Laser & Optoelectronics Progress, Volume. 62, Issue 14, 1417004(2025)

State-Space Enhanced Grading of Prostate Cancer Pathological Images

Chaoyun Mai1, Qianwen Wang1, Runqiang Yuan2、*, Zhipeng Mai3, Chuanbo Qin1, Junying Zeng1, Weigang Yan3, and Yu Xiao4
Author Affiliations
  • 1School of Electronics and Information Engineering, Wuyi University, Jiangmen 529020, Guangdong , China
  • 2Department of Urology, Zhongshan City People's Hospital, Zhongshan 528403, Guangdong , China
  • 3Department of Urology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing , 100730, China
  • 4Department of Pathology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing , 100730, China
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    Currently, weakly supervised multi-instance learning (MIL) is widely used in computational pathology to analyze whole-slide images (WSI). However, the existing methods typically rely on convolutional neural networks or transformer models, which incur heavy computational costs and often struggle to effectively capture the contextual dependencies between different instances. To address this problem, this study proposes a state-space enhanced multi-instance learning (SKAN-MIL) method for conducting Gleason grading of prostate cancer pathological images. Specifically, this study introduces a state-space-based multi-path Mamba (MP-Mamba) module to establish relationships between sample features and incorporates Kolmogorov-Arnold networks (KAN) to further enhance the model's ability for nonlinear modeling and improve interpretability. The experimental results on the prostate cancer dataset from the Chinese Academy of Medical Sciences, Peking Union Medical College Hospital (PUMCH), and the publicly available dataset PANDA show that SKAN-MIL achieves the accuracy of 84.14% and the average area under curve(AUC) of 91.38% on the PUMCH and the accuracy of 63.92% and the average AUC of 89.50% on the PANDA. These results suggest that this method outperforms other methods, demonstrating the potential of SKAN-MIL for the clinical diagnosis of prostate cancer.

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    Chaoyun Mai, Qianwen Wang, Runqiang Yuan, Zhipeng Mai, Chuanbo Qin, Junying Zeng, Weigang Yan, Yu Xiao. State-Space Enhanced Grading of Prostate Cancer Pathological Images[J]. Laser & Optoelectronics Progress, 2025, 62(14): 1417004

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    Paper Information

    Category: Medical Optics and Biotechnology

    Received: Dec. 19, 2024

    Accepted: Feb. 28, 2025

    Published Online: Jul. 2, 2025

    The Author Email: Runqiang Yuan (yuanrunqiang11@126.com)

    DOI:10.3788/LOP242448

    CSTR:32186.14.LOP242448

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