{"entity": "researcher", "timestamp": "2026-07-22T16:32:43.782Z", "family": "Litjens", "given": "Geert", "initials": "G", "orcid": "0000-0003-1554-1291", "affiliations": ["Department of Pathology, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands."], "links": {"self": {"href": "https://publications-affiliated.scilifelab.se/researcher/3792b285bcf04c11b268da1088160a9d.json"}, "display": {"href": "https://publications-affiliated.scilifelab.se/researcher/3792b285bcf04c11b268da1088160a9d"}}, "publications": [{"entity": "publication", "iuid": "af5b1bed406e47ad890769e1d8f42bbd", "links": {"self": {"href": "https://publications-affiliated.scilifelab.se/publication/af5b1bed406e47ad890769e1d8f42bbd.json"}, "display": {"href": "https://publications-affiliated.scilifelab.se/publication/af5b1bed406e47ad890769e1d8f42bbd"}}, "title": "Hierarchical Vision Transformers for prostate biopsy grading: Towards bridging the generalization gap.", "authors": [{"family": "Grisi", "given": "Cl\u00e9ment", "initials": "C"}, {"family": "Kartasalo", "given": "Kimmo", "initials": "K", "orcid": "0000-0002-9470-4783", "researcher": {"href": "https://publications-affiliated.scilifelab.se/researcher/7c6fc97c06ed456c8bdd1f03db8a9b72.json"}}, {"family": "Eklund", "given": "Martin", "initials": "M", "orcid": "0000-0001-5032-5266", "researcher": {"href": "https://publications-affiliated.scilifelab.se/researcher/06721510ebc8462386e0e6fc6c84315b.json"}}, {"family": "Egevad", "given": "Lars", "initials": "L", "orcid": "0000-0001-8531-222X", "researcher": {"href": "https://publications-affiliated.scilifelab.se/researcher/a7d46f1f5fc047dc8edb910eb4f0645c.json"}}, {"family": "van der Laak", "given": "Jeroen", "initials": "J", "orcid": "0000-0001-7982-0754", "researcher": {"href": "https://publications-affiliated.scilifelab.se/researcher/188f689ad0304f28b42bc9d3dbf6a56e.json"}}, {"family": "Litjens", "given": "Geert", "initials": "G", "orcid": "0000-0003-1554-1291", "researcher": {"href": "https://publications-affiliated.scilifelab.se/researcher/3792b285bcf04c11b268da1088160a9d.json"}}], "type": "journal article", "published": "2025-10-00", "journal": {"title": "Med Image Anal", "issn": "1361-8423", "volume": "105", "pages": "103663", "issn-l": null}, "abstract": "Practical deployment of Vision Transformers in computational pathology has largely been constrained by the sheer size of whole-slide images. Transformers faced a similar limitation when applied to long documents, and Hierarchical Transformers were introduced to circumvent it. This work explores the capabilities of Hierarchical Vision Transformers for prostate cancer grading in WSIs and presents a novel technique to combine attention scores smartly across hierarchical transformers. Our best-performing model matches state-of-the-art algorithms with a 0.916 quadratic kappa on the Prostate cANcer graDe Assessment (PANDA) test set. It exhibits superior generalization capacities when evaluated in more diverse clinical settings, achieving a quadratic kappa of 0.877, outperforming existing solutions. These results demonstrate our approach's robustness and practical applicability, paving the way for its broader adoption in computational pathology and possibly other medical imaging tasks. Our code is publicly available at https://github.com/computationalpathologygroup/hvit.", "doi": "10.1016/j.media.2025.103663", "pmid": "40644915", "labels": {"DDLS Fellow": null, "Kimmo