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ClinSegAI: A post-processing framework for superior histopathology segmentation accuracy, radiomics feature

Prem Bhajaj1, Saiprakash Nalubolu1, Bhargavram Gurram1

  • 1School of Computing, Watson College of Engineering & Applied Science, Binghamton University, Binghamton, NY, 13902, USA.

Computers in Biology and Medicine
|November 12, 2025
PubMed
Summary

ClinSegAI refines cell segmentation in digital pathology, improving radiomics analysis. This tool enhances accuracy for better integration of histopathology with other data, aiding prognostic models and treatment prediction.

Keywords:
Deep-learningHistopathologyLung cancerPostprocessingRadiomicsSegmentationSpatial-transcriptomicsVisual transformer

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Area of Science:

  • Computational pathology
  • Digital pathology
  • Medical image analysis

Background:

  • Accurate cell segmentation is crucial for radiomics and multi-omic analysis in digital pathology.
  • Foundation models for segmentation often require refinement for clinical applications.

Purpose of the Study:

  • To introduce ClinSegAI, a post-processing tool to refine cell segmentation outputs from the BiomedParse foundation model.
  • To preserve radiomic feature integrity in H&E stained whole slide images.

Main Methods:

  • ClinSegAI analyzes whole-slide images, preprocesses them, and uses BiomedParse for initial nucleus segmentation.
  • A refinement algorithm corrects segmentation boundaries, merging or splitting regions to maintain morphological fidelity.
  • Evaluation involved lung and other cancer pathology slides, comparing ClinSegAI against six alternative segmentation approaches.

Main Results:

  • ClinSegAI achieved the highest average Dice Similarity Coefficient (DSC) near 0.80.
  • It significantly reduced segmentation errors, demonstrating the lowest 95th-percentile Hausdorff distance (HD95) and average symmetric surface distance (ASSD).
  • Refined segmentations better preserved radiomic feature distributions (shape, intensity, texture) compared to ground truth.

Conclusions:

  • ClinSegAI enhances segmentation accuracy and radiomics reliability in computational pathology.
  • Improved segmentation enables more reliable integration of histopathology with other modalities for enhanced prognostic models and treatment prediction.
  • The tool demonstrates the value of targeted post-processing for foundational visual transformer models.