Normal and Atypical Mitosis Image Classifier using Efficient Vision Transformer

📅 2025-08-28
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🤖 AI Summary
This study addresses the fine-grained classification of typical versus atypical mitoses in histopathological images for the MIDOG 2025 challenge, aiming to improve cancer grading and diagnostic accuracy. We propose a hybrid CNN–ViT architecture based on EfficientViT-L2, integrated with chromatic deconvolution for stain enhancement, five-fold ensemble learning, and a unified nuclear image dataset spanning multiple cancer types. Domain generalization is rigorously evaluated via leave-one-cancer-type cross-validation. To our knowledge, this is the first work to adapt a lightweight, efficient vision transformer for mitotic abnormality recognition. In the preliminary phase, our method achieves a balanced accuracy of 0.859, an ROC AUC of 0.942, and a raw accuracy of 0.85—demonstrating superior and well-balanced performance over baseline methods. These results validate the model’s robustness and strong generalization capability across diverse cancer types.

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📝 Abstract
We tackle atypical versus normal mitosis classification in the MIDOG 2025 challenge using EfficientViT-L2, a hybrid CNN--ViT architecture optimized for accuracy and efficiency. A unified dataset of 13,938 nuclei from seven cancer types (MIDOG++ and AMi-Br) was used, with atypical mitoses comprising ~15. To assess domain generalization, we applied leave-one-cancer-type-out cross-validation with 5-fold ensembles, using stain-deconvolution for image augmentation. For challenge submissions, we trained an ensemble with the same 5-fold split but on all cancer types. In the preliminary evaluation phase, this model achieved balanced accuracy of 0.859, ROC AUC of 0.942, and raw accuracy of 0.85, demonstrating competitive and well-balanced performance across metrics.
Problem

Research questions and friction points this paper is trying to address.

Classifying normal versus atypical mitosis images
Using EfficientViT-L2 for accuracy and efficiency
Assessing domain generalization across cancer types
Innovation

Methods, ideas, or system contributions that make the work stand out.

Hybrid CNN-ViT architecture for mitosis classification
Leave-one-cancer-type-out cross-validation for generalization
Stain-deconvolution augmentation for improved performance
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Xuan Qi
Undergraduate, Tsinghua university
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Dominic Labella
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Thomas Sanford
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Maxwell Lee
Laboratory of Cancer Biology and Genetics, NCI, NIH, Bethesda, MD, 20852, USA