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SAGE addresses the challenge of cellular heterogeneity in gigapixel histopathology images by introducing a dynamic expert routing framework that adapts computation graphs to varying cell shapes. By harmonizing features across convolutional and transformer modules, this model achieves high segmentation accuracy while improving efficiency over static CNN-Transformer hybrids. The approach establishes a scalable foundation for flexible visual reasoning in medical imaging applications.
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SAGE: Shape-Adapting Gated Experts for Adaptive Histopathology Image Segmentation

arXiv2 min read

arXiv:2511.18493v5 Announce Type: replace-cross Abstract: The significant variability in cell size and shape continues to pose a major obstacle in computer-assisted cancer detection on gigapixel Whole Slide Images (WSIs), due to cellular heterogeneity. Current CNN-Transformer hybrids use static computation graphs with fixed routing. This leads to extra computation and makes it harder to adapt to changes in input. We propose Shape-Adapting Gated Experts (SAGE), an input-adaptive framework that enables dynamic expert routing in heterogeneous visual networks. SAGE reconfigures static backbones into dynamically routed expert architectures via a dual-path design with hierarchical gating and a Shape-Adapting Hub (SA-Hub) that harmonizes feature representations across convolutional and transformer modules. Embodied as SAGE with ConvNeXt and Vision Transformer UNet (SAGE-ConvNeXt+ViT-UNet), our model achieves a Dice score of 95.23% on EBHI, DSC scores of 92.78% and 91.42% on GlaS Test A and Test B, respectively, and 91.26% DSC at the WSI level on DigestPath, while exhibiting robust generalization under distribution shifts by adaptively balancing local refinement and global context. SAGE establishes a scalable foundation for dynamic expert routing in visual networks, thereby facilitating flexible visual reasoning. Project page: https://oxyzgiahuy.github.io/sage/

Abstract:The significant variability in cell size and shape continues to pose a major obstacle in computer-assisted cancer detection on gigapixel Whole Slide Images (WSIs), due to cellular heterogeneity. Current CNN-Transformer hybrids use static computation graphs with fixed routing. This leads to extra computation and makes it harder to adapt to changes in input. We propose Shape-Adapting Gated Experts (SAGE), an input-adaptive framework that enables dynamic expert routing in heterogeneous visual networks. SAGE reconfigures static backbones into dynamically routed expert architectures via a dual-path design with hierarchical gating and a Shape-Adapting Hub (SA-Hub) that harmonizes feature representations across convolutional and transformer modules. Embodied as SAGE with ConvNeXt and Vision Transformer UNet (SAGE-ConvNeXt+ViT-UNet), our model achieves a Dice score of 95.23% on EBHI, DSC scores of 92.78% and 91.42% on GlaS Test A and Test B, respectively, and 91.26% DSC at the WSI level on DigestPath, while exhibiting robust generalization under distribution shifts by adaptively balancing local refinement and global context. SAGE establishes a scalable foundation for dynamic expert routing in visual networks, thereby facilitating flexible visual reasoning. Project page: this https URL

Accepted to CVPR 2026 (Findings Track). Project Page: this https URL

Image and Video Processing (eess.IV); Artificial Intelligence (cs.AI); Computer Vision and Pattern Recognition (cs.CV)

arXiv:2511.18493 [eess.IV]

(or arXiv:2511.18493v5 [eess.IV] for this version)

https://doi.org/10.48550/arXiv.2511.18493 Focus to learn more arXiv-issued DOI via DataCite

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Full text under the publisher's open licence · 295 words

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