Organizations: University of Oxford, Oxford, United Kingdom · University College London, London, United Kingdom · University of Bristol, Bristol, United Kingdom · Chulalongkorn University, Thailand
We present WBCBench 2026, an ISBI challenge and benchmark for automated WBC classification designed to stress-test algorithms under three key difficulties: (i) severe class imbalance across 13 morphologically fine-grained WBC classes, (ii) strict patient-level separation between training, validation and test sets, and (iii) synthetic scanner- and setting-induced domain shift via controlled noise, blur and illumination perturbations. All images are single-site microscopic blood smear acquisitions with standardised staining and expert hematopathologist annotations. This paper reviews the challenge and summarises the proposed solutions and final outcomes. The benchmark is organised into two phases. Phase 1 provides a pristine training set. Phase 2 introduces degraded images with split-specific severity distributions for train, validation and test, emulating a realistic shift between development and deployment conditions. We specify a standardised submission schema, open-source evaluator, and macro-averaged F1 score as the primary ranking metric.
Figures & tables
Figure 1: Geographical distribution of participants: (left) by country and (right) by continent.
Figure 2: WBCBench 2026 representative images for all 13 WBC classes (columns) at four degradation severity levels (rows: Pristine, Mild, Moderate, Extreme). Coloured borders indicate severity. PLY moderate/extreme cells are absent due to rare-class protection (no moderate/extreme degradation applied to classes with <0.5% coverage).
Split
Phase 1 train
Phase 2 train
Phase 2 eval
Phase 2 test
Patients Proportion
74 15%
222 45%
49 10%
148 30%
Num Images
8 288
24 897
5 350
16 477
Pristine
1.00
0.07
0.40
0.35
Mild
0.00
0.55
0.45
0.45
Moderate
0.00
0.30
0.12
0.15
Extreme
0.00
0.08
0.03
0.05
Table 1: Dataset partitioning and degradation severity fractions per split.
Operator
Parameter
Mild
Moderate
Extreme
Geometric, blur & noise
Crop
max ratio r
0.02–0.10
0.10–0.20
0.20–0.30
Gaussian blur
σ [px]
0.2–1.0
1.0–2.0
2.0–3.0
Motion blur
kernel k [px]
3–15
5–25
20–35
apply prob. pm
0.1–0.3
0.3–0.7
0.7–1.0
Gaussian noise
std. σn
2–8
8–18
18–25.5
Table 2: Severity-dependent parameters. Parameters are sampled uniformly; motion blur angle ∼U(0∘,360∘) ; ΔS , ΔI : additive offsets in HSV and pixel [0–255] scale, respectively.
Rank
Team
Macro-F1
Bal. Acc
Macro Prec
Macro Spec
1
FDVTS_WBC [ 15 ]
0.777
0.753
0.818
0.996
2
PathMedAI [ 12 ]
0.771
0.733
0.834
0.994
3
jht010312
0.740
0.742
0.756
0.995
4
CPRL
0.720
0.701
0.759
0.995
5
PACV
0.719
0.707
0.746
0.995
6
AIO-MHIL [ 8 ]
0.708
0.693
0.738
0.995
Table 3: Final leaderboard: top-10 results on phase2_test with organiser baselines.
Class
Support
Avg F1
Min F1
Max F1
SNE
8188
0.984
0.981
0.987
LY
4269
0.960
0.953
0.964
MO
1508
0.923
0.902
0.936
EO
492
0.968
0.949
0.979
BA
303
0.969
0.947
0.985
BL
902
0.871
0.843
0.892
Table 4: Per-class F1 averaged over the top-10 submissions, sorted by difficulty (easiest first). PLY and PC results are statistically unreliable due to very low test support.
White blood cell (WBC) classification is fundamental for hematology applications such as infection assessment, leukemia screening, and treatment monitoring. However, real-world WBC datasets present substantial appearance variations caused by staining and scanning conditions, as well as severe class imbalance in which common cell types dominate while rare but clinically important categories are underrepresented. To address these challenges, we propose a stain-normalized, decoupled training framework that first learns transferable representations using instance-balanced sampling, and then rebalances the classifier with class-aware sampling and a hybrid loss combining effective-number weighting and focal modulation. In inference stage, we further enhance robustness by ensembling various trained backbones with test-time augmentation. Our approach achieved the top rank on the leaderboard of the WBCBench 2026: Robust White Blood Cell Classification Challenge at ISBI 2026.
Luu Le, Hoang-Loc Cao, Ha-Hieu Pham +2
University of Technology, Ho Chi Minh City, Vietnam · Vietnam National University, Ho Chi Minh City, Vietnam · University of Science, Ho Chi Minh City, Vietnam +2
The classification of white blood cells (WBCs) from peripheral blood smears is critical for the diagnosis of leukemia. However, automated approaches still struggle due to challenges including class imbalance, domain shift, and morphological continuum confusion, where adjacent maturation stages exhibit subtle, overlapping features. We present a multi-stage fine-tuning methodology for 13-class WBC classification in the WBCBench 2026 Challenge (ISBI 2026). Our best-performing model is a fine-tuned DINOBloom-base, on which we train multiple classifier head families (linear, cosine, and multilayer perceptron (MLP)). The cosine head performed best on the mature granulocyte boundary (Band neutrophil (BNE) F1 = 0.470), the linear head on more immature granulocyte classes (Metamyelocyte (MMY) F1 = 0.585), and the MLP head on the most immature granulocyte (Promyelocyte (PMY) F1 = 0.733), revealing class-specific specialization. Based on this specialization, we construct a head-diverse ensemble, where the MLP head acts as the primary predictor, and its predictions within the four predefined confusion pairs are replaced only when two other head families agree. We further show that cases consistently misclassified by all models are substantially enriched for probable labeling errors or inherent morphological ambiguity.
Antony Gitau, Martin Paulson, Bjørn-Jostein Singstad +3
University of South-Eastern Norway · Vestfold Hospital Trust
Automated white blood cell (WBC) classification is essential for scalable leukaemia screening. However, real-world deployment is challenged by domain shifts caused by staining protocols, scanner characteristics, and inter-laboratory variability, which often degrade model performance. The White Blood Cell Classification Challenge (WBCBench) at ISBI 2026 aims to advance robust WBC recognition, with a focus on accurately identifying blast cells and other clinically critical rare subtypes. We propose a memory-augmented, hierarchical ensemble pipeline for WBC classification under domain shifts, leveraging a feature bank and a DinoBloom backbone fine-tuned with LoRA. Our three-stage inference hierarchy combines k-nearest neighbors (kNN) retrieval at each level, reducing over-reliance on any single decision. Evaluated on the WBCBench dataset, our method ranks within the top ten by macro F1-score in the final testing phase.
Ruyi Dai, Tingkwong Ng, Hao Chen
Department of Computer Science and Engineering, The Hong Kong University of Science and Technology, Hong Kong, China · Department of Chemical and Biological Engineering, The Hong Kong University of Science and Technology, Hong Kong, China · Division of Life Science, Hong Kong University of Science and Technology, Hong Kong, China +2