Evidence map›Paper›PMID 41339637›Full record

ArticleNature communications2025

Adaptive compression framework for giga-pixel whole slide images.

Jonghyun Lee, Lina Takemaru, D M Bappy, Ye Sul Jeong, Won-Ki Jeong, Derek Oldridge, Dokyoon Kim, Sangjeong Ahn, Sung Hak Lee

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Jonghyun LeeDepartment of Biostatistics, Epidemiology and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0002-4528-5965
Lina TakemaruDepartment of Biostatistics, Epidemiology and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0002-7743-8532
D M BappyDepartment of Pathology, College of Medicine, Korea University, Seoul, Republic of Korea.
Ye Sul JeongDepartment of Hospital Pathology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.ORCID http://orcid.org/0000-0003-2952-1662
Won-Ki JeongDepartment of Computer Science and Engineering, College of Informatics, Korea University, Seoul, Republic of Korea.
Derek OldridgeDepartment of Pathology and Laboratory Medicine, University of Pennsylvania, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0003-2177-5633
Dokyoon KimDepartment of Biostatistics, Epidemiology and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0002-4592-9564
Sangjeong AhnDepartment of Pathology, College of Medicine, Korea University, Seoul, Republic of Korea. vanitas80@korea.ac.kr.ORCID http://orcid.org/0000-0003-4338-3235
Sung Hak LeeDepartment of Hospital Pathology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea. hakjjang@catholic.ac.kr.

Funding

Korea Health Industry Development Institute (KHIDI) RS-2021- KH113146
6 · The paper itself

Abstract

Digital pathology generates gigapixel whole-slide images that require extensive storage, limiting scalability and increasing costs. Traditional compression methods apply uniform ratios, disregarding variations in diagnostic importance across regions. Here we show Adaptive compression for gigapixel whole-slide images (AdaSlide), a framework that balances compression efficiency and diagnostic integrity. AdaSlide integrates a reinforcement learning-based Compression Decision Agent (CDA) that determines the optimal compression ratio per region, and a Foundational Image Enhancer (FIE) that restores visual fidelity after compression. In evaluations, pathologists achieved near-chance accuracy (55%) in distinguishing original from restored images, confirming high perceptual fidelity. Across 13 downstream tasks, AdaSlide maintained diagnostic performance in most tasks while reducing storage to 10-35% of the original size. By aligning compression strategies with clinical relevance, AdaSlide enables efficient, scalable, and reliable storage for digital pathology and future AI development.

Indexed as

Data CompressionImage Interpretation, Computer-AssistedImage Processing, Computer-AssistedAlgorithmsHumans

Identifiers

PMID41339637
PMCPMC12780017

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.