Kartasalo": null}, "xrefs": [{"db": "pii", "key": "S1361-8415(25)00210-5"}], "notes": [], "created": "2025-10-30T15:42:14.631Z", "modified": "2025-11-04T09:38:52.902Z"}, {"entity": "publication", "iuid": "90b36d42fc5b4fb98ab07730320e52f5", "links": {"self": {"href": "https://publications-affiliated.scilifelab.se/publication/90b36d42fc5b4fb98ab07730320e52f5.json"}, "display": {"href": "https://publications-affiliated.scilifelab.se/publication/90b36d42fc5b4fb98ab07730320e52f5"}}, "title": "Artificial intelligence for diagnosis and Gleason grading of prostate cancer: the PANDA challenge.", "authors": [{"family": "Bulten", "given": "Wouter", "initials": "W", "orcid": "0000-0002-6129-5039", "researcher": {"href": "https://publications-affiliated.scilifelab.se/researcher/f592c80c84c34a70971251c380a8578b.json"}}, {"family": "Kartasalo", "given": "Kimmo", "initials": "K", "orcid": "0000-0002-9470-4783", "researcher": {"href": "https://publications-affiliated.scilifelab.se/researcher/7c6fc97c06ed456c8bdd1f03db8a9b72.json"}}, {"family": "Chen", "given": "Po-Hsuan Cameron", "initials": "PC", "orcid": "0000-0002-0083-4991", "researcher": {"href": "https://publications-affiliated.scilifelab.se/researcher/dd162c57871947aea109e009fc1d2daf.json"}}, {"family": "Str\u00f6m", "given": "Peter", "initials": "P", "orcid": "0000-0002-1631-806X", "researcher": {"href": "https://publications-affiliated.scilifelab.se/researcher/2798ea6ef2ed4ae88b78dd04d2f14437.json"}}, {"family": "Pinckaers", "given": "Hans", "initials": "H"}, {"family": "Nagpal", "given": "Kunal", "initials": "K"}, {"family": "Cai", "given": "Yuannan", "initials": "Y"}, {"family": "Steiner", "given": "David F", "initials": "DF", "orcid": "0000-0003-1297-0023", "researcher": {"href": "https://publications-affiliated.scilifelab.se/researcher/a209b0168a394a09bd0cfe9cd1e1934b.json"}}, {"family": "van Boven", "given": "Hester", "initials": "H"}, {"family": "Vink", "given": "Robert", "initials": "R"}, {"family": "Hulsbergen-van de Kaa", "given": "Christina", "initials": "C"}, {"family": "van der Laak", "given": "Jeroen", "initials": "J", "orcid": "0000-0001-7982-0754", "researcher": {"href": "https://publications-affiliated.scilifelab.se/researcher/188f689ad0304f28b42bc9d3dbf6a56e.json"}}, {"family": "Amin", "given": "Mahul B", "initials": "MB", "orcid": "0000-0001-5943-3634", "researcher": {"href": "https://publications-affiliated.scilifelab.se/researcher/d7974058596e4429b0035f1eff340a4c.json"}}, {"family": "Evans", "given": "Andrew J", "initials": "AJ"}, {"family": "van der Kwast", "given": "Theodorus", "initials": "T", "orcid": "0000-0001-8640-5786", "researcher": {"href": "https://publications-affiliated.scilifelab.se/researcher/176f93a02e394a659619ae2ff57398e4.json"}}, {"family": "Allan", "given": "Robert", "initials": "R"}, {"family": "Humphrey", "given": "Peter A", "initials": "PA"}, {"family": "Gr\u00f6nberg", "given": "Henrik", "initials": "H", "orcid": "0000-0002-1073-2753", "researcher": {"href": "https://publications-affiliated.scilifelab.se/researcher/33927307bf964b2fa09e09c0c867b542.json"}}, {"family": "Samaratunga", "given": "Hemamali", "initials": "H"}, {"family": "Delahunt", "given": "Brett", "initials": "B"}, {"family": "Tsuzuki", "given": "Toyonori", "initials": "T", "orcid": "0000-0002-4855-4366", "researcher": {"href": "https://publications-affiliated.scilifelab.se/researcher/42c993c2c0ab4b50afa03134f70118d9.json"}}, {"