# Hospital-Specific Bias in Patch-Based Pathology Models

arXiv: https://arxiv.org/abs/2508.14779 · HTML: https://mlsanity.com/paper/2508.14779/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 5 of its 20 references that are in the map.
- First posted on arXiv 20 Aug 2025.

## Builds on (most cited first, 5 of 5)

- [Deep Residual Learning for Image Recognition](https://mlsanity.com/paper/1512.03385/) (2015)
- [Domain-Adversarial Training of Neural Networks](https://mlsanity.com/paper/1505.07818/) (2015)
- [Data Efficient and Weakly Supervised Computational Pathology on Whole Slide Images](https://mlsanity.com/paper/2004.09666/) (2020)
- [Multimodal Whole Slide Foundation Model for Pathology](https://mlsanity.com/paper/2411.19666/) (2024)
- [Phikon-v2, A large and public feature extractor for biomarker prediction](https://mlsanity.com/paper/2409.09173/) (2024)

## Abstract (arXiv)

Pathology foundation models (PFMs) achieve strong performance on diverse histopathology tasks, but their sensitivity to hospital-specific domain shifts remains underexplored. We systematically evaluate state-of-the-art PFMs on TCGA patch-level datasets and introduce a lightweight adversarial adaptor to remove hospital-related domain information from latent representations. Experiments show that, while disease classification accuracy is largely maintained, the adaptor effectively reduces hospital-specific bias, as confirmed by t-SNE visualizations. Our study establishes a benchmark for assessing cross-hospital robustness in PFMs and provides a practical strategy for enhancing generalization under heterogeneous clinical settings. Our code is available at https://github.com/MengRes/pfm_domain_bias.