Evidence map›Paper›PMID 41387679›Full record

ArticleNature communications2025

A multimodal knowledge-enhanced whole-slide pathology foundation model.

Yingxue Xu, Yihui Wang, Fengtao Zhou, Jiabo Ma, Cheng Jin, Shu Yang, Jinbang Li, Zhengyu Zhang, Chenglong Zhao, Huajun Zhou and 9 more

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing 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

28 citing papers in PubMed.

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  18. Multimodal AI in precision medicine: linking omics, imaging and clinical decisions.American journal of clinical and experimental immunology · 2026
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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

19 authors.

Yingxue Xu *Department of Computer Science and Engineering, The Hong Kong University of Science and Technology, Hong Kong SAR, China.ORCID http://orcid.org/0000-0002-9657-3107
Yihui Wang *Department of Computer Science and Engineering, The Hong Kong University of Science and Technology, Hong Kong SAR, China.ORCID http://orcid.org/0009-0002-7606-9816
Fengtao Zhou *Department of Computer Science and Engineering, The Hong Kong University of Science and Technology, Hong Kong SAR, China.
Jiabo MaDepartment of Computer Science and Engineering, The Hong Kong University of Science and Technology, Hong Kong SAR, China.ORCID http://orcid.org/0000-0001-8532-4466
Cheng JinDepartment of Computer Science and Engineering, The Hong Kong University of Science and Technology, Hong Kong SAR, China.ORCID http://orcid.org/0000-0002-3522-3592
Shu YangDepartment of Computer Science and Engineering, The Hong Kong University of Science and Technology, Hong Kong SAR, China.
Jinbang LiDepartment of Pathology, Nanfang Hospital and School of Basic Medical Sciences, Southern Medical University, Guangzhou, China.
Zhengyu ZhangDepartment of Pathology, Nanfang Hospital and School of Basic Medical Sciences, Southern Medical University, Guangzhou, China.
Chenglong ZhaoDepartment of Pathology, Nanfang Hospital and School of Basic Medical Sciences, Southern Medical University, Guangzhou, China.
Huajun ZhouDepartment of Computer Science and Engineering, The Hong Kong University of Science and Technology, Hong Kong SAR, China.
Zhenhui LiDepartment of Radiology, The Third Affiliated Hospital of Kunming Medical University, Yunnan Cancer Hospital, Kunming, China.ORCID http://orcid.org/0009-0009-3613-9403
Huangjing LinDepartment of Computer Science and Engineering, The Chinese University of Hong Kong, Hong Kong SAR, China.ORCID http://orcid.org/0000-0002-6799-9352
Xin WangDepartment of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, China.ORCID http://orcid.org/0000-0002-5122-2418
Jiguang WangDepartment of Chemical and Biological Engineering, The Hong Kong University of Science and Technology, Hong Kong SAR, China.ORCID http://orcid.org/0000-0002-6923-4097
Anjia HanDepartment of Pathology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.ORCID http://orcid.org/0000-0003-2245-1972
Ronald Cheong Kin ChanDepartment of Anatomical and Cellular Pathology, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong SAR, China.
Li LiangDepartment of Pathology, Nanfang Hospital and School of Basic Medical Sciences, Southern Medical University, Guangzhou, China.ORCID http://orcid.org/0000-0001-5302-2754
Xiuming ZhangDepartment of Pathology, The First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Hao ChenDepartment of Computer Science and Engineering, The Hong Kong University of Science and Technology, Hong Kong SAR, China. jhc@cse.ust.hk.ORCID http://orcid.org/0000-0002-8400-3780

Funding

Innovation and Technology Commission (ITF) PRP/034/22FX and ITCPD/17-9
6 · The paper itself

Abstract

Computational pathology has advanced through foundation models, yet faces challenges in multimodal integration and capturing whole-slide context. Current approaches typically utilize either vision-only or image-caption data, overlooking distinct insights from pathology reports and gene expression profiles. Additionally, most models focus on patch-level analysis, failing to capture comprehensive whole-slide patterns. Here we present mSTAR (Multimodal Self-TAught PRetraining), the pathology foundation model that incorporates three modalities: pathology slides, expert-created reports, and gene expression data, within a unified framework. Our dataset includes 26,169 slide-level modality pairs across 32 cancer types, comprising over 116 million patch images. This approach injects multimodal whole-slide context into patch representations, expanding modeling from single to multiple modalities and from patch-level to slide-level analysis. Across oncological benchmark spanning 97 tasks, mSTAR outperforms previous state-of-the-art models, particularly in molecular prediction and multimodal tasks, revealing that multimodal integration yields greater improvements than simply expanding vision-only datasets.

Indexed as

Computational BiologyImage Processing, Computer-AssistedNeoplasmsPathologyHumans

Identifiers

PMID41387679
PMCPMC12738713

What OpenQuestion holds

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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.