family": "H\u00e4kkinen", "given": "Tomi", "initials": "T"}, {"family": "Egevad", "given": "Lars", "initials": "L", "orcid": "0000-0001-8531-222X", "researcher": {"href": "https://publications-affiliated.scilifelab.se/researcher/a7d46f1f5fc047dc8edb910eb4f0645c.json"}}, {"family": "Demkin", "given": "Maggie", "initials": "M"}, {"family": "Dane", "given": "Sohier", "initials": "S"}, {"family": "Tan", "given": "Fraser", "initials": "F"}, {"family": "Valkonen", "given": "Masi", "initials": "M", "orcid": "0000-0003-3091-2484", "researcher": {"href": "https://publications-affiliated.scilifelab.se/researcher/ae4841e8a4124dc79c921b3af09096fe.json"}}, {"family": "Corrado", "given": "Greg S", "initials": "GS"}, {"family": "Peng", "given": "Lily", "initials": "L"}, {"family": "Mermel", "given": "Craig H", "initials": "CH", "orcid": "0000-0002-0816-3395", "researcher": {"href": "https://publications-affiliated.scilifelab.se/researcher/ff69bed2b4394cd8972c937ebb642c55.json"}}, {"family": "Ruusuvuori", "given": "Pekka", "initials": "P", "orcid": "0000-0001-9086-9591", "researcher": {"href": "https://publications-affiliated.scilifelab.se/researcher/bb947cd395e84612a53569f4a39abd19.json"}}, {"family": "Litjens", "given": "Geert", "initials": "G", "orcid": "0000-0003-1554-1291", "researcher": {"href": "https://publications-affiliated.scilifelab.se/researcher/3792b285bcf04c11b268da1088160a9d.json"}}, {"family": "Eklund", "given": "Martin", "initials": "M", "orcid": "0000-0001-5032-5266", "researcher": {"href": "https://publications-affiliated.scilifelab.se/researcher/06721510ebc8462386e0e6fc6c84315b.json"}}, {"family": "PANDA challenge consortium", "given": "", "initials": ""}], "type": "journal article", "published": "2022-01-00", "journal": {"title": "Nat. Med.", "issn": "1546-170X", "issn-l": "1078-8956", "volume": "28", "issue": "1", "pages": "154-163"}, "abstract": "Artificial intelligence (AI) has shown promise for diagnosing prostate cancer in biopsies. However, results have been limited to individual studies, lacking validation in multinational settings. Competitions have been shown to be accelerators for medical imaging innovations, but their impact is hindered by lack of reproducibility and independent validation. With this in mind, we organized the PANDA challenge-the largest histopathology competition to date, joined by 1,290 developers-to catalyze development of reproducible AI algorithms for Gleason grading using 10,616 digitized prostate biopsies. We validated that a diverse set of submitted algorithms reached pathologist-level performance on independent cross-continental cohorts, fully blinded to the algorithm developers. On United States and European external validation sets, the algorithms achieved agreements of 0.862 (quadratically weighted \u03ba, 95% confidence interval (CI), 0.840-0.884) and 0.868 (95% CI, 0.835-0.900) with expert uropathologists. Successful generalization across different patient populations, laboratories and reference standards, achieved by a variety of algorithmic approaches, warrants evaluating AI-based Gleason grading in prospective clinical trials.", "doi": "10.1038/s41591-021-01620-2", "pmid": "35027755", "labels": {"Kimmo Kartasalo": null, "DDLS Fellow": null}, "xrefs": [{"db": "pmc", "key": "PMC8799467"}, {"db": "pii", "key": "10.1038/s41591-021-01620-2"}], "notes": [], "created": "2024-11-05T16:09:31.876Z", "modified": "2024-11-29T09:30:09.852Z"}]}