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Dual-Level Imbalance Mitigation for Single-FoV Colorectal Histopathology Image Classification
IEEE Journal of Biomedical and Health Informatics
|November 24, 2025
Summary
This study introduces a dual-level imbalance mitigation (DIM) framework to improve colorectal cancer (CRC) diagnosis using single-field-of-view histopathology images. The DIM framework enhances classification performance in hospitals with limited resources.
Area of Science:
- Digital pathology
- Machine learning for cancer diagnosis
- Histopathology image analysis
Background:
- Single-field-of-view (FoV) histopathological image classification is crucial for colorectal cancer (CRC) diagnosis in resource-limited hospitals.
- Existing methods struggle with severe class imbalance and performance degradation in single-FoV CRC diagnosis.
- Whole-slide imaging (WSI) scanners and extensive storage are often unavailable in mid- to low-tier healthcare facilities.
Purpose of the Study:
- To develop and evaluate a novel dual-level imbalance mitigation (DIM) framework for improved single-FoV CRC histopathology image classification.
- To address the challenges of class imbalance and performance degradation in CRC diagnosis datasets.
- To enhance the diagnostic accuracy of machine learning models in resource-constrained settings.
Main Methods:
- Proposed a dual-level imbalance mitigation (DIM) framework integrating data-level and algorithm-level strategies.
- Employed a global context generative adversarial network (GCGAN) for realistic minority-class image augmentation.
- Introduced a frequency-aware adaptive focal loss (FAFL) to improve class separation.
- Utilized a lightweight receptive field-based convolutional neural network (LRF-CNN) trained with the DIM framework.
Main Results:
- The DIM-equipped LRF-CNN significantly outperformed five state-of-the-art (SOTA) models on a single-FoV colorectal histopathology dataset across multiple metrics.
- Individual components of the DIM framework demonstrated performance enhancements when applied to existing SOTA models.
- The proposed DIM framework showed generalizability and effectiveness across six additional single-FoV histopathological datasets.
Conclusions:
- The dual-level imbalance mitigation (DIM) framework effectively addresses class imbalance and improves classification performance for single-FoV CRC histopathology.
- The proposed GCGAN and FAFL components, integrated with LRF-CNN, offer a robust solution for CRC diagnosis in resource-limited environments.
- The DIM framework presents a promising and generalizable approach for enhancing automated histopathological analysis in digital pathology.

