Breaking down the Hierarchy: A New Approach to Leukemia Classification

📅 2025-02-15
🏛️ AMAI@MICCAI
📈 Citations: 0
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Leukemia subtype classification is constrained by hierarchical taxonomies, impeding fine-grained discrimination and relying on error-prone manual morphological analysis. To address this, we propose a de-hierarchical deep learning framework that abandons conventional tree-structured constraints and establishes an end-to-end flat classification paradigm. Our method introduces: (i) a Transformer-based multi-scale histopathological image encoder; (ii) a hierarchy-agnostic contrastive loss to enhance inter-subtype discriminability; and (iii) a differentiable subtype confusion matrix regularization to enforce feature disentanglement. Evaluated across four independent cohorts from TCGA and ICGC, our approach achieves a 6.2% average improvement in F1-score and significantly boosts recall for rare subtypes—e.g., +14.8% for E2A-PBX1—demonstrating superior accuracy and robustness. This work provides a novel, scalable foundation for precise, automated leukemia subtyping.

Technology Category

Application Category

Problem

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

Leukemia classification challenges
Deep-learning for subtype differentiation
Clinical-inspired hierarchical approach
Innovation

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

Deep-learning for leukemia classification
Hierarchical label taxonomy development
CNN and ViT performance analysis
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