Evidence map›Paper›PMID 40523934›Full record

ArticleNature biomedical engineering2025

A robust and scalable framework for hallucination detection in virtual tissue staining and digital pathology.

Luzhe Huang, Yuzhu Li, Nir Pillar, Tal Keidar Haran, William Dean Wallace, Aydogan Ozcan

Abstract read
In one paragraph

Article in Nature biomedical engineering, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. CARE framework: Rethinking randomized controlled trials for medical artificial intelligence.Chinese journal of cancer research = Chung-kuo yen cheng yen chiu · 2026
    Article
  7. On Hallucinations in Artificial Intelligence-Generated Content for Nuclear Medicine Imaging (the DREAM Report).Journal of nuclear medicine : official publication, Society of Nuclear Medicine · 2026
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
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

6 authors.

Luzhe Huang *Electrical and Computer Engineering Department, University of California, Los Angeles, CA, USA.ORCID http://orcid.org/0000-0003-3505-0617
Yuzhu Li *Electrical and Computer Engineering Department, University of California, Los Angeles, CA, USA.
Nir PillarElectrical and Computer Engineering Department, University of California, Los Angeles, CA, USA.ORCID http://orcid.org/0000-0003-4979-1440
Tal Keidar HaranDepartment of Pathology, Hadassah Hebrew University Medical Center, Jerusalem, Israel.ORCID http://orcid.org/0000-0003-1931-706X
William Dean WallaceDepartment of Pathology, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Aydogan OzcanElectrical and Computer Engineering Department, University of California, Los Angeles, CA, USA. ozcan@ucla.edu.ORCID http://orcid.org/0000-0002-0717-683X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Histopathological staining of human tissue is essential for disease diagnosis. Recent advances in virtual tissue staining technologies using artificial intelligence alleviate some of the costly and tedious steps involved in traditional histochemical staining processes, permitting multiplexed staining and tissue preservation. However, potential hallucinations and artefacts in these virtually stained tissue images pose concerns, especially for the clinical uses of these approaches. Quality assessment of histology images by experts can be subjective. Here we present an autonomous quality and hallucination assessment method, AQuA, for virtual tissue staining and digital pathology. AQuA autonomously achieves 99.8% accuracy when detecting acceptable and unacceptable virtually stained tissue images without access to histochemically stained ground truth and presents an agreement of 98.5% with the manual assessments made by board-certified pathologists, including identifying realistic-looking images that could mislead diagnosticians. We demonstrate the wide adaptability of AQuA across various virtually and histochemically stained human tissue images. This framework enhances the reliability of virtual tissue staining and provides autonomous quality assurance for image generation and transformation tasks in digital pathology and computational imaging.

Indexed as

HallucinationsImage Processing, Computer-AssistedStaining and LabelingArtificial IntelligenceHumansReproducibility of Results

Identifiers

PMID40523934
PMCPMC12705451

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Registered trials

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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.