Semi-Automatic Classification Of Histopathological Images: Dealing With Inter-Slide Variations

  • Michael Gadermayr RWTH Aachen University, Aachen, Germany
  • M. Strauch RWTH Aachen University, Aachen, Germany
  • J. Unger RWTH Aachen University, Aachen, Germany
  • P. Boor RWTH Aachen University, Aachen, Germany
  • B.M. Klinkhammer RWTH Aachen University, Aachen, Germany
  • S. Djudjaj RWTH Aachen University, Aachen, Germany
  • D. Merhof RWTH Aachen University, Aachen, Germany


Introduction/ Background

The large size and high resolution of histopathological whole slide images renders their manual annotation time-consuming and costly. State-of-the-art computer-based segmentation approaches are generally able to classify tissue reliably, but strong inter-slide variations between training and evaluation data can cause significant decreases in classification accuracy.


In this study, we focus on alpha-SMA stainings of the mouse kidney, and in particular on the classification of glomerular vs. non-glomerular regions. Even though all slides had been recorded using a common staining protocol, inter-slide variations could be observed. We investigate the impact of these variations as well as methods of resolution.


We propose an interactive, semi-automatic tissue classification approach [1] which adapts a pre-trained classification model to the new image on which classification should be performed. Image patches for which the class (glomerular/non-glomerular) is uncertain are automatically selected and presented to the user to determine the class label. The user interaction step is repeated several times to iteratively adjust the model to the characteristics of the new image. For image representation and classification, well known methods from the literature are utilized. Specifically, we combine Local Binary Patters with the support vector classifier.


In case of 50 available labelled sample patches of a certain whole slide image, the overall classification rate increased from 92 % to 98 % through including the interactive labelling step. Even with only 20 labelled patches, accuracy already increased to 97 %. Without a pre-trained model, if training is performed on target domain data only, 88 % (20 labelled samples) and 95 % (50 labelled samples) accuracy, respectively, were obtained. If enough target domain data was available (about 20 images), the amount of source domain data was of minor relevance. The difference in outcome between a source domain training data set containing 100 patches from one whole slide image and a set containing 700 patches from seven images was lower than 1 %. Contrarily, without target domain data, the difference in accuracy was 10 % (82 % compared to 92 %) between these two settings. Execution runtime between two interaction steps is significantly below one second (0.23 s), which is an important usability criterion.

It proved to be beneficial to select specific target domain data in an active learning sense based on the currently available trained model. While experimental evaluation provided strong empirical evidence for increased classification performance with the proposed method, the additional manual effort can be kept at a low level. The labelling of e.g. 20 images per slide is surely less time consuming than the validation of a complete whole slide image processed with a fully automatic, but less reliable, segmentation approach. Finally, it should be highlighted that the proposed interaction protocol could easily be adapted to other histopathological classification or segmentation tasks, also for implementation in a clinical system.


How to Cite
GADERMAYR, Michael et al. Semi-Automatic Classification Of Histopathological Images: Dealing With Inter-Slide Variations. Diagnostic Pathology, [S.l.], v. 1, n. 8, june 2016. ISSN 2364-4893. Available at: <>. Date accessed: 26 may 2019. doi: