Using image-level weakly supervised semantic segmentation (WSSS) techniques to segment tissue regions in giga-pixel histopathological whole slide images (WSI) has garnered widespread attention, as it can reduce many annotation workloads for pathologists. Most recent studies are based on class activation mapping (CAM) to generate pseudo masks, which are then used to train segmentation model in a fully supervised manner. However, it is still a challenge to accurately segment non-predominant tissue categories due to the existence of long-tailed and inter-class homogeneity matters. For these matters, we propose three designs to solve them: 1) Diffusion-based Data Generation to synthesis new images of tail class to expand data distribution; 2) Feature Recalibration to reassign the logits in CAM to narrow the feature-level prediction gap between predominant and non-predominant classes; 3) Grade-skip Learning to correct the under-fitting tendency of hard samples during the segmentation phase. Moreover, we also design a powerful pipeline LoHo for histopathology tissue segmentation. Extensive experiments demonstrate that our method not only achieves new state-of-the-art performances but also significantly improves segmentation of tail classes. In addition, our methods are plug-and-play, making it easily integrable into many mainstream WSSS frameworks.
Feng et al. (2026) studied this question.