Data scarcity in multimodal pathology motivates unified generative models that synthesize modality-specific appearance while preserving anatomically coherent structure. Although modalities differ in appearance statistics, morphological structures such as cellular topology and tissue boundaries are largely preserved across acquisition protocols. However, existing methods often model these factors within a homogeneous token stream, implicitly coupling structure with appearance and weakening structural controllability under modality shifts. To address this, we propose pathology Autorgressive modeling (PathAR), a structure-first autoregressive synthesis framework that explicitly factorizes structure and appearance for modality-label-conditioned pathology generation.PathAR employs a dual vector quantization (Dual-VQ) tokenizer to decompose samples into mask-grounded structure and appearance tokens, and an interleaved autoregressive (IAR) transformer with asymmetric attention visibility to enforce structure-to-appearance dependence. PathAR stabilizes morphology under heterogeneous modality-specific appearances and enables spatially aligned image--mask pair generation. Extensive experiments show that PathAR improves structural consistency and modality fidelity over baselines, maintains sample diversity, supports downstream segmentation in data-scarce regimes, and demonstrates extensibility to finer-grained intra-modality organ-label variation.
We introduce DenseAR, a new generative paradigm that reformulates autoregressive image generation as coarse-to-fine next-dense-stride prediction using a compact single-scale tokenizer. Our key insight is that traversing a single-scale latent grid with progressively denser strides naturally captures the transition from global structure to fine detail. This addresses two limitations of existing autoregressive models at once: the slow inference of raster-order autoregression, which DenseAR avoids by predicting multiple tokens in parallel, and the heavy cost of multi-scale approaches, which need long, multi-resolution token sequences to achieve coarse-to-fine prediction. Building on our efficient framework and the flexibility of autoregressive modeling, we further extend DenseAR to a unified model that handles multiple modalities and imaging tasks within a single backbone. We validate DenseAR on both medical and natural images. On multi-contrast brain MRI, a single DenseAR model unifies cross-modal translation, modality-conditioned generation, and tumor segmentation, while remaining competitive with task-specific methods. On ImageNet, DenseAR improves class-conditional generation quality (FID and IS) over both a single-grid baseline without stride ordering and a multi-scale tokenizer-based baseline.
Synthetic histopathology image generation addresses critical challenges in computational pathology, including patient privacy and the growing need for large-scale training data for foundation models. Latent diffusion models have dominated the image generation domain, with recent works emphasizing that the choice of latent space is critical to the quality of generated images. Existing state-of-the-art generative models in histopathology use pretrained Vision Foundation Models (VFMs) as conditioning signals, and we observe that this leads to "conditioning collapse," where the conditioning signal dominates the latent space and lowers the quality and diversity of generated samples. Therefore, we instead use pretrained histopathology VFMs as the latent space itself, leveraging their patch-token features that encode rich semantic information. We empirically show that these features are ℓ2-normalized and lie on the unit hypersphere Sd−1 with strong angular dominance and intrinsic curvature, making them naturally suited for a Riemannian formulation. We therefore present STREAM, the first framework to apply Riemannian flow matching in the pathology domain. STREAM consists of two stages: 1) a bridge-type stochastic perturbation that establishes per-token rectifiability on Sd−1 for training a Diffusion Transformer (DiT) in latent space, and 2) a novel anisotropic decoder that allocates robustness to low-energy directions of the velocity-field Jacobian while preserving fidelity along its high-energy directions. Together, STREAM achieves state-of-the-art reconstruction and generation performance on breast and colorectal cancer datasets. The code will be publicly released upon acceptance.
Autoregressive (AR) models have demonstrated strong potential in visual generation, offering superior performance with simple architectures and optimization objectives. However, existing methods are typically limited to single-modality conditions, e.g., text, restricting their applicability in real-world scenarios that demand image synthesis from diverse controls. In this work, we present OmniGen-AR, a unified autoregressive framework for Any-to-Image generation. By discretizing various visual conditions through a shared visual tokenizer and text prompts with a text tokenizer, OmniGen-AR supports a broad spectrum of conditional inputs within a single model, including text (text-to-image generation), spatial signals (segmentation-to-image and depth-to-image), and visual context (image editing, frame prediction, and text-to-video generation). To mitigate the risk of information leakage from condition tokens to content tokens, we introduce Disentangled Causal Attention (DCA), which separates the full-sequence causal mask into condition causal attention and content causal attention. It serves as a training-time regularizer without affecting the standard next-token prediction during inference. With this design, OmniGen-AR achieves new state-of-the-art or at least competitive results across a range of benchmark, e.g., 0.63 on GenEval and 80.02 on VBench, demonstrating its effectiveness in flexible and high-fidelity visual generation.