pathml

name	pathml
description	Computational pathology toolkit for whole-slide images (WSIs): load slides, extract tiles, stain normalization, nuclear segmentation, feature extraction, and ML training. Supports H&E and multiplex. For end-to-end pipelines from raw WSIs to quantitative outputs.
license	GPL-2.0

pathml

Overview

PathML is a Python toolkit designed for computational pathology workflows on whole-slide images (WSIs). It provides a unified pipeline from raw slide files (SVS, NDPI, MRXS, TIFF) through tile extraction, preprocessing (stain normalization, nuclear segmentation, tissue detection), feature extraction, and machine learning. PathML integrates with popular Python ML and image processing libraries while abstracting the complexity of WSI handling through its SlideData and Pipeline abstractions.

When to Use

• Processing whole-slide H&E images: Tiling a large WSI, normalizing staining variability across slides from different scanners or batches.
• Nuclear segmentation on pathology slides: Detecting and segmenting nuclei in H&E or DAPI-stained WSIs using built-in segmentation pipelines.
• Building ML training datasets from WSIs: Extracting tiles with associated labels for training tissue classifiers, tumor detectors, or survival prediction models.
• Multiplex immunofluorescence (mIF) image analysis: Processing multi-channel IF slides with channel-specific preprocessing and feature extraction.
• Stain normalization across cohorts: Applying Macenko or Vahadane stain normalization to harmonize H&E slides from multiple institutions.
• Feature extraction for downstream ML: Extracting handcrafted or deep learning features from tiles for patient-level prediction tasks.
• For standard 2D microscopy images (non-WSI), use scikit-image or cellpose directly without PathML overhead.

Prerequisites

• Python packages: pathml, torch, torchvision, numpy, scikit-image, openslide-python
• System: OpenSlide C library (required for WSI reading)
• Data requirements: WSI files in SVS, NDPI, MRXS, or TIFF format; GPU recommended for segmentation
• Environment: Python 3.8+, CUDA-compatible GPU for deep learning preprocessing

# Install system dependency first
conda install -c conda-forge openslide

# Install PathML
pip install pathml

# For GPU support
pip install torch torchvision --extra-index-url https://download.pytorch.org/whl/cu118

Quick Start

from pathml.core import SlideData
from pathml.preprocessing import Pipeline
from pathml.preprocessing.transforms import BoxBlur, TissueDetectionHE

# Load → build pipeline → tile → preprocess
slide = SlideData("tumor.svs", name="demo")
pipeline = Pipeline([BoxBlur(kernel_size=3), TissueDetectionHE(mask_name="tissue")])
slide.run(pipeline, tile_size=256, tile_stride=256)

# Inspect tiles
from pathml.core import Tile
tiles = [t for t in slide.tiles if t.masks["tissue"].any()]
print(f"Tissue tiles: {len(tiles)} of {len(slide.tiles)}")

Workflow

Step 1: Load a Whole-Slide Image

from pathml.core import SlideData

# Load an H&E whole-slide image
slide = SlideData("path/to/slide.svs", name="tumor_slide_001")
print(f"Slide name: {slide.name}")
print(f"Slide shape: {slide.slide.shape}")
print(f"Slide properties: {slide.slide.properties}")

Step 2: Define a Preprocessing Pipeline

from pathml.preprocessing import Pipeline
from pathml.preprocessing.transforms import (
    BoxBlur,
    TissueDetectionHE,
    HEStainNormalization,
)

# Build a preprocessing pipeline for H&E slides
pipeline = Pipeline([
    BoxBlur(kernel_size=5),                       # smooth image
    TissueDetectionHE(mask_name="tissue"),         # detect tissue regions
    HEStainNormalization(target="normalize"),       # normalize H&E staining
])
print(f"Pipeline steps: {len(pipeline.transforms)}")

Step 3: Create a TileDataset

from pathml.core import TileDataset

# Tile the slide into 256x256 patches at 20x magnification
slide.generate_tiles(
    shape=(256, 256),
    stride=(256, 256),
    pad=False,
    level=0,           # pyramid level 0 = highest resolution
    coords_format="fractional",
)
print(f"Total tiles generated: {len(slide.tiles)}")

Step 4: Run the Preprocessing Pipeline

# Apply preprocessing pipeline to all tiles
slide.run(pipeline, distributed=False, tile_pad=False)
print("Pipeline complete — tiles preprocessed")

# Inspect a single tile
tile = slide.tiles[0]
print(f"Tile shape: {tile.image.shape}")      # (256, 256, 3)
print(f"Tile masks: {list(tile.masks.keys())}")

Step 5: Nuclear Segmentation

from pathml.preprocessing.transforms import NuclearSegmentation

# Run Hematoxylin-channel nuclear segmentation
seg_pipeline = Pipeline([
    TissueDetectionHE(mask_name="tissue"),
    NuclearSegmentation(mask_name="nuclei"),
])

slide.run(seg_pipeline, distributed=False)

# Count nuclei per tile
for tile in list(slide.tiles)[:5]:
    n_nuclei = tile.masks["nuclei"].max()
    print(f"Tile {tile.coords}: {n_nuclei} nuclei detected")

