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ClawGUI: A Unified Framework for Training, Evaluating, and Deploying GUI Agents On the Robustness of Watermarking for Autoregressive Image Generation Revisiting Compositionality in Dual-Encoder Vision-Language Models: The Role of Inference Anthropogenic Regional Adaptation in Multimodal Vision-Language Model From Redaction to Restoration: Deep Learning for Medical Image Anonymization and Reconstruction The Salami Slicing Threat: Exploiting Cumulative Risks in LLM Systems BoxTuning: Directly Injecting the Object Box for Multimodal Model Fine-Tuning Semantic-Geometric Dual Compression: Training-Free Visual Token Reduction for Ultra-High-Resolution Remote Sensing Understanding Lightweight Low-Light Image Enhancement via Distribution-Normalizing Preprocessing and Depthwise U-Net Back to the Barn with LLAMAs: Evolving Pretrained LLM Backbones in Finetuning Vision Language Models Pseudo-Unification: Entropy Probing Reveals Divergent Information Patterns in Unified Multimodal Models QShield: Securing Neural Networks Against Adversarial Attacks using Quantum Circuits Evaluating the Impact of Medical Image Reconstruction on Downstream AI Fairness and Performance Retinal Cyst Detection from Optical Coherence Tomography Images LoViF 2026 The First Challenge on Weather Removal in Videos STORM: End-to-End Referring Multi-Object Tracking in Videos Data-Efficient Surgical Phase Segmentation in Small-Incision Cataract Surgery: A Controlled Study of Vision Foundation Models Rethinking the Diffusion Model from a Langevin Perspective Zero-shot World Models Are Developmentally Efficient Learners Edu-MMBias: A Three-Tier Multimodal Benchmark for Auditing Social Bias in Vision-Language Models under Educational Contexts VGA-Bench: A Unified Benchmark and Multi-Model Framework for Video Aesthetics and Generation Quality Evaluation Degradation-Consistent Paired Training for Robust AI-Generated Image Detection FREE-Switch: Frequency-based Dynamic LoRA Switch for Style Transfer Demographic and Linguistic Bias Evaluation in Omnimodal Language Models FlowPalm: Optical Flow Driven Non-Rigid Deformation for Geometrically Diverse Palmprint Generation Cross-Cultural Value Awareness in Large Vision-Language Models I Walk the Line: Examining the Role of Gestalt Continuity in Object Binding for Vision Transformers GLEaN: A Text-to-image Bias Detection Approach for Public Comprehension From UAV Imagery to Agronomic Reasoning: A Multimodal LLM Benchmark for Plant Phenotyping Not Your Stereo-Typical Estimator: Combining Vision and Language for Volume Perception
Finding Holes: Pathologist Level Performance Using AI for...
Kelvin Szolnoky, Anders Blilie, Nita Mulliqi, Toyonori Tsuzuki, · 2025-10-16 · via cs.CV updates on arXiv.org

Background: Cribriform morphology in prostate cancer is a histological feature that indicates poor prognosis and contraindicates active surveillance. However, it remains underreported and subject to significant interobserver variability amongst pathologists. We aimed to develop and validate an AI-based system to improve cribriform pattern detection. Methods: We created a deep learning model using an EfficientNetV2-S encoder with multiple instance learning for end-to-end whole-slide classification. The model was trained on 640 digitised prostate core needle biopsies from 430 patients, collected across three cohorts. It was validated internally (261 slides from 171 patients) and externally (266 slides, 104 patients from three independent cohorts). Internal validation cohorts included laboratories or scanners from the development set, while external cohorts used completely independent instruments and laboratories. Annotations were provided by three expert uropathologists with known high concordance. Additionally, we conducted an inter-rater analysis and compared the model's performance against nine expert uropathologists on 88 slides from the internal validation cohort. Results: The model showed strong internal validation performance (AUC: 0.97, 95% CI: 0.95-0.99; Cohen's kappa: 0.81, 95% CI: 0.72-0.89) and robust external validation (AUC: 0.90, 95% CI: 0.86-0.93; Cohen's kappa: 0.55, 95% CI: 0.45-0.64). In our inter-rater analysis, the model achieved the highest average agreement (Cohen's kappa: 0.66, 95% CI: 0.57-0.74), outperforming all nine pathologists whose Cohen's kappas ranged from 0.35 to 0.62. Conclusion: Our AI model demonstrates pathologist-level performance for cribriform morphology detection in prostate cancer. This approach could enhance diagnostic reliability, standardise reporting, and improve treatment decisions for prostate cancer patients.