Graph-Theoretic Consistency for Robust and Topology-Aware Semi-Supervised Histopathology Segmentation

Semi-supervised semantic segmentation (SSSS) is vital in computational pathology, where dense annotations are costly and limited. Existing methods often rely on pixel-level consistency, which propagates noisy pseudo-labels and produces fragmented or topologically invalid masks. We propose Topology Graph Consistency (TGC), a framework that integrates graph-theoretic constraints by aligning Laplacian spectra, component counts, and adjacency statistics between prediction graphs and references. This enforces global topology and improves segmentation accuracy. Experiments on GlaS and CRAG demonstrate that TGC achieves state-of-the-art performance under 5-10% supervision and significantly narrows the gap to full supervision.