Abstract

Generating specialized histopathological stains like Immunohistochemistry (IHC) and Periodic Acid-Schiff (PAS) in a laboratory is costly and time-consuming, making purely digital virtual staining a critical solution. However, acquiring perfectly paired training data is physically impossible, and standard diffusion models often alter the underlying tissue architecture when applied to challenging unpaired datasets. To address this, a novel morphology-preserving virtual staining framework is proposed for unpaired H&E-to-PAS and H&E-to-IHC translation. For the PAS domain, a luminance-guided post-processing step is introduced to recover fine structural boundaries. For the IHC domain, a two-step inference pipeline guides the generative process using a nuclear mask to protect spatial fidelity, followed by an automated refinement step to remove structural artifacts. Quantitative and qualitative evaluations demonstrate that the proposed approach improves morphological metrics compared to baselines. Furthermore, incorporating these generated virtual stains into a downstream subcancer classification task improves overall accuracy, demonstrating the practical and clinical utility of the proposed method.

Links to Paper and Supplementary Materials

Main Paper (Open Access Version): https://papers.miccai.org/miccai-2026-sat/paper/COMPAYL_051.pdf

SharedIt Link: Not yet available

SpringerLink (DOI): Not yet available

Supplementary Material: Not Submitted

Link to Open Review

Open Review Page: https://openreview.net/forum?id=OCAuycfubI&referrer=%5BProgram%20Chair%20Console%5D(%2Fgroup%3Fid%3DMICCAI.org%2F2026%2FWorkshop%2FCOMPAYL%2FProgram_Chairs%23submission-status)

BibTex

@InProceedings{SpaGiu_MorphologyPreserving_MICCAISAT2026,
        author = { Spathis, Giuseppe AND Chtourou, Imen AND Descombes, Xavier AND Ambrosetti, Damien AND Toni, Giorgio AND Hannetel, Paul},
        title = { { Morphology-Preserving Virtual Staining from H&E to PAS and IHC using Enhanced Diffusion Models } },
        booktitle = {Medical Image Computing and Computer Assisted Intervention -- MICCAI 2026 Workshops and Challenges},
        year = {2026},
        publisher = {Springer Nature Switzerland},
        volume = {LNCS 17251},
        month = {pending},
        page = {pending}
}


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