ActiveSSF: An Active-Learning-Guided Self-Supervised Framework for Long-Tailed Megakaryocyte Classification

Precise classification of megakaryocytes is crucial for diagnosing myelodysplastic syndromes. Although self-supervised learning has shown promise in medical image analysis, its application to classifying megakaryocytes in stained slides faces three main challenges: (1) pervasive background noise that obscures cellular details, (2) a long-tailed distribution that limits data for rare subtypes, and (3) complex morphological variations leading to high intra-class variability. To address these issues, we propose the ActiveSSF framework, which integrates active learning with self-supervised pretraining. Specifically, our approach employs Gaussian filtering combined with K-means clustering and HSV analysis (augmented by clinical prior knowledge) for accurate region-of-interest extraction; an adaptive sample selection mechanism that dynamically adjusts similarity thresholds to mitigate class imbalance; and prototype clustering on labeled samples to overcome morphological complexity. Experimental results on clinical megakaryocyte datasets demonstrate that ActiveSSF not only achieves state-of-the-art performance but also significantly improves recognition accuracy for rare subtypes. Moreover, the integration of these advanced techniques further underscores the practical potential of ActiveSSF in clinical settings.