Improving Ovarian Cancer Subtyping with Computer Vision Models on Tiled Histopathological Images.

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This study fine-tuned computer vision models to classify ovarian cancer subtypes from histopathological images by tiling masked tissue regions, achieving over 90% precision across subtypes.

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This study developed a machine learning pipeline that fine-tunes pre-trained computer vision models to classify ovarian cancer subtypes directly from whole-slide histopathology images, using targeted tissue masks (necrosis, stroma, and tumor) as a proof of concept. The authors converted a complex detection-then-classification workflow into a simpler classification task by tiling masked regions and then extended subtype classification by applying majority voting across tiled images. They report high tile-level classification accuracy and precision exceeding 90% across subtypes, while a key limitation is that the approach is demonstrated with tissue-mask-guided regions rather than fully unsegmented whole-slide analysis. Relevance to endometriosis: the paper does not explicitly discuss endometriosis or adenomyosis in the provided text, though it was included in this corpus via a keyword match in the upstream search index.

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Abstract

Ovarian cancer remains one of the most challenging cancers to diagnose due to its non-specific symptoms, lack of reliable screening tests, and the complexity of detecting abnormalities. Accurate subtype classification is crucial for personalised treatment and improved patient outcomes. In this study, we developed a machine learning pipeline fine-tuning pre-trained computer vision models to classify ovarian cancer subtypes from whole slide images (WSI). Using targeted tissue masks for necrosis, stroma, and tumour regions as a proof of concept, we demonstrated the efficacy of tiling masked regions to transform a complex detection-then-classification problem into a simpler classification task. Our method achieved high accuracy in tile-level classification, with a subsequent extension to subtype classification via majority voting on tiled images. Precision exceeds 90% across subtypes, which highlights the potential of scalable, automated systems to assist in ovarian cancer diagnostics. These findings contribute to the broader field of computational pathology, paving the way for enhanced diagnostic consistency and accessibility in clinical settings.
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Abstract

Ovarian cancer remains one of the most challenging cancers to diagnose due to its non-specific symptoms, lack of reliable screening tests, and the complexity of detecting abnormalities. Accurate subtype classification is crucial for personalised treatment and improved patient outcomes. In this study, we developed a machine learning pipeline fine-tuning pre-trained computer vision models to classify ovarian cancer subtypes from whole slide images (WSI). Using targeted tissue masks for necrosis, stroma, and tumour regions as a proof of concept, we demonstrated the efficacy of tiling masked regions to transform a complex detection-then-classification problem into a simpler classification task. Our method achieved high accuracy in tile-level classification, with a subsequent extension to subtype classification via majority voting on tiled images. Precision exceeds 90% across subtypes, which highlights the potential of scalable, automated systems to assist in ovarian cancer diagnostics. These findings contribute to the broader field of computational pathology, paving the way for enhanced diagnostic consistency and accessibility in clinical settings. Similar content being viewed by others

References

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Additional information Publisher's Note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Rights and permissions Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. About this article Cite this article Ramroach, S., Hosein, R. Improving Ovarian Cancer Subtyping with Computer Vision Models on Tiled Histopathological Images. J Digit Imaging. Inform. med. 39, 620–626 (2026). https://doi.org/10.1007/s10278-025-01546-y Received: Revised: Accepted: Published: Version of record: Issue date: DOI: https://doi.org/10.1007/s10278-025-01546-y

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