Summary of Point Transformer with Federated Learning for Predicting Breast Cancer HER2 Status from Hematoxylin and Eosin-Stained Whole Slide Images

This study introduces a federated learning-based approach to predict HER2 status from hematoxylin and eosin (HE)-stained whole slide images (WSIs), reducing costs and speeding up treatment decisions. To address label imbalance and feature representation challenges in multisite datasets, a point transformer is proposed, incorporating dynamic label distribution, an auxiliary classifier, and farthest cosine sampling. Extensive experiments demonstrate state-of-the-art performance across four sites (2687 WSIs) and strong generalization to two unseen sites (229 WSIs).