Federated Learning for Computational Pathology on Gigapixel Whole Slide Images
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Abstract (arXiv)
Deep Learning-based computational pathology algorithms have demonstrated profound ability to excel in a wide array of tasks that range from characterization of well known morphological phenotypes to predicting non-human-identifiable features from histology such as molecular alterations. However, the development of robust, adaptable, and accurate deep learning-based models often rely on the collection and time-costly curation large high-quality annotated training data that should ideally come from diverse sources and patient populations to cater for the heterogeneity that exists in such datasets. Multi-centric and collaborative integration of medical data across multiple institutions can naturally help overcome this challenge and boost the model performance but is limited by privacy concerns amongst other difficulties that may arise in the complex data sharing process as models scale towards using hundreds of thousands of gigapixel whole slide images. In this paper, we introduce privacy-preserving federated learning for gigapixel whole slide images in computational pathology using weakly-supervised attention multiple instance learning and differential privacy. We evaluated our approach on two different diagnostic problems using thousands of histology whole slide images with only slide-level labels. Additionally, we present a weakly-supervised learning framework for survival prediction and patient stratification from whole slide images and demonstrate its effectiveness in a federated setting. Our results show that using federated learning, we can effectively develop accurate weakly supervised deep learning models from distributed data silos without direct data sharing and its associated complexities, while also preserving differential privacy using randomized noise generation.
Key facts. Cited by 54 papers in the map (data through 7 Oct 2026). First posted on arXiv 21 Sep 2020.
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Citing papers per year: 2021: 8; 2022: 10; 2023: 14; 2024: 9; 2025: 11; 2026: 2.
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- 2021Federated Learning for Smart Healthcare: A Surveycited by 182
- 2021Whole Slide Images are 2D Point Clouds: Context-Aware Survival Prediction using Patch-based Graph Convolutional Networkscited by 124
- 2022FLamby: Datasets and Benchmarks for Cross-Silo Federated Learning in Realistic Healthcare Settingscited by 121
- 2023Artificial Intelligence for Digital and Computational Pathologycited by 106
- 2022Federated Learning Enables Big Data for Rare Cancer Boundary Detectioncited by 83
- 2023Federated Learning for Medical Image Analysis: A Surveycited by 77
- 2022A Morphology Focused Diffusion Probabilistic Model for Synthesis of Histopathology Imagescited by 74
- 2021Decentralized Federated Learning through Proxy Model Sharingcited by 56
- 2023The Rise of AI Language Pathologists: Exploring Two-level Prompt Learning for Few-shot Weakly-supervised Whole Slide Image Classificationcited by 41
- 2022FedMix: Mixed Supervised Federated Learning for Medical Image Segmentationcited by 22
- 2023Federated Learning for Computer Visioncited by 22
- 2021Algorithm Fairness in AI for Medicine and Healthcarecited by 21
38 more
- 2023Rethinking Multiple Instance Learning for Whole Slide Image Classification: A Good Instance Classifier is All You Needcited by 21
- 2021Memory-aware curriculum federated learning for breast cancer classificationcited by 20
- 2024FedMM: Federated Multi-Modal Learning with Modality Heterogeneity in Computational Pathologycited by 17
- 2024From Challenges and Pitfalls to Recommendations and Opportunities: Implementing Federated Learning in Healthcarecited by 16
