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CleanSlide — pan-cancer whole-slide vision–language benchmark
Official dataset for CleanSlide, the largest public and cleanest whole-slide-image (WSI) vision–language multiple-choice benchmark on TCGA. This repository is self-contained: pre-computed features, the questions, the splits, and a slide-download manifest are all here. Full method, code, and figures live in the CleanSlide GitHub repository.
Abstract
Pathology vision–language models are typically evaluated on TCGA whole-slide VQA, but those benchmarks leak information at two levels — patient (slides from one case split across train and test) and tissue-source-site (staining/scanner batch shared across cases) — and their questions are often answerable without ever looking at the slide. CleanSlide is a contamination-controlled benchmark of 148,654 four-option questions over 9,985 TCGA diagnostic (FFPE) WSIs spanning 32 solid cancer types. Its train / val / test folds are patient- and site (TSS)-disjoint (0 overlap), every question is audited on four cleanliness dimensions with the blind (image-free) baseline published rather than hidden, and slide features come from H-optimus-0 (Apache-2.0) — an encoder not trained on TCGA — so the released features are redistributable and encoder-uncontaminated.
Dataset structure
features/
├── train/<slide_id>.h5 # H-optimus-0 patch features, one HDF5 file per slide
├── val/<slide_id>.h5
└── test/<slide_id>.h5
questions/
├── tier1/{train,val,test}.jsonl # Tier 1 — reused & cleaned public TCGA-WSI MCQ
└── tier2/{train,val,test}.jsonl # Tier 2 — self-generated, text-only MCQ
slides/
├── slides_splits.csv # slide_id, patient, tss, tumor, fold, split
└── slide_gdc_manifest.csv # GDC manifest to download the raw diagnostic WSIs
- ~480 GB of features (fp16), one
.h5per slide, already partitioned by split. - 148,654 questions total, separated by tier (reuse-and-clean vs self-generated) and by split.
slides/provides the slide → fold/split table and a ready-to-use GDC download manifest for the raw WSIs.
Feature file format (.h5)
| dataset | shape | dtype | meaning |
|---|---|---|---|
features |
[N, 1536] |
float16 | H-optimus-0 embedding per kept patch |
coords |
[N, 2] |
int32 | level-0 (x, y) pixel coordinate of each patch — the encoder-agnostic canonical layer: any future encoder can be re-run from these coordinates without re-segmenting/re-tiling |
Per-file attributes: encoder, mpp_x, target_mpp (0.5 µm/px = 20×), patch_size (224), patch_size_lvl0, level_used, n_patches, tissue_frac_thresh (0.10), mpp_source. Extraction follows the H-optimus-0 recipe with CLAM tissue detection and the Prov-GigaPath valid-patch rule (no stain normalization — the site signature is controlled by the split, not the pixels). Details on GitHub.
Usage
Step 1 — download
from huggingface_hub import snapshot_download
# Everything (the features are ~480 GB):
snapshot_download("eric-1w/CleanSlide-features", repo_type="dataset", local_dir="cleanslide")
# Or just the questions + splits (small), skipping the large feature files:
snapshot_download("eric-1w/CleanSlide-features", repo_type="dataset", local_dir="cleanslide",
allow_patterns=["questions/*", "slides/*"])
Step 2 — pair a question with its slide features
The slide and split fields of each question point to features/<split>/<slide_id>.h5.
import json, h5py
q = [json.loads(l) for l in open("cleanslide/questions/tier1/test.jsonl")][0]
print(q["question"])
print(q["options"], "->", q["answer"])
with h5py.File(f"cleanslide/features/{q['split']}/{q['slide']}.h5", "r") as f:
feats = f["features"][:] # (N, 1536) float16
coords = f["coords"][:] # (N, 2) int32, level-0 pixels
Step 3 — (optional) get the raw slides
The raw WSIs are not redistributed here. To download them, use the included GDC manifest with the GDC Data Transfer Tool:
gdc-client download -m slides/slide_gdc_manifest.csv
You can then re-extract features with the CleanSlide pipeline (code/extract/extract_features.py on GitHub).
A question record
Each line of a questions/*/*.jsonl file is one four-option question:
{
"source": "SlideBench",
"slide": "TCGA-08-0244-01Z-00-DX1",
"patient": "TCGA-08-0244",
"tss": "08",
"tumor": "GBM",
"question": "Examine the cellular morphology in the provided whole slide image of glioblastoma. Which cytoplasmic feature is typically observed?",
"options": ["Mucin production", "Clear cytoplasm", "Fibrillary background", "Granulomatous changes"],
"answer": "C",
"answer_type": "mcq",
"task": "Microscopy",
"fold": 3,
"split": "test"
}
| field | meaning |
|---|---|
source |
origin set — WSI-Bench, SlideBench, WSI-VQA, CleanSlide-labels, or CleanSlide-reports |
slide / patient / tss |
TCGA slide barcode, patient, and tissue-source-site |
tumor |
TCGA study (cancer-type) code, e.g. GBM |
question / options / answer |
stem, four options, correct letter (A–D) |
task |
question category (Diagnosis, Microscopy, Subtype, Grading, …) |
fold / split |
disjoint fold id and train / val / test |
Citation
If you use CleanSlide, please cite:
@misc{zhang2026cleanslide,
title = {CleanSlide: A Leakage-Audited and Shortcut-Controlled Benchmark for Whole-Slide Vision–Language Models},
author = {Zhang, Wenhao and others},
year = {2026},
note = {Manuscript in preparation},
howpublished = {\url{https://github.com/wenhaozhang0066/CleanSlide}}
}
License & provenance
Questions and derived features: CC-BY-NC 4.0 (research / non-commercial use only). Underlying TCGA slides follow the NIH/GDC data policy — raw slides are not redistributed here. Encoder: H-optimus-0 (Apache-2.0), not trained on TCGA.
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