Dev Kumar Das

Ruining Deng, Tianyuan Yao, Yucheng Tang et al.

Chronic kidney disease (CKD) is a major global health issue, affecting over 10% of the population and causing significant mortality. While kidney biopsy remains the gold standard for CKD diagnosis and treatment, the lack of comprehensive benchmarks for kidney pathology segmentation hinders progress in the field. To address this, we organized the Kidney Pathology Image Segmentation (KPIs) Challenge, introducing a dataset that incorporates preclinical rodent models of CKD with over 10,000 annotated glomeruli from 60+ Periodic Acid Schiff (PAS)-stained whole slide images. The challenge includes two tasks, patch-level segmentation and whole slide image segmentation and detection, evaluated using the Dice Similarity Coefficient (DSC) and F1-score. By encouraging innovative segmentation methods that adapt to diverse CKD models and tissue conditions, the KPIs Challenge aims to advance kidney pathology analysis, establish new benchmarks, and enable precise, large-scale quantification for disease research and diagnosis.

Lavish Ramchandani, Aashay Tinaikar, Dev Kumar Das et al.

In recent years, foundation models such as CLIP, DINO,and CONCH have demonstrated remarkable domain generalization and unsupervised feature extraction capabilities across diverse imaging tasks. However, systematic and independent evaluations of these models for pixel-level semantic segmentation in histopathology remain scarce. In this study, we propose a robust benchmarking approach to asses 10 foundational models on four histopathological datasets covering both morphological tissue-region and cellular/nuclear segmentation tasks. Our method leverages attention maps of foundation models as pixel-wise features, which are then classified using a machine learning algorithm, XGBoost, enabling fast, interpretable, and model-agnostic evaluation without finetuning. We show that the vision language foundation model, CONCH performed the best across datasets when compared to vision-only foundation models, with PathDino as close second. Further analysis shows that models trained on distinct histopathology cohorts capture complementary morphological representations, and concatenating their features yields superior segmentation performance. Concatenating features from CONCH, PathDino and CellViT outperformed individual models across all the datasets by 7.95% (averaged across the datasets), suggesting that ensembles of foundation models can better generalize to diverse histopathological segmentation tasks.

Lavish Ramchandani, Gunjan Deotale, Dev Kumar Das

Atypical mitotic figures (AMFs) are rare abnormal cell divisions associated with tumor aggressiveness and poor prognosis. Their detection remains a significant challenge due to subtle morphological cues, class imbalance, and inter-observer variability among pathologists. The MIDOG 2025 challenge introduced a dedicated track for atypical mitosis classification, enabling systematic evaluation of deep learning methods. In this study, we investigated the use of large vision foundation models, including Virchow, Virchow2, and UNI, with Low-Rank Adaptation (LoRA) for parameter-efficient fine-tuning. We conducted extensive experiments with different LoRA ranks, as well as random and group-based data splits, to analyze robustness under varied conditions. Our best approach, Virchow with LoRA rank 8 and ensemble of three-fold cross-validation, achieved a balanced accuracy of 88.37% on the preliminary test set, ranking joint 9th in the challenge leaderboard. These results highlight the promise of foundation models with efficient adaptation strategies for the classification of atypical mitosis, while underscoring the need for improvements in specificity and domain generalization.