Zaibo Li

Yuhang Kang, Ziyu Su, Tianyang Wang et al.

Compared to hematoxylin-eosin (H&E) staining, immunohistochemistry (IHC) not only maintains the structural features of tissue samples, but also provides high-resolution protein localization, which is essential for aiding in pathology diagnosis. Despite its diagnostic value, IHC remains a costly and labor-intensive technique. Its limited scalability and constraints in multiplexing further hinder widespread adoption, especially in resource-limited settings. Consequently, researchers are increasingly exploring computational stain translation techniques to synthesize IHC-equivalent images from H&E-stained slides, aiming to extract protein-level information more efficiently and cost-effectively. However, most existing stain translation techniques rely on a linearly weighted summation of multiple loss terms within a single objective function, strategy that often overlooks the interdepedence among these components-resulting in suboptimal image quality and an inability to simultaneously preserve structural authenticity and color fidelity. To address this limitation, we propose a novel network architecture that follows a progressive structure, incorporating color and cell border generation logic, which enables each visual aspect to be optimized in a stage-wise and decoupled manner. To validate the effectiveness of our proposed network architecture, we build upon the Adaptive Supervised PatchNCE (ASP) framework as our baseline. We introduce additional loss functions based on 3,3'-diaminobenzidine (DAB) chromogen concentration and image gradient, enhancing color fidelity and cell boundary clarity in the generated IHC images. By reconstructing the generation pipeline using our structure-color-cell boundary progressive mechanism, experiments on HER2 and ER datasets demonstrated that the model significantly improved visual quality and achieved finer structural details.

Veronica Thai, Rui Li, Meng Ling et al.

Interpretation of giga-pixel whole-slide images (WSIs) is an important but difficult task for pathologists. Their diagnostic accuracy is estimated to average around 70%. Adding a second pathologist does not substantially improve decision consistency. The field lacks adequate behavioral data to explain diagnostic errors and inconsistencies. To fill in this gap, we present PathoGaze1.0, a comprehensive behavioral dataset capturing the dynamic visual search and decision-making processes of the full diagnostic workflow during cancer diagnosis. The dataset comprises 18.69 hours of eye-tracking, mouse interaction, stimulus tracking, viewport navigation, and diagnostic decision data (EMSVD) collected from 19 pathologists interpreting 397 WSIs. The data collection process emphasizes ecological validity through an application-grounded testbed, called PTAH. In total, we recorded 171,909 fixations, 263,320 saccades, and 1,867,362 mouse interaction events. In addition, such data could also be used to improve the training of both pathologists and AI systems that might support human experts. All experiments were preregistered at https://osf.io/hj9a7, and the complete dataset along with analysis code is available at https://go.osu.edu/pathogaze.

Hikmat Khan, Ziyu Su, Huina Zhang et al.

Triple-negative breast cancer (TNBC) remains a major clinical challenge due to its aggressive behavior and lack of targeted therapies. Accurate early prediction of response to neoadjuvant chemotherapy (NACT) is essential for guiding personalized treatment strategies and improving patient outcomes. In this study, we present an attention-based multiple instance learning (MIL) framework designed to predict pathologic complete response (pCR) directly from pre-treatment hematoxylin and eosin (H&E)-stained biopsy slides. The model was trained on a retrospective in-house cohort of 174 TNBC patients and externally validated on an independent cohort (n = 30). It achieved a mean area under the curve (AUC) of 0.85 during five-fold cross-validation and 0.78 on external testing, demonstrating robust predictive performance and generalizability. To enhance model interpretability, attention maps were spatially co-registered with multiplex immuno-histochemistry (mIHC) data stained for PD-L1, CD8+ T cells, and CD163+ macrophages. The attention regions exhibited moderate spatial overlap with immune-enriched areas, with mean Intersection over Union (IoU) scores of 0.47 for PD-L1, 0.45 for CD8+ T cells, and 0.46 for CD163+ macrophages. The presence of these biomarkers in high-attention regions supports their biological relevance to NACT response in TNBC. This not only improves model interpretability but may also inform future efforts to identify clinically actionable histological biomarkers directly from H&E-stained biopsy slides, further supporting the utility of this approach for accurate NACT response prediction and advancing precision oncology in TNBC.