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BACH: Grand Challenge on Breast Cancer Histology Images

arXiv 1808.04277 ↗First posted 13 Aug 2018cs.CVcited by 131

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Abstract (arXiv)

Breast cancer is the most common invasive cancer in women, affecting more than 10% of women worldwide. Microscopic analysis of a biopsy remains one of the most important methods to diagnose the type of breast cancer. This requires specialized analysis by pathologists, in a task that i) is highly time- and cost-consuming and ii) often leads to nonconsensual results. The relevance and potential of automatic classification algorithms using hematoxylin-eosin stained histopathological images has already been demonstrated, but the reported results are still sub-optimal for clinical use. With the goal of advancing the state-of-the-art in automatic classification, the Grand Challenge on BreAst Cancer Histology images (BACH) was organized in conjunction with the 15th International Conference on Image Analysis and Recognition (ICIAR 2018). A large annotated dataset, composed of both microscopy and whole-slide images, was specifically compiled and made publicly available for the BACH challenge. Following a positive response from the scientific community, a total of 64 submissions, out of 677 registrations, effectively entered the competition. From the submitted algorithms it was possible to push forward the state-of-the-art in terms of accuracy (87%) in automatic classification of breast cancer with histopathological images. Convolutional neuronal networks were the most successful methodology in the BACH challenge. Detailed analysis of the collective results allowed the identification of remaining challenges in the field and recommendations for future developments. The BACH dataset remains publically available as to promote further improvements to the field of automatic classification in digital pathology.

Key facts. Cited by 131 papers in the map (data through 7 Oct 2026). First posted on arXiv 13 Aug 2018.

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Citing papers per year: 2021: 20; 2022: 19; 2023: 18; 2024: 30; 2025: 29; 2026: 15.

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  1. 2023Quilt-1M: One Million Image-Text Pairs for Histopathologycited by 192
  2. 2022Metrics reloaded: Recommendations for image analysis validationcited by 190
  3. 2024OmniMedVQA: A New Large-Scale Comprehensive Evaluation Benchmark for Medical LVLMcited by 182
  4. 2022Benchmarking Self-Supervised Learning on Diverse Pathology Datasetscited by 148
  5. 2021BRACS: A Dataset for BReAst Carcinoma Subtyping in H&E Histology Imagescited by 130
  6. 2023Artificial Intelligence for Digital and Computational Pathologycited by 106
  7. 2024HEST-1k: A Dataset for Spatial Transcriptomics and Histology Image Analysiscited by 104
  8. 2021Transparency of Deep Neural Networks for Medical Image Analysis: A Review of Interpretability Methodscited by 83
  9. 2021A Petri Dish for Histopathology Image Analysiscited by 63
  10. 2021Hierarchical Graph Representations in Digital Pathologycited by 58
  11. 2024PathMMU: A Massive Multimodal Expert-Level Benchmark for Understanding and Reasoning in Pathologycited by 43
  12. 2023A General-Purpose Self-Supervised Model for Computational Pathologycited by 42
38 more
  1. 2021A Survey on Graph-Based Deep Learning for Computational Histopathologycited by 41
  2. 2023Overcoming Data Scarcity in Biomedical Imaging with a Foundational Multi-Task Modelcited by 40
  3. 2024CPath-Omni: A Unified Multimodal Foundation Model for Patch and Whole Slide Image Analysis in Computational Pathologycited by 34
  4. 2021A Systematic Collection of Medical Image Datasets for Deep Learningcited by 29
  5. 2022Towards Label-efficient Automatic Diagnosis and Analysis: A Comprehensive Survey of Advanced Deep Learning-based Weakly-supervised, Semi-supervised and Self-supervised Techniques in Histopathological Image Analysiscited by 29
  6. 2024PathGen-1.6M: 1.6 Million Pathology Image-text Pairs Generation through Multi-agent Collaborationcited by 28
  7. 2021Learning Whole-Slide Segmentation from Inexact and Incomplete Labels using Tissue Graphscited by 22
  8. 2022ScoreNet: Learning Non-Uniform Attention and Augmentation for Transformer-Based Histopathological Image Classificationcited by 21
  9. 2024Knowledge-enhanced Pretraining for Vision-language Pathology Foundation Model on Cancer Diagnosiscited by 21
  10. 2021HistoCartography: A Toolkit for Graph Analytics in Digital Pathologycited by 20
  11. 2022FHIST: A Benchmark for Few-shot Classification of Histological Imagescited by 20
  12. 2024Towards Large-Scale Training of Pathology Foundation Modelscited by 19
  13. 2024A Survey on Mixup Augmentations and Beyondcited by 18
  14. 2024Self-eXplainable AI for Medical Image Analysis: A Survey and New Outlookscited by 18
  15. 2024Benchmarking Pathology Foundation Models: Adaptation Strategies and Scenarioscited by 16
  16. 2022Pan-tumor CAnine cuTaneous Cancer Histology (CATCH) datasetcited by 15
  17. 2024PA-LLaVA: A Large Language-Vision Assistant for Human Pathology Image Understandingcited by 15
  18. 2024ZoomLDM: Latent Diffusion Model for multi-scale image generationcited by 15
  19. 2023Label-Efficient Deep Learning in Medical Image Analysis: Challenges and Future Directionscited by 14
  20. 2024Knowledge-enhanced Visual-Language Pretraining for Computational Pathologycited by 14
  21. 2024Comparison of fine-tuning strategies for transfer learning in medical image classificationcited by 14
  22. 2021MCUa: Multi-level Context and Uncertainty aware Dynamic Deep Ensemble for Breast Cancer Histology Image Classificationcited by 12
  23. 2024Efficient Quality Control of Whole Slide Pathology Images with Human-in-the-loop Trainingcited by 12
  24. 2024A Survey of Medical Vision-and-Language Applications and Their Techniquescited by 11
  25. 2025PixCell: A generative foundation model for digital histopathology imagescited by 11
  26. 2021Machine Learning Methods for Histopathological Image Analysis: A Reviewcited by 10
  27. 2023Weakly Supervised Joint Whole-Slide Segmentation and Classification in Prostate Cancercited by 10
  28. 2023Deep Learning in Breast Cancer Imaging: A Decade of Progress and Future Directionscited by 10
  29. 2025Atlas: A Novel Pathology Foundation Model by Mayo Clinic, Charit'e, and Aignosticscited by 10
  30. 2025SPIDER: A Comprehensive Multi-Organ Supervised Pathology Dataset and Baseline Modelscited by 10
  31. 2021Meningioma segmentation in T1-weighted MRI leveraging global context and attention mechanismscited by 9
  32. 2022Magnification Prior: A Self-Supervised Method for Learning Representations on Breast Cancer Histopathological Imagescited by 9
  33. 2022Efficient High-Resolution Deep Learning: A Surveycited by 9
  34. 2023Unimodal Distributions for Ordinal Regressioncited by 9
  35. 2023Multi-site, Multi-domain Airway Tree Modeling (ATM'22): A Public Benchmark for Pulmonary Airway Segmentationcited by 9
  36. 2024A New Era in Computational Pathology: A Survey on Foundation and Vision-Language Modelscited by 9
  37. 2025Multi-Modal Foundation Models for Computational Pathology: A Surveycited by 9
  38. 2025HistoViT: Vision Transformer for Accurate and Scalable Histopathological Cancer Diagnosiscited by 9

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