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Robust Histopathology Subtyping via Perturbation Fidelity in Deep Classifier.

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Journal of imaging informatics in medicine 📖 저널 OA 40.6% 2024: 3/3 OA 2025: 9/27 OA 2026: 16/39 OA 2024~2026 2026
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출처

Rad MS, Huang JV, Hosseini MM, Choudhary R, Siezen H, Jamaspishvili T

📝 환자 설명용 한 줄

Deep learning for invasive lung adenocarcinoma subtyping remains vulnerable to real-world imaging perturbations.

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↓ .bib ↓ .ris
APA Rad MS, Huang JV, et al. (2026). Robust Histopathology Subtyping via Perturbation Fidelity in Deep Classifier.. Journal of imaging informatics in medicine. https://doi.org/10.1007/s10278-026-01875-6
MLA Rad MS, et al.. "Robust Histopathology Subtyping via Perturbation Fidelity in Deep Classifier.." Journal of imaging informatics in medicine, 2026.
PMID 41840135 ↗

Abstract

Deep learning for invasive lung adenocarcinoma subtyping remains vulnerable to real-world imaging perturbations. We present a margin consistency framework evaluating 203,226 patches from 143 whole-slide images across five adenocarcinoma subtypes from the BMIRDS-LUAD dataset. Our approach integrates attention-weighted aggregation with margin-aware training, achieving strong feature-logit space alignment with Kendall correlations of 0.88 during training and 0.64 during validation. To address feature over-clustering from contrastive regularization, we introduce Perturbation Fidelity scoring that applies structured perturbations through Bayesian-optimized parameters. Vision Transformer-Large achieves 95.20±4.65 percent accuracy, representing 40% error reduction from 92.00±5.36% baseline. ResNet101 with attention mechanism reaches 95.89±5.37% from 91.73±9.23% baseline, a 50% error reduction. All five subtypes exceed 0.99 area under receiver operating characteristic curves. Cross-institutional validation on WSSS4LUAD achieves 80.1% accuracy with ResNet50 with attention mechanism, demonstrating method robustness despite approximately 15-20% performance degradation from domain shift, indicating opportunities for future domain adaptation research.

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