RF-DETR for Robust Mitotic Figure Detection: A MIDOG 2025 Track 1 Approach

Abstract: Mitotic figure detection in histopathology images remains challenging due to significant domain shifts across different scanners, staining protocols, and tissue types. This paper presents our approach for the MIDOG 2025 challenge Track 1, focusing on robust mitotic figure detection across diverse histological contexts. While we initially planned a two-stage approach combining high-recall detection with subsequent classification refinement, time constraints led us to focus on optimizing a single-stage detection pipeline. We employed RF-DETR (Roboflow Detection Transformer) with hard negative mining, trained on MIDOG++ dataset. On the preliminary test set, our method achieved an F1 score of 0.789 with a recall of 0.839 and precision of 0.746, demonstrating effective generalization across unseen domains. The proposed solution offers insights into the importance of training data balance and hard negative mining for addressing domain shift challenges in mitotic figure detection.