arXiv:2512.10808cs.CV2025-12

用图拉普拉斯注意力+渐进采样,精准定位前列腺癌病理片关键区域。

Graph Laplacian Transformer with Progressive Sampling for Prostate Cancer Grading

  • 基于图结构建模组织连通性,通过拉普拉斯约束保持空间一致性。
  • 迭代精炼采样策略,保留诊断相关区域,提升特征判别力。
  • 适合病理图像分析、医学影像智能诊断的研究者与临床应用。

前列腺癌分级从全切片图像(WSI)中仍具挑战性,因WSI规模大、组织结构异质性强,且难以筛选出具有诊断意义的区域。现有方法多依赖随机或静态的图像块采样,导致冗余或非信息区域被包含,影响性能。为此,本文提出一种融合迭代精炼模块(IRM)的图拉普拉斯注意力变换器(GLAT),以增强特征学习与空间一致性。IRM通过预训练ResNet50提取局部特征,并利用无梯度模式的基础模型进行重要性评分,迭代优化图像块选择,仅保留最相关组织区域。GLAT通过将图像块作为节点构建图结构,利用图拉普拉斯约束确保空间一致性,并通过可学习滤波机制强化判别性组织结构特征表示。此外,采用凸聚合机制动态调整图像块重要性,生成鲁棒的全切片级表征。在五个公开和一个私有数据集上的大量实验表明,该模型优于现有先进方法,在性能与空间一致性上均有提升,同时保持计算高效。

原文摘要 · Abstract (English)

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.

病理图像图神经网络注意力机制癌症分级

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