# Heterogeneous graphs model spatial relationships between biological entities for breast cancer diagnosis

arXiv: https://arxiv.org/abs/2307.08132 · HTML: https://mlsanity.com/paper/2307.08132/

## Key facts

- Cited by 2 papers in the map (data through 14 Oct 2026).
- Builds on 19 of its 30 references that are in the map.
- First posted on arXiv 16 Jul 2023.

## Builds on (most cited first, 19 of 19)

- [Attention Is All You Need](https://mlsanity.com/paper/1706.03762/) (2017)
- [Deep Residual Learning for Image Recognition](https://mlsanity.com/paper/1512.03385/) (2015)
- [Inductive Representation Learning on Large Graphs](https://mlsanity.com/paper/1706.02216/) (2017)
- [A Comprehensive Survey on Graph Neural Networks](https://mlsanity.com/paper/1901.00596/) (2019)
- [Fast Graph Representation Learning with PyTorch Geometric](https://mlsanity.com/paper/1903.02428/) (2019)
- [Graph Neural Networks: A Review of Methods and Applications](https://mlsanity.com/paper/1812.08434/) (2018)
- [CrossViT: Cross-Attention Multi-Scale Vision Transformer for Image Classification](https://mlsanity.com/paper/2103.14899/) (2021)
- [Gated Graph Sequence Neural Networks](https://mlsanity.com/paper/1511.05493/) (2015)
- [HoVer-Net: Simultaneous Segmentation and Classification of Nuclei in Multi-Tissue Histology Images](https://mlsanity.com/paper/1812.06499/) (2018)
- [Pathomic Fusion: An Integrated Framework for Fusing Histopathology and Genomic Features for Cancer Diagnosis and Prognosis](https://mlsanity.com/paper/1912.08937/) (2019)
- [BRACS: A Dataset for BReAst Carcinoma Subtyping in H&E Histology Images](https://mlsanity.com/paper/2111.04740/) (2021)
- [BACH: Grand Challenge on Breast Cancer Histology Images](https://mlsanity.com/paper/1808.04277/) (2018)
- [Hierarchical Graph Representations in Digital Pathology](https://mlsanity.com/paper/2102.11057/) (2021)
- [CGC-Net: Cell Graph Convolutional Network for Grading of Colorectal Cancer Histology Images](https://mlsanity.com/paper/1909.01068/) (2019)
- [HACT-Net: A Hierarchical Cell-to-Tissue Graph Neural Network for Histopathological Image Classification](https://mlsanity.com/paper/2007.00584/) (2020)
- [Graph Neural Networks with Adaptive Readouts](https://mlsanity.com/paper/2211.04952/) (2022)
- [Learning Whole-Slide Segmentation from Inexact and Incomplete Labels using Tissue Graphs](https://mlsanity.com/paper/2103.03129/) (2021)
- [Histographs: Graphs in Histopathology](https://mlsanity.com/paper/1908.05020/) (2019)
- [HistoCartography: A Toolkit for Graph Analytics in Digital Pathology](https://mlsanity.com/paper/2107.10073/) (2021)

## Built on by (most cited first, 2 of 2)

- [Graph Neural Networks in Histopathology: Emerging Trends and Future Directions](https://mlsanity.com/paper/2406.12808/) (2024)
- [Explainable Classifier for Malignant Lymphoma Subtyping via Cell Graph and Image Fusion](https://mlsanity.com/paper/2503.00925/) (2025)

## Abstract (arXiv)

The heterogeneity of breast cancer presents considerable challenges for its early detection, prognosis, and treatment selection. Convolutional neural networks often neglect the spatial relationships within histopathological images, which can limit their accuracy. Graph neural networks (GNNs) offer a promising solution by coding the spatial relationships within images. Prior studies have investigated the modeling of histopathological images as cell and tissue graphs, but they have not fully tapped into the potential of extracting interrelationships between these biological entities. In this paper, we present a novel approach using a heterogeneous GNN that captures the spatial and hierarchical relations between cell and tissue graphs to enhance the extraction of useful information from histopathological images. We also compare the performance of a cross-attention-based network and a transformer architecture for modeling the intricate relationships within tissue and cell graphs. Our model demonstrates superior efficiency in terms of parameter count and achieves higher accuracy compared to the transformer-based state-of-the-art approach on three publicly available breast cancer datasets -- BRIGHT, BreakHis, and BACH.