Tissue Aware Nuclei Detection and Classification Model for Histopathology Images
Kesi Xu, Eleni Chiou, Ali Varamesh, Laura Acqualagna, Nasir Rajpoot
TL;DR
TAND tackles nuclei detection and classification in histopathology by leveraging tissue context through a tissue-aware conditioning mechanism. A frozen Virchow-2 tissue segmentation branch provides tissue priors, while a DINOv3-based detection–classification backbone yields nucleus centers and class logits; multi-scale Spatial-FiLM modulates the classification stream using tissue cues, leaving detection untouched. The approach demonstrates strong performance on the PUMA dataset under point supervision, with notable gains in tissue-dependent cell types and a reduced annotation burden compared to dense mask supervision. This work provides a practical pathway to incorporate tissue context into nucleus analysis, improving reliability for clinical workflows without requiring full instance annotations.
Abstract
Accurate nuclei detection and classification are fundamental to computational pathology, yet existing approaches are hindered by reliance on detailed expert annotations and insufficient use of tissue context. We present Tissue-Aware Nuclei Detection (TAND), a novel framework achieving joint nuclei detection and classification using point-level supervision enhanced by tissue mask conditioning. TAND couples a ConvNeXt-based encoder-decoder with a frozen Virchow-2 tissue segmentation branch, where semantic tissue probabilities selectively modulate the classification stream through a novel multi-scale Spatial Feature-wise Linear Modulation (Spatial-FiLM). On the PUMA benchmark, TAND achieves state-of-the-art performance, surpassing both tissue-agnostic baselines and mask-supervised methods. Notably, our approach demonstrates remarkable improvements in tissue-dependent cell types such as epithelium, endothelium, and stroma. To the best of our knowledge, this is the first method to condition per-cell classification on learned tissue masks, offering a practical pathway to reduce annotation burden.
