Blood smears stop at 200 cells: a neural cellular automaton scans the whole slide and holds F1 0.79 across centers
Automated blood and bone marrow smear analysis had been confined to manually selected regions of interest because gigapixel whole-slide scanning is computationally heavy. HemAutomaton uses a neural cellular automaton to locate white blood cells across entire slides without manual region selection, matching Faster R-CNN in-domain detection and reaching a mean cross-domain F1 of 0.79 versus 0.65, with 3.3k trainable parameters against 41.4M. Across three blood cancer cohorts it extracted 108 million single-cell images and performed automated differential counting through few-shot classification with a pretrained hematology foundation model.