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HASD

Hierarchical Adaptation for Pathology Slide-Level Domain-Shift, MICCAI2025 Provisional Accept.
Jingsong Liu*, Han Li*, Chen Yang, Michael Deutges, Ario Sadafi, Xin You, Katharina Breininger, Nassir Navab, Peter J. Schüffler

Abstract: Domain shift is a critical problem for artificial intelligence (AI) in pathology as it is heavily influenced by center-specific conditions. Current pathology domain adaptation methods focus on image patches rather than whole-slide images (WSI), thus failing to capture global WSI features required in typical clinical scenarios. In this work, we address the challenges of slide-level domain shift by proposing a Hi erarchical Adaptation framework for Slide-level Domain-shift (HASD). HASD achieves multi-scale feature consistency and computationally ef ficient slide-level domain adaptation through two key components: (1) a hierarchical adaptation framework that integrates a Domain-level Align ment Solver for feature alignment, a Slide-level Geometric Invariance Regularization to preserve the morphological structure, and a Patch-level Attention Consistency Regularization to maintain local critical diagnos tic cues; and (2) a prototype selection mechanism that reduces com putational overhead. We validate our method on two slide-level tasks across five datasets, achieving a 4.1% AUROC improvement in a Breast Cancer HER2 Grading cohort and a 3.9% C-index gain in a UCEC sur vival prediction cohort. Our method provides a practical and reliable slide-level domain adaption solution for pathology institutions, mini mizing both computational and annotation costs.

Updates:

  • 18/06/2025: The HASD paper gets provisional acceptance by MICCAI2025.

To-dos:

  • Submit to arxiv
  • Clean the codes
  • Update to git repo

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HASD: Hierarchical Adaption for Pathology Slide-Level Domain-Shift

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