- 2023Label-Efficient Deep Learning in Medical Image Analysis: Challenges and Future Directionscited by 14
- 2024Interpretable Vision-Language Survival Analysis with Ordinal Inductive Bias for Computational Pathologycited by 14
- 2025A Survey of Pathology Foundation Model: Progress and Future Directionscited by 14
- 2022Federated Stain Normalization for Computational Pathologycited by 11
- 2024Privacy Preserving Federated Learning in Medical Imaging with Uncertainty Estimationcited by 9
- 2022Defending against Reconstruction Attacks through Differentially Private Federated Learning for Classification of Heterogeneous Chest X-Ray Datacited by 8
- 2022Explainable, Domain-Adaptive, and Federated Artificial Intelligence in Medicinecited by 8
- 2022Weakly-Supervised Deep Learning Model for Prostate Cancer Diagnosis and Gleason Grading of Histopathology Imagescited by 8
- 2021FedDropoutAvg: Generalizable federated learning for histopathology image classificationcited by 7
- 2023Federated Survival Forestscited by 7
- 2025Differential privacy for medical deep learning: methods, tradeoffs, and deployment implicationscited by 7
- 2022Towards More Efficient Data Valuation in Healthcare Federated Learning using Ensemblingcited by 6
- 2023Scaling Survival Analysis in Healthcare with Federated Survival Forests: A Comparative Study on Heart Failure and Breast Cancer Genomicscited by 6
- 2024Federated brain tumor segmentation: an extensive benchmarkcited by 5
- 2025Fusion of Multi-scale Heterogeneous Pathology Foundation Models for Whole Slide Image Analysiscited by 5
- 2023FCA: Taming Long-tailed Federated Medical Image Classification by Classifier Anchoringcited by 4
- 2021Pan-Cancer Integrative Histology-Genomic Analysis via Interpretable Multimodal Deep Learningcited by 3
- 2022Pseudo-Data based Self-Supervised Federated Learning for Classification of Histopathological Imagescited by 3
- 2023FedDBL: Communication and Data Efficient Federated Deep-Broad Learning for Histopathological Tissue Classificationcited by 3
- 2023WWFedCBMIR: World-Wide Federated Content-Based Medical Image Retrievalcited by 3
- 2023FedSODA: Federated Cross-assessment and Dynamic Aggregation for Histopathology Segmentationcited by 3
- 2025FedWSIDD: Federated Whole Slide Image Classification via Dataset Distillationcited by 3
- 2023Federated attention consistent learning models for prostate cancer diagnosis and Gleason gradingcited by 2
- 2025Federated-Continual Dynamic Segmentation of Histopathology guided by Barlow Continuitycited by 2
- 2025PathFL: Multi-Alignment Federated Learning for Pathology Image Segmentationcited by 2
- 2025Federated Learning from Molecules to Processes: A Perspectivecited by 2
- 2021Evaluating Generic Auto-ML Tools for Computational Pathologycited by 1
- 2024Towards Privacy-Preserving Medical Imaging: Federated Learning with Differential Privacy and Secure Aggregation Using a Modified ResNet Architecturecited by 1
- 2025Cross-Cancer Knowledge Transfer in WSI-based Prognosis Predictioncited by 1
- 2023A Federated Learning Framework for Stenosis Detectioncited by 0
- 2024Privacy-Preserving and Trustworthy Deep Learning for Medical Imagingcited by 0
- 2024FedMRL: Data Heterogeneity Aware Federated Multi-agent Deep Reinforcement Learning for Medical Imagingcited by 0
- 2024Non-parametric regularization for class imbalance federated medical image classificationcited by 0
- 2025MsaMIL-Net: An End-to-End Multi-Scale Aware Multiple Instance Learning Network for Efficient Whole Slide Image Classificationcited by 0
50 most cited of 54 All 54 (JSON)
- 2026FedHisto-PAST: Parameter-Efficient Stain-Aware Federated Learning for Cross-Site Lung Histopathology Classification25 Sep 2026
- 2026Paired Uterine Whole-Slide Images and Pathology Reports for Multimodal Computational Pathology4 Jul 2026
