Evidence map›Paper›PMID 41799657›Full record

ArticleProceedings of SPIE--the International Society for Optical Engineering2025

Instruction tuning for colorectal histopathology: a multimodal vision-language assistant on human-evaluated data.

Usman Afzaal, Ziyu Su, Usama Sajjad, Thomas Stack, Mostafa Rezapour, Hao Lu, Shuo Niu, Metin Nafi Gurcan, Wendy Frankel, Wei Chen and 1 more

Abstract read
In one paragraph

Article in Proceedings of SPIE--the International Society for Optical Engineering, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

11 authors.

Usman AfzaalDepartment of Pathology, The Ohio State University, Columbus, Ohio, USA.
Ziyu SuDepartment of Pathology, The Ohio State University, Columbus, Ohio, USA.
Usama SajjadDepartment of Pathology, The Ohio State University, Columbus, Ohio, USA.
Thomas StackEdward Via College of Osteopathic Medicine.
Mostafa RezapourWake Forest Institute for Regenerative Medicine, Winston-Salem, North Carolina.
Hao LuCenter for Artificial Intelligence Research, Wake Forest University School of Medicine, Winston-Salem, North Carolina.
Shuo NiuDepartment of Pathology, Wake Forest University School of Medicine.
Metin Nafi GurcanCenter for Artificial Intelligence Research, Wake Forest University School of Medicine, Winston-Salem, North Carolina.
Wendy FrankelDepartment of Pathology, The Ohio State University, Columbus, Ohio, USA.
Wei ChenDepartment of Pathology, The Ohio State University, Columbus, Ohio, USA.
Muhammad Khalid Khan NiaziDepartment of Pathology, The Ohio State University, Columbus, Ohio, USA.

Funding

An ensemble deep learning model for tumor bud detection and risk stratification in colorectal carcinoma.R01CA276301 · NCI · OHIO STATE UNIVERSITY · PI Wei Chen, Muhammad Khalid Khan Niazi · 2023 to 2026
$2.0M
NCI NIH HHS R01 CA276301
6 · The paper itself

Abstract

Despite the previous research on general-purpose Multimodal Large Language Models (MLLM) and histopathology multimodal chatbots, there has been limited exploration of their applications, particularly concerning colorectal cancer (CRC) histopathology slides. The success demonstrated by Language and Vision Assistant (LLaVA) as an MLLM in the natural image domain suggests its suitability for downstream tuning in histopathology slide analysis. In this study, we present CChat, a novel adaptation of the LLaVA model, to investigate its utility in CRC computational pathology. We accomplish this by fine-tuning LLaVA on a custom human-validated dataset curated from CRC histopathology slides. We also generate a benchmark dataset, to empirically evaluate CChat with other state-of-the-art chatbots, on which our model achieved final BERTScore, BLEU and Rouge-L scores of 93.23, 44.91, and 44.85, respectively, illustrating our methodology's potential for generation of high-quality instruction datasets.

Indexed as

Colorectal cancerInstruction-tuningMultimodal Large Language Models

Identifiers

PMID41799657
PMCPMC12965619

What OpenQuestion holds

Textmetadata
LicenceTDM
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.