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Paper · arXiv

Weakly Supervised Instance-Level Gleason Pattern Estimation Using Primary and Secondary Labels

In prostate cancer histopathology, the Gleason Score is determined by the most frequent (Primary) and second most frequent (Secondary) Gleason patterns within a whole-slide image. Although these slide-level labels are routinely available in clinical practice, instance-level Gleason annotations are rarely provided, making patch-level learning challenging. We propose a Multiple Instance Learning (MIL) framework that estimates instance-level Gleason patterns from slide-level Primary and Secondary labels. The proposed method formulates instance-level learning according to the clinical definition of the Gleason Score by aggregating instance predictions into class counts and explicitly modeling...

AuthorsNao Sugeta, Kaito Shiku, Shinnosuke Matsuo et al.
Primary categorycs.CV
Published26 July 2026
Last updated at source2 August 2026
cs.CV
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