- 2025Fusion of Multi-scale Heterogeneous Pathology Foundation Models for Whole Slide Image Analysis31 Oct 2025
- 2025Cross-Cancer Knowledge Transfer in WSI-based Prognosis Prediction19 Aug 2025
- 2025Federated Learning from Molecules to Processes: A Perspective23 Jun 2025
- 2025FedWSIDD: Federated Whole Slide Image Classification via Dataset Distillation18 Jun 2025
- 2025Differential privacy for medical deep learning: methods, tradeoffs, and deployment implications31 May 2025
- 2025PathFL: Multi-Alignment Federated Learning for Pathology Image Segmentation28 May 2025
- 2025Pathobiological Dictionary Defining Pathomics and Texture Features: Addressing Understandable AI Issues in Personalized Liver Cancer; Dictionary Version LCP1.020 May 2025
- 2025Identifying regions of interest in whole slide images of renal cell carcinoma9 Apr 2025
- 2025A Survey of Pathology Foundation Model: Progress and Future Directions5 Apr 2025
- 2025MsaMIL-Net: An End-to-End Multi-Scale Aware Multiple Instance Learning Network for Efficient Whole Slide Image Classification11 Mar 2025
38 more
- 2025Federated-Continual Dynamic Segmentation of Histopathology guided by Barlow Continuity8 Jan 2025
- 2024Towards Privacy-Preserving Medical Imaging: Federated Learning with Differential Privacy and Secure Aggregation Using a Modified ResNet Architecture1 Dec 2024
- 2024Federated brain tumor segmentation: an extensive benchmark7 Oct 2024
- 2024From Challenges and Pitfalls to Recommendations and Opportunities: Implementing Federated Learning in Healthcare15 Sep 2024
- 2024Interpretable Vision-Language Survival Analysis with Ordinal Inductive Bias for Computational Pathology14 Sep 2024
- 2024Non-parametric regularization for class imbalance federated medical image classification17 Jul 2024
- 2024FedMRL: Data Heterogeneity Aware Federated Multi-agent Deep Reinforcement Learning for Medical Imaging8 Jul 2024
- 2024Privacy-Preserving and Trustworthy Deep Learning for Medical Imaging29 Jun 2024
- 2024Privacy Preserving Federated Learning in Medical Imaging with Uncertainty Estimation18 Jun 2024
- 2024FedMM: Federated Multi-Modal Learning with Modality Heterogeneity in Computational Pathology24 Feb 2024
- 2023FedSODA: Federated Cross-assessment and Dynamic Aggregation for Histopathology Segmentation20 Dec 2023
- 2023Artificial Intelligence for Digital and Computational Pathology13 Dec 2023
- 2023A Federated Learning Framework for Stenosis Detection30 Oct 2023
- 2023Federated Learning for Computer Vision24 Aug 2023
- 2023Scaling Survival Analysis in Healthcare with Federated Survival Forests: A Comparative Study on Heart Failure and Breast Cancer Genomics4 Aug 2023
- 2023Rethinking Multiple Instance Learning for Whole Slide Image Classification: A Good Instance Classifier is All You Need5 Jul 2023
- 2023Federated Learning for Medical Image Analysis: A Survey9 Jun 2023
- 2023The Rise of AI Language Pathologists: Exploring Two-level Prompt Learning for Few-shot Weakly-supervised Whole Slide Image Classification29 May 2023
- 2023WWFedCBMIR: World-Wide Federated Content-Based Medical Image Retrieval5 May 2023
- 2023FCA: Taming Long-tailed Federated Medical Image Classification by Classifier Anchoring1 May 2023
- 2023Label-Efficient Deep Learning in Medical Image Analysis: Challenges and Future Directions22 Mar 2023
- 2023FedDBL: Communication and Data Efficient Federated Deep-Broad Learning for Histopathological Tissue Classification24 Feb 2023
- 2023Federated attention consistent learning models for prostate cancer diagnosis and Gleason grading13 Feb 2023
- 2023Federated Survival Forests6 Feb 2023
- 2022Weakly-Supervised Deep Learning Model for Prostate Cancer Diagnosis and Gleason Grading of Histopathology Images25 Dec 2022
