Deep learning quantifies pathologists’ visual patterns for whole slide image diagnosis

Tianhang Nan, Song Zheng, Siyuan Qiao, Hao Quan, Xin Gao, Xin Gao, Jun Niu, Bin Zheng et al.

Nature Communications 2025 article cited by 45

importance 7/10 solved AI in cancer detection digital pathology stage: research

Training deep learning diagnostic models on whole slide images requires massive pixelwise annotation time from pathologists, limiting dataset size and diagnostic precision.

Pathologist annotation burden constrains the scale and accuracy of AI cancer diagnostics.

A deep learning system (PEAN) decodes pathologists' expertise from eye-tracking visual patterns and uses it to diagnose whole slide images with minimal manual annotation.

Eye-tracking reduced WSI annotation time to 4% of manual annotation; evaluated on 5881 WSIs across 5 skin lesion categories with high AUC (value truncated in abstract).

Could sharply cut pathologist annotation workload while enabling precise whole-slide diagnostics.

Venue Nature Communications
Published 2025
Work type article
Authors Tianhang Nan, Song Zheng, Siyuan Qiao, Hao Quan, Xin Gao, Xin Gao, Jun Niu, Bin Zheng et al.
Citations 45 (OpenAlex, at import time)
References 52
Model or method PEAN (Pathology Expertise Acquisition Network), deep learning
Organization not stated in source
Primary source https://doi.org/10.1038/s41467-025-60307-1
Open access gold
Keywords deep learning, whole slide images, eye-tracking, pathology, skin lesions, diagnostics
7 / 10

significant — thousands to millions affected

Cuts pathologist WSI annotation time to 4%, easing a stated manpower bottleneck; evaluated on 5881 WSIs with 0.992 AUC, aiding large-scale data collection and clinical care.

Basis: stated. The source itself states the scale. Stated scale: 5881 WSIs, 5 skin lesion categories; annotation time reduced to 4% of manual. Method and limits.

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