Large-scale pretraining on pathological images for fine-tuning of small pathological benchmarks
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Abstract (arXiv)
Pretraining a deep learning model on large image datasets is a standard step before fine-tuning the model on small targeted datasets. The large dataset is usually general images (e.g. imagenet2012) while the small dataset can be specialized datasets that have different distributions from the large dataset. However, this 'large-to-small' strategy is not well-validated when the large dataset is specialized and has a similar distribution to small datasets. We newly compiled three hematoxylin and eosin-stained image datasets, one large (PTCGA200) and two magnification-adjusted small datasets (PCam200 and segPANDA200). Major deep learning models were trained with supervised and self-supervised learning methods and fine-tuned on the small datasets for tumor classification and tissue segmentation benchmarks. ResNet50 pretrained with MoCov2, SimCLR, and BYOL on PTCGA200 was better than imagenet2012 pretraining when fine-tuned on PTCGA200 (accuracy of 83.94%, 86.41%, 84.91%, and 82.72%, respectively). ResNet50 pre-trained on PTCGA200 with MoCov2 exceeded the COCOtrain2017-pretrained baseline and was the best in ResNet50 for the tissue segmentation benchmark (mIoU of 63.53% and 63.22%). We found re-training imagenet-pretrained models (ResNet50, BiT-M-R50x1, and ViT-S/16) on PTCGA200 improved downstream benchmarks.
Key facts. Cited by 7 papers in the map (data through 7 Oct 2026). Builds on 31 of its 45 references that are in the map. First posted on arXiv 28 Mar 2023.
Builds on
31 of 45 references.
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Built on by
Citing papers per year: 2023: 2; 2024: 1; 2025: 3; 2026: 1.
7 papers.
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- 2025UniBiomed: A Universal Foundation Model for Grounded Biomedical Image Interpretationcited by 10
- 2025Pathryoshka: Compressing Pathology Foundation Models via Multi-Teacher Knowledge Distillation with Nested Embeddingscited by 4
- 2025Fair Foundation Models for Medical Image Analysis: Challenges and Perspectivescited by 3
- 2023Enhancing Transformer-Based Segmentation for Breast Cancer Diagnosis using Auto-Augmentation and Search Optimisation Techniquescited by 0
- 2026MedMO: Grounding and Understanding Multimodal Large Language Model for Medical Images6 Feb 2026
- 2025Pathryoshka: Compressing Pathology Foundation Models via Multi-Teacher Knowledge Distillation with Nested Embeddings28 Nov 2025
- 2025UniBiomed: A Universal Foundation Model for Grounded Biomedical Image Interpretation30 Apr 2025
- 2025Fair Foundation Models for Medical Image Analysis: Challenges and Perspectives24 Feb 2025
- 2024MedTrinity-25M: A Large-scale Multimodal Dataset with Multigranular Annotations for Medicine6 Aug 2024
- 2023PathoDuet: Foundation Models for Pathological Slide Analysis of H&E and IHC Stains15 Dec 2023
- 2023Enhancing Transformer-Based Segmentation for Breast Cancer Diagnosis using Auto-Augmentation and Search Optimisation Techniques18 Nov 2023