Baizhi Wang | Searcharxiv

arXiv2026

QCAgent: An agentic framework for quality-controllable pathology report generation from whole slide image

Recent methods for pathology report generation from whole-slide image (WSI) are capable of producing slide-level diagnostic descriptions but fail to ground fine-grained statements in localized visual evidence. Furthermore, they lack control over which diagnostic details to include and how to verify them. Inspired by emerging agentic analysis paradigms and the diagnostic workflow of pathologists,who selectively examine multiple fields of view, we propose QCAgent, an agentic framework for quality-controllable WSI report generation. The core innovations of this framework are as follows: (i) it incorporates a customized critique mechanism guided by a user-defined checklist specifying required diagnostic details and constraints; (ii) it re-identifies informative regions in the WSI based on the critique feedback and text-patch semantic retrieval, a process that iteratively enriches and reconciles the report. Experiments demonstrate that by making report requirements explicitly prompt-defined, constraint-aware, and verifiable through evidence-grounded refinement, QCAgent enables controllable generation of clinically meaningful and high-coverage pathology reports from WSI.

cs.CV↗

arXiv2025

Histomorphology-Guided Prototypical Multi-Instance Learning for Breast Cancer WSI Classification

Histomorphology is crucial in cancer diagnosis. However, existing whole slide image (WSI) classification methods struggle to effectively incorporate histomorphology information, limiting their ability to capture key pathological features. Particularly when the number of instances within a bag is large and their features are complex, it becomes challenging to accurately identify instances decisive for the bag label, making these methods prone to interference from ambiguous instances. To address this limitation, we propose a novel Histomorphology-Guided Prototypical Multi-Instance Learning (HGPMIL) framework that explicitly learns histomorphology-guided prototypical representations by incorporating tumor cellularity, cellular morphology, and tissue architecture. Specifically, our approach consists of three key components: (1) estimating the importance of tumor-related histomorphology information at patch-level based on medical prior knowledge; (2) generating representative prototypes through histomorphology-prototypical clustering; and (3) enabling WSI classification through histomorphology-guided prototypical aggregation. HGPMIL adjusts the decision boundary by incorporating histomorphological importance to reduce instance label uncertainty, thereby reversely optimizing the bag-level boundary. Experimental results demonstrate its effectiveness, achieving high diagnostic accuracy for molecular subtyping, cancer subtyping and survival analysis. The code will be made available at https://github.com/Badgewho/HMDMIL.

cs.CV↗