In the immunohistochemical (IHC) analysis during surgery, frozen-section (FS) images are used to determine the benignity or malignancy of the tumor. However, FS image faces problems such as image contamination and poor nuclear detail, which may disturb the pathologist's diagnosis. In contrast, formalin-fixed and paraffin-embedded (FFPE) image has a higher staining quality, but it requires quite a long time to prepare and thus is not feasible during surgery. To help pathologists observe IHC images with high quality in surgery, this paper proposes a Cross-REsolution compensATed and multi-frequency Enhanced FS-to-FFPE (CREATE-FFPE) stain transfer framework, which is the first FS-to-FFPE method for the intraoperative IHC images. To solve the slide contamination and poor nuclear detail mentioned above, we propose the cross-resolution compensation module (CRCM) and the wavelet detail guidance module (WDGM). Specifically, CRCM compensates for information loss due to contamination by providing more tissue information across multiple resolutions, while WDGM produces the desirable details in a wavelet way, and the details can be used to guide the stain transfer to be more precise. Experiments show our method can beat all the competing methods on our dataset. In addition, the FID has decreased by 44.4%, and KID*100 has decreased by 71.2% by adding the proposed CRCM and WDGM in ablation studies, and the performance of a downstream microsatellite instability prediction task with public dataset can be greatly improved by performing our FS-to-FFPE stain transfer.
View on arXiv@article{lin2025_2503.00697,
title={ CREATE-FFPE: Cross-Resolution Compensated and Multi-Frequency Enhanced FS-to-FFPE Stain Transfer for Intraoperative IHC Images },
author={ Yiyang Lin and Danling Jiang and Xinyu Liu and Yun Miao and Yixuan Yuan },
journal={arXiv preprint arXiv:2503.00697},
year={ 2025 }
}