Evidence map›Paper›PMID 41371214›Full record

ArticleCell2026

Multimodal AI generates virtual population for tumor microenvironment modeling.

Jeya Maria Jose Valanarasu, Hanwen Xu, Naoto Usuyama, Chanwoo Kim, Cliff Wong, Peniel Argaw, Racheli Ben Shimol, Angela Crabtree, Kevin Matlock, Alexandra Q Bartlett and 11 more

Abstract read
PubMed Publisher
In one paragraph

Article in Cell, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing 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

38 citing papers in PubMed.

  1. Trial
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  7. Article
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  9. Artificial intelligence virtual bone organoids (AIVBOs).Journal of orthopaedic translation · 2026
    Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Article
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  19. Dissecting and directing pathology foundation models.bioRxiv : the preprint server for biology · 2026
    Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

21 authors.

Jeya Maria Jose ValanarasuMicrosoft Research, Redmond, WA, USA.
Hanwen XuMicrosoft Research, Redmond, WA, USA; School of Computer Science and Engineering, University of Washington, Seattle, WA, USA.
Naoto UsuyamaMicrosoft Research, Redmond, WA, USA.
Chanwoo KimMicrosoft Research, Redmond, WA, USA; School of Computer Science and Engineering, University of Washington, Seattle, WA, USA.
Cliff WongMicrosoft Research, Redmond, WA, USA.
Peniel ArgawMicrosoft Research, Redmond, WA, USA.
Racheli Ben ShimolEarle A. Chiles Research Institute, Providence Cancer Institute, Portland, OR, USA.
Angela CrabtreeEarle A. Chiles Research Institute, Providence Cancer Institute, Portland, OR, USA.
Kevin MatlockEarle A. Chiles Research Institute, Providence Cancer Institute, Portland, OR, USA.
Alexandra Q BartlettEarle A. Chiles Research Institute, Providence Cancer Institute, Portland, OR, USA.
Jaspreet BaggaMicrosoft Research, Redmond, WA, USA.
Yu GuMicrosoft Research, Redmond, WA, USA.
Sheng ZhangMicrosoft Research, Redmond, WA, USA.
Tristan NaumannMicrosoft Research, Redmond, WA, USA.
Bernard A FoxEarle A. Chiles Research Institute, Providence Cancer Institute, Portland, OR, USA.
Bill WrightProvidence Research Network, Renton, WA, USA.
Ari RobicsekProvidence Research Network, Renton, WA, USA; Arclight Intelligence, Newton, MA, USA.
Brian PieningProvidence Genomics, Portland, OR, USA; Earle A. Chiles Research Institute, Providence Cancer Institute, Portland, OR, USA.
Carlo BifulcoProvidence Genomics, Portland, OR, USA; Earle A. Chiles Research Institute, Providence Cancer Institute, Portland, OR, USA. Electronic address: carlo.bifulco@providence.org.
Sheng WangMicrosoft Research, Redmond, WA, USA; School of Computer Science and Engineering, University of Washington, Seattle, WA, USA. Electronic address: swang@cs.washington.edu.
Hoifung PoonMicrosoft Research, Redmond, WA, USA. Electronic address: hoifung@microsoft.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The tumor immune microenvironment (TIME) critically impacts cancer progression and immunotherapy response. Multiplex immunofluorescence (mIF) is a powerful imaging modality for deciphering TIME, but its applicability is limited by high cost and low throughput. We propose GigaTIME, a multimodal AI framework for population-scale TIME modeling by bridging cell morphology and states. GigaTIME learns a cross-modal translator to generate virtual mIF images from hematoxylin and eosin (H&E) slides by training on 40 million cells with paired H&E and mIF data across 21 proteins. We applied GigaTIME to 14,256 patients from 51 hospitals and over 1,000 clinics across seven US states in Providence Health, generating 299,376 virtual mIF slides spanning 24 cancer types and 306 subtypes. This virtual population uncovered 1,234 statistically significant associations linking proteins, biomarkers, staging, and survival. Such analyses were previously infeasible due to the scarcity of mIF data. Independent validation on 10,200 TCGA patients further corroborated our findings.

Indexed as

Artificial IntelligenceNeoplasmsTumor MicroenvironmentBiomarkers, TumorFluorescent Antibody TechniqueHumansBiomarkers, Tumordigital pathologymultimodal AIprecision healthreal-world datareal-world evidencespatial proteomicstumor microenvironmentvirtual population

Identifiers

What OpenQuestion holds

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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.