理诊断场景。

结直肠癌(CRC)分级是关键预后因素,但受观察者差异和多机构数据共享隐私限制影响。尽管深度学习可实现自动化,集中式训练违背数据治理规定,且忽略多尺度分析的重要性。本文提出一种可扩展、隐私保护的联邦学习(FL)框架,集成多尺度特征学习于分布式训练中。采用双流ResNetRS50主干网络,同步捕捉细粒度核特征与整体组织上下文。该架构结合使用FedProx稳定联邦系统,缓解来自多家医院异构数据分布引起的客户端漂移。在CRC-HGD数据集上的广泛评估表明,该框架整体准确率达83.5%,优于同类集中式模型(81.6%)。尤其在识别最具侵袭性的Ⅲ级肿瘤时,召回率达87.5%,有效降低危险假阴性。性能随放大倍数提升,在40倍下准确率达88.0%。结果验证了该联邦多尺度方法不仅保护患者隐私,还增强模型性能与泛化能力。所提模块化流程包含预处理、断点保存与错误处理,为可部署的隐私感知数字病理临床AI奠定基础。

原文摘要 · Abstract (English)

Colorectal cancer (CRC) grading is a critical prognostic factor but remains hampered by inter-observer variability and the privacy constraints of multi-institutional data sharing. While deep learning offers a path to automation, centralized training models conflict with data governance regulations and neglect the diagnostic importance of multi-scale analysis. In this work, we propose a scalable, privacy-preserving federated learning (FL) framework for CRC histopathological grading that integrates multi-scale feature learning within a distributed training paradigm. Our approach employs a dual-stream ResNetRS50 backbone to concurrently capture fine-grained nuclear detail and broader tissue-level context. This architecture is integrated into a robust FL system stabilized using FedProx to mitigate client drift across heterogeneous data distributions from multiple hospitals. Extensive evaluation on the CRC-HGD dataset demonstrates that our framework achieves an overall accuracy of 83.5%, outperforming a comparable centralized model (81.6%). Crucially, the system excels in identifying the most aggressive Grade III tumors with a high recall of 87.5%, a key clinical priority to prevent dangerous false negatives. Performance further improves with higher magnification, reaching 88.0% accuracy at 40x. These results validate that our federated multi-scale approach not only preserves patient privacy but also enhances model performance and generalization. The proposed modular pipeline, with built-in preprocessing, checkpointing, and error handling, establishes a foundational step toward deployable, privacy-aware clinical AI for digital pathology.

病理学联邦学习癌症分级多尺度

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