ArticleNature communications2025
Knowledge-guided adaptation of pathology foundation models effectively improves cross-domain generalization and demographic fairness.
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 5 papers.
What it found
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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.
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.
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Who cites it
5 citing papers in PubMed.
- MeCaMIL: Causality-Aware Multiple Instance Learning for Fair and Interpretable Whole Slide Image Diagnosis.IEEE transactions on medical imaging · 2026Article
- Article
- Domain Generalization of Histopathology Foundation Models in Multicenter, Multi-Scanner Cohorts: A Comparative Benchmark.Journal of imaging · 2026Article
- Pathology Foundation Models: Evolution, Current Landscape, Challenges and Opportunities from a Technical and Clinical Perspective.Bioengineering (Basel, Switzerland) · 2026Review
- Knowledge-guided adaptation of pathology foundation models effectively improves cross-domain generalization and demographic fairness.Nature communications · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
Abstract
Foundation models in computational pathology suffer from site-specific and demographic biases, which compromise their generalizability and fairness. We introduce FLEX, a framework that employs a task-specific information bottleneck, guided by visual and textual domain knowledge, to disentangle robust pathological features from these artifacts. Using three large cohorts (The Cancer Genome Atlas, Clinical Proteomic Tumor Analysis Consortium, and an in-house dataset) across 16 clinical tasks, totaling over 9,900 slides, we demonstrate that FLEX achieves superior zero-shot generalization to unseen external cohorts, significantly outperforming baselines and narrowing the performance gap between seen and unseen domains. A comprehensive fairness analysis confirms that FLEX also effectively mitigates disparities across demographic groups. Furthermore, its versatility and scalability are proven through compatibility with various foundation models and multiple-instance learning architectures. Our work establishes FLEX as a promising solution for developing more generalizable and equitable pathology AI for diverse clinical settings.
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Registered trials
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.