ResearchResearch paperComputer Vision1 source · Oct 19, 2026

Multi-scale Fusion of Fast Vision Mamba and Foundation Model Features for Patch-Level Gleason Grading in Computational Pathology

Automated Gleason grading of prostate whole slide images (WSIs) enables faster and more consistent cancer risk stratification.

Key points

  • Pathology foundation models (FMs) extract strong patch representations but often operate at a single-scale, which limits spatial context and disproportionately affects classes that depend on broader context.
  • We propose a multi-scale classifier built on state-space models.
  • Our method combines two complementary feature sources: a frozen foundation model, and a lightweight FastVim, pre-trained on ImageNet and distilled from the foundation model, that reads the raw image crops.
  • At each scale, a Mamba model encodes the features from both sources with linear-time spatial context, and a jointly trained head fuses the encoded representations into one prediction.

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