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Pathologist REasoning-Guided REport Generation Challenge (REG2026)

REG2026 challenge banner

REG2026 (REG²) is a Grand Challenge competition for pathology report generation from gigapixel whole slide images (WSIs), with diagnostic reasoning made explicit—not only the final report. It extends REG2025 by evaluating structured reasoning aligned with how pathologists explore slides and decide what is reportable.

The release pairs WSIs (TIFF, 20×) with chain-of-thought Q&A and CAP-style report fields (~12K training cases across seven organs). Phases, downloads, rules, and scoring are on the challenge overview and data description.

Repository contents

Directory What it is
algorithm_submission_template/ Docker container template for submitting your algorithm to Grand Challenge
submission_evaluation_code/ Local Docker evaluation harness — run the official scoring logic on your own machine before submitting

Getting started

Submitting an algorithm

  1. Open algorithm_submission_template/.
  2. Follow algorithm_submission_template/README.md (Docker, both task interfaces, local tests, upload).
  3. For weights layout, see algorithm_submission_template/model/README.md.

Evaluating locally before you submit

Use submission_evaluation_code/ to run the same metric A + metric B scoring that the leaderboard uses — entirely on your own machine, with no upload required.

  1. Open submission_evaluation_code/.
  2. Follow submission_evaluation_code/README.md for the full setup (Docker image, judge model weights, data formats, and three-step pipeline).
  3. Drop in your own cases and predictions to get a realistic score estimate before the official submission deadline.

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