- 2022Explainable, Domain-Adaptive, and Federated Artificial Intelligence in Medicine17 Nov 2022
- 2022FLamby: Datasets and Benchmarks for Cross-Silo Federated Learning in Realistic Healthcare Settings10 Oct 2022
- 2022Federated Stain Normalization for Computational Pathology29 Sep 2022
- 2022A Morphology Focused Diffusion Probabilistic Model for Synthesis of Histopathology Images27 Sep 2022
- 2022Towards More Efficient Data Valuation in Healthcare Federated Learning using Ensembling12 Sep 2022
- 2022Pseudo-Data based Self-Supervised Federated Learning for Classification of Histopathological Images31 May 2022
- 2022Defending against Reconstruction Attacks through Differentially Private Federated Learning for Classification of Heterogeneous Chest X-Ray Data6 May 2022
- 2022FedMix: Mixed Supervised Federated Learning for Medical Image Segmentation4 May 2022
- 2022Federated Learning Enables Big Data for Rare Cancer Boundary Detection22 Apr 2022
- 2021Evaluating Generic Auto-ML Tools for Computational Pathology7 Dec 2021
- 2021FedDropoutAvg: Generalizable federated learning for histopathology image classification25 Nov 2021
- 2021Decentralized Federated Learning through Proxy Model Sharing22 Nov 2021
- 2021Federated Learning for Smart Healthcare: A Survey16 Nov 2021
50 newest of 54 All 54 (JSON)
- 2021Federated Learning for Smart Healthcare: A Surveycited by 182
- 2021Whole Slide Images are 2D Point Clouds: Context-Aware Survival Prediction using Patch-based Graph Convolutional Networkscited by 124
- 2022FLamby: Datasets and Benchmarks for Cross-Silo Federated Learning in Realistic Healthcare Settingscited by 121
- 2023Artificial Intelligence for Digital and Computational Pathologycited by 106
- 2022Federated Learning Enables Big Data for Rare Cancer Boundary Detectioncited by 83
- 2023Federated Learning for Medical Image Analysis: A Surveycited by 77
- 2021Decentralized Federated Learning through Proxy Model Sharingcited by 56
- 2023The Rise of AI Language Pathologists: Exploring Two-level Prompt Learning for Few-shot Weakly-supervised Whole Slide Image Classificationcited by 41
- 2022FedMix: Mixed Supervised Federated Learning for Medical Image Segmentationcited by 22
- 2023Federated Learning for Computer Visioncited by 22
- 2021Algorithm Fairness in AI for Medicine and Healthcarecited by 21
- 2023Rethinking Multiple Instance Learning for Whole Slide Image Classification: A Good Instance Classifier is All You Needcited by 21
12 most cited of 53 All 53 (JSON)
- 2026FedHisto-PAST: Parameter-Efficient Stain-Aware Federated Learning for Cross-Site Lung Histopathology Classification25 Sep 2026
- 2026Paired Uterine Whole-Slide Images and Pathology Reports for Multimodal Computational Pathology4 Jul 2026
- 2025Fusion of Multi-scale Heterogeneous Pathology Foundation Models for Whole Slide Image Analysis31 Oct 2025
- 2025Cross-Cancer Knowledge Transfer in WSI-based Prognosis Prediction19 Aug 2025
- 2025Federated Learning from Molecules to Processes: A Perspective23 Jun 2025
- 2025FedWSIDD: Federated Whole Slide Image Classification via Dataset Distillation18 Jun 2025
- 2025Differential privacy for medical deep learning: methods, tradeoffs, and deployment implications31 May 2025
- 2025PathFL: Multi-Alignment Federated Learning for Pathology Image Segmentation28 May 2025
- 2025Pathobiological Dictionary Defining Pathomics and Texture Features: Addressing Understandable AI Issues in Personalized Liver Cancer; Dictionary Version LCP1.020 May 2025
- 2025Identifying regions of interest in whole slide images of renal cell carcinoma9 Apr 2025
- 2025A Survey of Pathology Foundation Model: Progress and Future Directions5 Apr 2025
- 2025MsaMIL-Net: An End-to-End Multi-Scale Aware Multiple Instance Learning Network for Efficient Whole Slide Image Classification11 Mar 2025
12 newest of 53 All 53 (JSON)