PySlyde: A Lightweight, Open-Source Toolkit for Pathology Preprocessing

The integration of artificial intelligence (AI) into pathology is advancing precision medicine by improving diagnosis, treatment planning, and patient outcomes. Digitised whole-slide images (WSIs) capture rich spatial and morphological information vital for understanding disease biology, yet their gigapixel scale and variability pose major challenges for standardisation and analysis. Robust preprocessing, covering tissue detection, tessellation, stain normalisation, and annotation parsing is critical but often limited by fragmented and inconsistent workflows. We present PySlyde, a lightweight, open-source Python toolkit built on OpenSlide to simplify and standardise WSI preprocessing. PySlyde provides an intuitive API for slide loading, annotation management, tissue detection, tiling, and feature extraction, compatible with modern pathology foundation models. By unifying these processes, it streamlines WSI preprocessing, enhances reproducibility, and accelerates the generation of AI-ready datasets, enabling researchers to focus on model development and downstream analysis.

Deep Multi-Scale U-Net Architecture and Noise-Robust Training Strategies for Histopathological Image Segmentation

Although the U-Net architecture has been extensively used for segmentation of medical images, we address two of its shortcomings in this work. Firstly, the accuracy of vanilla U-Net degrades when the target regions for segmentation exhibit significant variations in shape and size. Even though the U-Net already possesses some capability to analyze features at various scales, we propose to explicitly add multi-scale feature maps in each convolutional module of the U-Net encoder to improve segmentation of histology images. Secondly, the accuracy of a U-Net model also suffers when the annotations for supervised learning are noisy or incomplete. This can happen due to the inherent difficulty for a human expert to identify and delineate all instances of specific pathology very precisely and accurately. We address this challenge by introducing auxiliary confidence maps that emphasize less on the boundaries of the given target regions. Further, we utilize the bootstrapping properties of the deep network to address the missing annotation problem intelligently. In our experiments on a private dataset of breast cancer lymph nodes, where the primary task was to segment germinal centres and sinus histiocytosis, we observed substantial improvement over a U-Net baseline based on the two proposed augmentations.