Using Sparse Patch Annotation for Tumor Segmentation in Histopathological Images
Open accessAbstract
Tumor segmentation is a fundamental task in histopathological image analysis. Creating accurate pixel-wise annotations for such segmentation tasks in a fully-supervised training framework requires significant effort. To reduce the burden of manual annotation, we propose a novel weakly supervised segmentation framework based on sparse patch annotation, i.e., only small portions of patches in an image are labeled as ‘tumor’ or ‘normal’. The framework consists of a patch-wise segmentation model called PSeger, and an innovative semi-supervised algorithm. PSeger has two branches for patch classification and image classification, respectively. This two-branch structure enables the model to learn more general features and thus reduce the risk of overfitting when learning sparsely annotated data. We incorporate the idea of consistency learning and self-training into the semi-supervised training strategy to take advantage of the unlabeled images. Trained on the BCSS dataset with only 25% of the images labeled (five patches for each labeled image), our proposed method achieved competitive performance compared to the fully supervised pixel-wise segmentation models. Experiments demonstrate that the proposed solution has the potential to reduce the burden of labeling histopathological images.
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Region-of-interest (ROI)-level annotations remain essential for localization and segmentation tasks, including tumor boundary identification and mitotic figure detection.
“In contrast, region-of-interest (ROI)-level annotations remain essential for localization and segmentation tasks, including tumor boundary identification and mitotic figure detection [46,47].”
From Artificial Intelligence in Dermatopathology: An Update and Review of the Current Literature (2026) · cites this paper as [46]
The Introduction and Related Works explain that image-level labels lack tumor-location information and that more spatially informative annotations help tumor segmentation. The Conclusions, however, report comparable segmentation using sparse patch labels rather than carefully delineated boundaries. The paper does not address mitotic figure detection, so it does not support that example or the unqualified claim that ROI-level annotations remain essential. (LLM, conf=0.85)
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References 54 · Cited by 10
Research works printed but not linked: 9
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- Authors
- Liu, Y., He, Q., Duan, H., Shi, H., Han, A., & He, Y.
- Affiliations
- Tsinghua Shenzhen International Graduate School (CN)
- Sun Yat-sen University (CN)
- Corresponding author
- Han, Anjia
- He, Yonghong
- Venue
- Sensors
- Publisher
- MDPI AG
- Published
- 2022-08-13
- Volume
- 22
- Issue
- 16
- Pages
- 6053
- ISSN
- 1424-8220 (ISSN-L)
- PMC
- PMC9414209
- OpenAlex
- W4291825057
- Cited by
- 10
- References
- 54
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 5
- FWCI
- 0.66
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Sensors (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- National Science Foundation of China (61875102, JCYJ20180508152528735, HW2018007, 2020Z99CFZ023)
- Science and Technology Research Program of Shenzhen City (61875102, JCYJ20180508152528735, HW2018007, 2020Z99CFZ023)
- Tsinghua University (61875102, JCYJ20180508152528735, HW2018007, 2020Z99CFZ023)
- singhua University Spring Breeze Fund (61875102, JCYJ20180508152528735, HW2018007, 2020Z99CFZ023)
- Topics
- Physical Sciences › Computer Science › Artificial Intelligence › AI in cancer detection
- Physical Sciences › Computer Science › Computer Vision and Pattern Recognition › Medical Image Segmentation Techniques
- Physical Sciences › Computer Science › Computer Vision and Pattern Recognition › Advanced Neural Network Applications
- Keywords
- tumor segmentation, histopathological images, weakly supervised segmentation, semi-supervised learning, consistency learning, self-training, dual-branch network, annotation burden reduction
- MeSH terms
- Supervised Machine Learning, Algorithms, Humans, Image Processing, Computer-Assisted, Neoplasms
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