Cytological images originate from exfoliated cells, collected via liquid-based slides and digitized into whole slide images (WSIs). Unlike histological WSIs that exhibit continuous and well-structured tissue, cytological WSIs are sparse in spatial distribution and unstructured in cellular relationships. Typically, the nucleus serves as the primary diagnostic feature, while surrounding cytoplasmic information plays a supportive role. These unique characteristics limit the development of effective foundation models and hinder the transferability of histology-based models for cytopathology. To address this, we propose **Cyto-SSL**, the first self-supervised pretraining framework for cytological images. It introduces **Nuclei-Centered Perturbation**, which highlights individual nuclei by perturbing non-nuclear regions. We also design an SR-Transformer module, which complements this by using sparse attention to concentrate on diagnostically relevant scattered cells, while iRPE helps model to capture local spatial relationships and avoids unnecessary attention to irrelevant global structures. Experimental results show that **Cyto-SSL** enhances performance across diverse cytological datasets and Multiple Instance Learning (MIL) methods. On a WSI-level dataset, it achieved 95.67% accuracy and outperformed ImageNet-pretrained ResNet-50 by 11.33%, demonstrating superior feature representation for cytological analysis. Additionally, **Cyto-SSL** modules are plug-and-play, easily integrated into other pretraining frameworks, yielding a 2.6% accuracy gain across different SSL methods.

Survival analysis is a significant study in cancer prognosis, and the multi-modal data, including histopathological images, genomic data, and clinical information, provides unprecedented opportunities for its development. However, because of the high dimensionality and the heterogeneity of histopathological images and genomic data, acquiring effective predictive characters from these multi-modal data has always been a challenge for survival analysis. In this article, we propose a transformer-based survival analysis model (TransSurv) for colorectal cancer that can effectively integrate intra-modality and inter-modality features of histopathological images, genomic data, and clinical information. Specifically, to integrate the intra-modality relationship of image patches, we develop a multi-scale histopathological features fusion transformer (MS-Trans). Furthermore, we provide a cross-modal fusion transformer based on cross attention for multi-scale pathological representation and multi-omics representation, which includes RNA-seq expression and copy number alteration (CNA). At the output layer of the TransSurv, we adopt the Cox layer to integrate multi-modal fusion representation with clinical information for end-to-end survival analysis. The experimental results on the Cancer Genome Atlas (TCGA) colorectal cancer cohort demonstrate that the proposed TransSurv outperforms the existing methods and improves the prognosis prediction of colorectal cancer.

Deep learning-based histopathology image classification is a key technique to help physicians in improving the accuracy and promptness of cancer diagnosis. However, the noisy labels are often inevitable in the complex manual annotation process, and thus mislead the training of the classification model. In this work, we introduce a novel hard sample aware noise robust learning method for histopathology image classification. To distinguish the informative hard samples from the harmful noisy ones, we build an easy/hard/noisy (EHN) detection model by using the sample training history. Then we integrate the EHN into a self-training architecture to lower the noise rate through gradually label correction. With the obtained almost clean dataset, we further propose a noise suppressing and hard enhancing (NSHE) scheme to train the noise robust model. Compared with the previous works, our method can save more clean samples and can be directly applied to the real-world noisy dataset scenario without using a clean subset. Experimental results demonstrate that the proposed scheme outperforms the current state-of-the-art methods in both the synthetic and real-world noisy datasets. The source code and data are available at https://github.com/bupt-ai-cz/HSA-NRL/.

Survival analysis is crucial to the evaluation of cancer treatment options and deep learning-based methods integrating pathological images and genomic data have been used for prognosis prediction. However, the most methods are based on the analysis of pathological image patches, thus ignoring the morphological structure information at larger field-of-view and intrinsic relationships between patches. Meanwhile, the existing models fail to exploit the powerful representation learning capabilities of the neural networks for effective multimodal feature fusion of pathological images and genomic data. In this paper, we propose a novel transformer-based fusion network integrating pathological images and genomic data (PGTFNet) for cancer survival analysis. Specifically, we present a transformer-based feature fusion module for multi-scale pathological slides to fully exploit the intra-modality relationships between image patches at various fields of view. Moreover, in order to make effective inter-modality feature fusion of pathological images and genomic data, we introduce a cross-attention transformer module that can exchange feature representations of different modalities between two transformers branches. The PG-TFNet is performed on the colorectal cancer dataset from the Cancer Genome Atlas (TCGA), which contains paired whole-slide images and genomic data with ground truth survival data. The experimental results from a 10-fold cross validation demonstrate that the proposed PG-TFNet facilitates the prognosis prediction of colorectal cancer and shows superiority over the existing methods.