Skip to content
Preprint

Computationally Efficient Pathology Segmentation using Knowledge Distillation from Foundation Models

Sep 2026 · 0 citations
Engineering

TL;DR

Distillation consistently improves student performance over supervised training alone, producing state-of-the-art or near state-of-the-art results with substantially fewer parameters and up to ten-fold higher inference throughput than foundation-model-based segmentation networks.

Abstract

Automatic tissue segmentation is essential for large-scale analysis of histopathology whole-slide images (WSIs), but accurate pixel-level segmentation remains challenging. Pixel-level annotations are expensive to obtain, models pre-trained on natural images may transfer poorly to histopathology, and pathology foundation models, despite their strong representations, are computationally expensive to deploy at scale. We address these challenges with a foundation-model knowledge distillation framework for efficient tissue segmentation. We first train Virchow2-based segmentation teachers, including a LoRA-adapted variant, achieving state-of-the-art or highly competitive performance across four datasets: PUMA, IGNITE, BEETLE, and a private blood vessel segmentation dataset. We then transfer response-level and feature-level knowledge from these teachers into compact student networks. Distillation consistently improves student performance over supervised training alone, producing state-of-the-art or near state-of-the-art results with substantially fewer parameters and up to ten-fold higher inference throughput than foundation-model-based segmentation networks. These results show that foundation-model knowledge can be effectively transferred to efficient segmentation models for scalable deployment without compromising performance. Models trained on the public datasets will be released through TIAToolbox.

View source

Similar papers

Conference Oct 2026

Nuclei segmentation in histopathology images using Swin-UNet with explicit edge supervision

Accurate nuclei segmentation in histopathology images is crucial for downstream biological analysis. While Transformer based models excel at capturing global contexts, they struggle with blurred boundaries and structural adhesion in dense cellular regions. To address this, we propose Swin-UNet-EARM, introducing an Edge...

Wu-Hao Zhong, Song Liu, Xin-Rui Wan et al. · 0 citations
Preprint Oct 2026

Comprehensive Evaluation and Fine-Tuning of Foundational Cell Nuclei Segmentation Models in Renal Pathology

Accurate nuclei instance segmentation is essential for quantitative renal pathology, yet general-purpose models often struggle with low contrast, dense nuclei, complex morphology, and strong background staining. In this work, we extended a human-in-the-loop framework by combining 5,901 foundation-model-generated pseudo...

Rui Wu, Jun-Lin Guo, Rui-Ning Deng et al. · 0 citations
Preprint Sep 2026

Weakly-supervised Kidney Tumor Classification from CT Scans with Multi-Instance Learning and Anatomical Filtering

This work investigates two complementary methods to address CT scan analysis challenges: multi-instance learning (MIL) and anatomical filtering, and shows that anatomical filtering with the Compass model is critical for the out-of-distribution generalization of embedding-based ABMIL.

Joonas Ariva, Dmytro Fishman · 0 citations
Preprint Sep 2026

Confidence-Aware Teacher-Student Distillation for 3D Medical Segmentation

An annotation-efficient student-teacher framework is proposed for automatic 3D medical segmentation that requires only a set of point prompts on a single 2D slice per volume, as input, and drastically reduces the manual annotation burden to just a few positive point prompts per volume.

Georgios Triantafyllou, D. Iakovidis · 0 citations
Preprint Sep 2026

HERO: Histology Encoder for Robust Representation in Oncology

Foundation models trained on large pathology image corpora now provide strong, transferable representations for computational pathology. Over the past few years a series of such models has been released, each trained on more slides than the last; on standard classification and segmentation benchmarks, the leading model...

Zhi Li, E. Amidi, Ya-Ting Cheng et al. · 0 citations

We use cookies to run the site and, with your consent, for analytics and to show ads. See our Cookie Policy.