2025-12-06
Uncertainty-aware and causal test-time adaptive foundation model for robust colorectal cancer pathology diagnosis
2025-12-06 • Shenghan Lou, Gary Mo, Xiao Zhang, Hao Wang, Hao Li, Keru Ma, Huiying Li, Xinyue Zhang, Meihong Yan, Haonan Xie, Yuze Huang, C. Li, Siyuan Ma, Hong...
Colorectal cancer (CRC) is a leading malignancy worldwide, where histopathological assessment of hematoxylin and eosin (H&E) stained whole-slide images remains the diagnostic gold standard. However, current computational pathology models suffer from domain shifts, unreliable uncertainty estimation, and spurious correlations, limiting clinical reliability. We present UAD-FM, an Uncertainty-Aware and Causally Adaptive Foundation Model that integrates epistemic-aleatoric uncertainty decomposition, causal test-time ad…