Prototype-Based Image Prompting for Weakly Supervised Histopathological Image Segmentation

Weakly supervised image segmentation with image-level labels has drawn attention due to the high cost of pixel-level annotations. Traditional methods using Class Activation Maps (CAMs) often highlight only the most discriminative regions, leading to incomplete masks. Recent approaches that introduce textual information struggle with histopathological images due to inter-class homogeneity and intraclass heterogeneity. In this paper, we propose a prototypebased image prompting framework for histopathological image segmentation. It constructs an image bank from the training set using clustering, extracting multiple prototype features per class to capture intra-class heterogeneity. By designing a matching loss between input features and classspecific prototypes using contrastive learning, our method addresses inter-class homogeneity and guides the model to generate more accurate CAMs. Experiments on four datasets (LUAD-HistoSeg, BCSS-WSSS, GCSS, and BCSS) show that our method outperforms existing weakly supervised segmentation approaches, setting new benchmarks in histopathological image segmentation. 1 * Equal contribution.