Evidence map›Paper›PMID 39309216›Full record

ArticleNature machine intelligence2024

Accelerating histopathology workflows with generative AI-based virtually multiplexed tumour profiling.

Pushpak Pati, Sofia Karkampouna, Francesco Bonollo, Eva Compérat, Martina Radić, Martin Spahn, Adriano Martinelli, Martin Wartenberg, Marianna Kruithof-de Julio, Marianna Rapsomaniki

Abstract read
In one paragraph

Article in Nature machine intelligence, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

35 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Review
  5. Article
  6. Review
  7. Review
  8. Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. A Generative Foundation Model for Scalable Cytology Image Synthesis in AI-Powered Diagnostics.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Article
  15. Article
  16. Review
  17. Review
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Pushpak PatiIBM Research Europe, Rüschlikon, Switzerland.
Sofia KarkampounaUrology Research Laboratory, Department for BioMedical Research, University of Bern, Bern, Switzerland.
Francesco BonolloUrology Research Laboratory, Department for BioMedical Research, University of Bern, Bern, Switzerland.ORCID 0000-0003-3609-5956
Eva CompératDepartment of Pathology, Medical University of Vienna, Vienna, Austria.
Martina RadićUrology Research Laboratory, Department for BioMedical Research, University of Bern, Bern, Switzerland.ORCID 0000-0002-4093-839X
Martin SpahnDepartment of Urology, Lindenhofspital Bern, Bern, Switzerland.
Adriano MartinelliIBM Research Europe, Rüschlikon, Switzerland.
Martin WartenbergInstitute of Tissue Medicine and Pathology, University of Bern, Bern, Switzerland.ORCID 0000-0002-5378-3825
Marianna Kruithof-de JulioUrology Research Laboratory, Department for BioMedical Research, University of Bern, Bern, Switzerland.ORCID 0000-0002-6085-7706
Marianna RapsomanikiIBM Research Europe, Rüschlikon, Switzerland.ORCID 0000-0003-3883-4871

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Understanding the spatial heterogeneity of tumours and its links to disease initiation and progression is a cornerstone of cancer biology. Presently, histopathology workflows heavily rely on hematoxylin and eosin and serial immunohistochemistry staining, a cumbersome, tissue-exhaustive process that results in non-aligned tissue images. We propose the VirtualMultiplexer, a generative artificial intelligence toolkit that effectively synthesizes multiplexed immunohistochemistry images for several antibody markers (namely AR, NKX3.1, CD44, CD146, p53 and ERG) from only an input hematoxylin and eosin image. The VirtualMultiplexer captures biologically relevant staining patterns across tissue scales without requiring consecutive tissue sections, image registration or extensive expert annotations. Thorough qualitative and quantitative assessment indicates that the VirtualMultiplexer achieves rapid, robust and precise generation of virtually multiplexed imaging datasets of high staining quality that are indistinguishable from the real ones. The VirtualMultiplexer is successfully transferred across tissue scales and patient cohorts with no need for model fine-tuning. Crucially, the virtually multiplexed images enabled training a graph transformer that simultaneously learns from the joint spatial distribution of several proteins to predict clinically relevant endpoints. We observe that this multiplexed learning scheme was able to greatly improve clinical prediction, as corroborated across several downstream tasks, independent patient cohorts and cancer types. Our results showcase the clinical relevance of artificial intelligence-assisted multiplexed tumour imaging, accelerating histopathology workflows and cancer biology.

Indexed as

Cancer imagingMachine learning

Identifiers

PMID39309216
PMCPMC11415301

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.