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Updated: Jun 27, 2026

A Swin Transformer-Based Model for Thyroid Nodule Detection in Ultrasound Images
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Enhancing Whole Slide Image Classification in Renal Cell Carcinoma via Swin Transformer-Based Multiple Instance

Bohan Zhang1, Zhen Gao1

  • 1Faculty of Engineering, McMaster University, Hamilton, ON L8S 4L8, Canada.

Bioengineering (Basel, Switzerland)
|June 26, 2026
PubMed
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Swin-CLAM, a new AI model, accurately classifies renal cell carcinoma (RCC) subtypes using whole-slide images. This method enhances diagnostic capabilities for clear cell, papillary, and chromophobe RCC, improving accuracy in cancer subtyping.

Area of Science:

  • Digital pathology
  • Computational oncology
  • Artificial intelligence in medicine

Background:

  • Renal cell carcinoma (RCC) has distinct histologic subtypes impacting prognosis and treatment.
  • Accurate subtyping of RCC is crucial for effective patient management.
  • Current classification methods can be complex and time-consuming.

Purpose of the Study:

  • To evaluate a weakly supervised, slide-level AI model for classifying RCC subtypes.
  • To assess the performance of Swin-CLAM, a modified CLAM model using Swin-Tiny Transformer, for RCC subtype classification.
  • To investigate the utility of advanced AI in improving the accuracy of renal cancer subtyping.

Main Methods:

  • Utilized 928 whole-slide images (WSIs) from TCGA-RCC for clear cell (ccRCC), papillary (pRCC), and chromophobe (chRCC) subtypes.
Keywords:
CLAMcomputational pathologyhistopathology classificationmultiple instance learningrenal cell carcinomaswin transformerwhole slide images

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  • Employed Swin-CLAM, integrating a Swin-Tiny Transformer patch encoder with the CLAM-SB aggregation module.
  • WSIs were processed into 256x256 patches and classified using slide-level labels in a five-fold cross-validation.
  • Main Results:

    • Swin-CLAM achieved a macro-averaged AUC of 0.976, accuracy of 94.8%, and macro-F1 of 0.940 on the TCGA-RCC dataset.
    • The model demonstrated the largest performance improvement for chromophobe RCC classification.
    • Qualitative analyses included attention heatmaps and t-SNE plots for exploratory insights.

    Conclusions:

    • Stronger patch-level representations, like those from Swin-Tiny Transformers, enhance CLAM-based RCC subtype classification.
    • The proposed Swin-CLAM model shows significant potential for automated RCC subtyping.
    • Further validation, calibration, and domain-shift analysis are necessary for clinical implementation.