arXiv:2605.24253cs.CVcs.AI2026-05

CRISP通过聚类去冗余采样,自动整合多张病理切片信息,提升病例检索准确率。

CRISP -- Clustering-Based Redundancy-Reduced Instance Sampling for Pathology Case Representation and Retrieval

论文配图:CRISP -- Clustering-Based Redundancy-Reduced Instance Sampling for Pathology Case Representation and Retrieval
图 1 · 摘自论文原文
  • 基于聚类和去冗余策略,从多张切片中精选代表性图像块
  • 在乳腺癌数据集上性能超越人工选片+模型的现有标准
  • 适合需要全面利用病理切片异质性的临床研究与系统开发

数字病理档案中每例病例通常包含多张全幻灯片(WSI),覆盖空间上不同的肿瘤区域,反映内在形态异质性。然而,现有方法大多依赖单张病理科医生选定的切片,忽略了其余切片中潜在的有用信息。目前尚无自主框架实现病例级多WSI处理。本文提出一种无监督的病例级分析框架,整合同一病例所有可用切片的信息。不依赖单一指定切片,而是通过选择性提取各切片中的信息块构建病例级表示。我们提出病理学聚类去冗余实例采样(CRISP),一个两阶段框架:首先减少单个切片内的冗余,再通过聚类采样选出代表整个病例的紧凑且具有代表性图像块集合。该方法在避免处理千兆像素级图像的同时,捕捉了病例级异质性,并可直接作为检索索引。在两个梅奥诊所乳腺癌数据集(用于诊断与治疗规划)上验证,CRISP在患者/病例搜索与检索任务中表现稳定优于当前标准做法——即结合模型与病理医生选片的方式。通过自动化病例级处理并消除主观切片选择,CRISP有望挖掘出目前被忽视的分布在多个切片中的临床相关信息。

原文摘要 · Abstract (English)

Digital pathology archives increasingly contain multiple whole-slide images (WSIs) per case, capturing spatially distinct tumor regions and reflecting intrinsic morphological heterogeneity. However, most existing approaches rely on a single pathologist-selected slide, thereby discarding potentially informative evidence distributed across the remaining WSIs. To date, no autonomous framework has been proposed for comprehensive multi-WSI case processing. Here, we present an unsupervised framework for case-level analysis that integrates information from all available slides within a case. Rather than relying on a single designated slide, the proposed approach constructs case-level representations by selectively distilling informative patches across WSIs. We introduce Clustering-Based Redundancy-Reduced Instance Sampling for Pathology (CRISP), a two-stage framework that first reduces redundancy within individual WSIs and subsequently applies clustering-based sampling to select a compact yet representative set of patches for the entire case. The resulting patch set captures case-level heterogeneity while avoiding exhaustive processing of gigapixel images, and directly serves as a retrieval index. Using two Mayo Clinic breast cancer datasets for diagnosis and treatment planning, we demonstrate that CRISP consistently matches or surpasses the current standard practice of combined model and pathologist slide selection for patient/case search and retrieval. By automating case-level processing and eliminating subjective WSI selection, CRISP potentially enables the exploitation of clinically relevant information distributed across multiple WSIs that is currently overlooked.

病理分析多切片融合图像检索

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