Step 6: Feature Extraction

import numpy as np
from pathml.core import SlideDataset

features = []
for tile in slide.tiles:
    if "tissue" in tile.masks and tile.masks["tissue"].any():
        img = tile.image
        feat = {
            "mean_r":    img[:, :, 0].mean(),
            "mean_g":    img[:, :, 1].mean(),
            "mean_b":    img[:, :, 2].mean(),
            "std_r":     img[:, :, 0].std(),
            "n_nuclei":  int(tile.masks["nuclei"].max()) if "nuclei" in tile.masks else 0,
            "tile_x":    tile.coords[0],
            "tile_y":    tile.coords[1],
        }
        features.append(feat)

import pandas as pd
df = pd.DataFrame(features)
df.to_csv("slide_features.csv", index=False)
print(f"Extracted features from {len(df)} tissue tiles -> slide_features.csv")

Step 7: Save and Export Processed Slide

import h5py

# Save slide data (tiles + masks) to HDF5
slide.write("processed_slide.h5")
print("Slide saved to processed_slide.h5")

# Reload for downstream use
from pathml.core import SlideData
slide_loaded = SlideData.read("processed_slide.h5")
print(f"Reloaded: {len(slide_loaded.tiles)} tiles")

Key Parameters

Parameter	Default	Range / Options	Effect
shape	(256, 256)	(64,64) – (1024,1024)	Tile dimensions in pixels
stride	equals shape	any tuple ≤ shape	Step between tile centers; stride < shape gives overlapping tiles
level	0	0 – max pyramid level	Pyramid resolution level (0 = full resolution)
kernel_size	5	odd integers 3–21	Smoothing kernel size in BoxBlur
mask_name	required	any string	Name of output mask stored in tile.masks
distributed	False	True, False	Enable Dask distributed processing for large slides
pad	False	True, False	Pad edge tiles to full shape size

Common Recipes

Recipe: Tissue-Only Tile Filtering

When to use: Exclude background tiles to reduce memory and computation in downstream steps.

# Filter tiles to only tissue regions after running tissue detection pipeline
tissue_tiles = [t for t in slide.tiles if "tissue" in t.masks and t.masks["tissue"].mean() > 0.5]
print(f"Tissue tiles: {len(tissue_tiles)} / {len(slide.tiles)} total")

Recipe: Export Tiles as PNG Files

When to use: Create a labeled tile dataset for training a custom classifier in PyTorch.

from PIL import Image
import numpy as np
from pathlib import Path

output_dir = Path("tiles_png")
output_dir.mkdir(exist_ok=True)

for i, tile in enumerate(slide.tiles):
    if "tissue" in tile.masks and tile.masks["tissue"].mean() > 0.5:
        img = Image.fromarray(tile.image.astype(np.uint8))
        img.save(output_dir / f"tile_{i:05d}_x{tile.coords[0]}_y{tile.coords[1]}.png")

print(f"Saved {i+1} tiles to {output_dir}/")

Recipe: Batch Process Multiple Slides

When to use: Running the same preprocessing pipeline on a directory of WSI files.

from pathlib import Path
from pathml.core import SlideData
from pathml.preprocessing import Pipeline
from pathml.preprocessing.transforms import TissueDetectionHE, HEStainNormalization

pipeline = Pipeline([
    TissueDetectionHE(mask_name="tissue"),
    HEStainNormalization(target="normalize"),
])

wsi_dir = Path("slides/")
for wsi_path in sorted(wsi_dir.glob("*.svs")):
    slide = SlideData(str(wsi_path), name=wsi_path.stem)
    slide.generate_tiles(shape=(256, 256), stride=(256, 256), level=0)
    slide.run(pipeline, distributed=False)
    slide.write(f"processed/{wsi_path.stem}.h5")
    print(f"Processed {wsi_path.name}: {len(slide.tiles)} tiles")

Expected Outputs

• slide.tiles — iterable of Tile objects, each with .image (numpy array) and .masks (dict of numpy arrays)
• slide_features.csv — tabular per-tile features (color statistics, nucleus counts, coordinates)
• processed_slide.h5 — HDF5 file with tiles, masks, and metadata for downstream use
• PNG tile files (optional) — ready for PyTorch ImageFolder dataset loading

Troubleshooting

Problem	Cause	Solution
openslide.lowlevel.OpenSlideUnsupportedFormatError	OpenSlide C library not installed or WSI format unsupported	conda install -c conda-forge openslide; check format compatibility
CUDA out of memory during segmentation	Tile size too large for GPU	Reduce tile shape to (128, 128) or run with distributed=False on CPU
slide.tiles is empty after generate_tiles	Level index out of range or all tiles filtered	Use level=0; check slide pyramid with slide.slide.level_count
Stain normalization produces black tiles	Source slide too low contrast or failed tissue detection	Apply TissueDetectionHE before normalization; inspect tissue mask coverage
KeyError: 'nuclei' in tile.masks	Segmentation pipeline not yet run	Run the NuclearSegmentation pipeline with slide.run() before accessing masks
Very slow tile generation	High-resolution level 0 on large SVS	Use a lower pyramid level (level=1 or level=2) for faster prototyping
AttributeError: SlideData has no attribute 'write'	Old PathML version	pip install --upgrade pathml to get HDF5 save/load support

References

• PathML Documentation — official docs with tutorials
• PathML GitHub (Dana-Farber/PathML) — source code and examples
• Rosenthal et al. (2022), Cell Systems — PathML paper — original publication
• OpenSlide Documentation — WSI reading library underlying PathML