Gene Expression Prediction from Histopathology Images

Overview

This field predicts gene activity from stained tissue images, either across whole slides or at individual spots and cells, to reveal molecular patterns while reducing reliance on costly sequencing. Common approaches combine pretrained pathology image encoders with spatial context models such as transformers and graphs, or use cell-type structure, gene programs, retrieval, and generative models to capture biological relationships. Results increasingly support spatial expression mapping and downstream tasks such as pathway analysis and treatment-response prediction, but performance can vary across tissues, patients, and sequencing platforms. A central challenge is establishing reliable biological value through standardized, patient-level evaluation that tests generalization and spatial fidelity, not just average prediction accuracy.

Latest papers

CardsList

45 papers9 papers in the last four weeks, up 80% on the four weeks before. 0.1% of all new papers.

  1. Biology-Guided Context-Aware Residual Propagation for Spatial Gene Expression Prediction from Histology

    Oct 26, 2026Vu Van An, Long D. Nguyen, Ho Viet Duc Luong +1Spatial Gene Expression PredictionGene Expression Prediction from Histopathology Images

  2. HistoLoop: Iterative Contextual Inference with a Looped Transformer for Histology-Based Spatial Gene Expression Prediction

    Oct 20, 2026Ziang Liu, Jie Liu, Shuai Li +2Spatial Gene Expression PredictionGene Expression Prediction from Histopathology Images

  3. REST: Reliability-Guided Spatial Transcriptomics Supervision for Gene Expression Prediction from Histopathological HE-Stained Images

    Oct 19, 2026Lanfeng Zhong, Xiangyu Sun, Guixuan Xu +4Gene Expression Prediction from Histopathology ImagesSpatial Gene Expression Prediction

  4. MIST: Multi-Scale Spatial Context for Gene Expression Prediction from Histology

    Oct 13, 2026Koushik Howlader, Tirtho Roy, Md Tauhidul Islam +1Spatial Context ModelingSpatial Gene Expression Prediction

  5. Cross-Modal Contrastive Learning for the Retrieval of Immunotherapy-Associated Molecular Signatures from Histopathology

    Oct 4, 2026Sigrid Vila-Bagaria, Mar Teixidó, Miquel Piñol +3Computational PathologyCross-Modal Retrieval

  6. Transcriptome-informed multi-modal AI for predicting neoadjuvant therapy response from breast cancer biopsies

    Oct 2, 2026Jungkyu Park, Dhruva Biswas, Joseph Cappadona +22Clinical Outcome PredictionComputational Pathology

  7. GATE-ST: Gene-Aware Text-image Encoder for Spatial Transcriptomics

    Sep 30, 2026Lucas Ni, Jian Luo, Wentao Huang +1Spatial TranscriptomicsMultimodal Embedding

  8. Towards Scalable Context-Aware Single-Cell Spatial Transcriptomics Prediction from Histology Images

    Sep 29, 2026Zijun Gao, Chunbin Gu, Jinxi Xiang +2Spatial TranscriptomicsSpatial Attention

  9. MoSPR: Histology-to-Gene Expression Prediction with Morpho-Spatial Macrostates and Low-Rank Molecular Programs

    Sep 28, 2026Dongmyung Shin, Geongyu Lee, Yesung Cho +1Computational PathologyExplainable Medical Image Analysis

  10. Preserving DEG Rankings for Gene Discovery in Histology-Based Spatial Gene Expression Prediction

    Sep 27, 2026Kaito Shiku, Kazuya Nishimura, Yasuhiro Kojima +1Spatial TranscriptomicsLearning to Rank

  11. Is H&E Image-to-Spatial Transcriptomics Simpler Than It Looks?

    Sep 26, 2026Duc T. Nguyen, Thanh Ha Do, Phuong M. Cao +1Gene Expression Prediction from Histopathology ImagesSpatial Gene Expression Prediction

  12. SpaFactor: Lightweight Spatial Context-Aware Gene Program Modeling for Histology-to-Transcriptomics Inference

    Sep 23, 2026Shiting Ruan, Xitong Ling, Qiming He +6Computational PathologySpatial Transcriptomics

  13. Hyperbolic Contrastive Learning with Entailment for Spatial Transcriptomics

    Sep 14, 2026Daniela Vega, Paula Cárdenas, Hannah Ceballos +2Contrastive LearningSpatial Transcriptomics

  14. STP-BENCH: A Unified Systematic Benchmark for Virtual Spatial Transcriptomics from Histopathology Images

    Sep 5, 2026Youngmin Chung, Ji Hun Ha, Andrew H. Song +8Gene Expression Prediction from Histopathology ImagesSpatial Transcriptomics

  15. Correlation-Guided Flow Matching with Annealed Masking for Spatial Transcriptomics Generation

    Aug 28, 2026Yupei Zhang, Hao Chen, Li Pan +2Spatial Gene Expression PredictionGene Expression Prediction from Histopathology Images

  16. Concept-based explanation of gene expression prediction from H&E images

    Aug 17, 2026Amos Muench, Jonathan Thielmann, Reduan Achtibat +9Gene Expression Prediction from Histopathology ImagesComputational Pathology

  17. Program-space Diffusion for Morphology-to-Transcriptomics Prediction

    Aug 14, 2026Ruyter Swann, Dorent Reuben, Racoceanu DanielGene Expression Prediction from Histopathology ImagesSpatial Gene Expression Prediction

  18. Path2ST: Hierarchical Cell-Tissue Grounded Cross-Modal Translation for Spatial Transcriptomics

    Aug 11, 2026Ruochen Liu, Wei LouSpatial Gene Expression PredictionGene Expression Prediction from Histopathology Images

  19. VOICE: A Vision-Omics Foundation Model Integrating Direct and Retrieval-Based Prediction of In-situ Single-Cell Gene Expression

    Aug 8, 2026Xin Luo, Yicheng Tao, Haoxuan Zeng +6Computational PathologySpatial Transcriptomics

  20. Zero-Cost Virtual RNA: Approximating Immunotherapy Signatures via Cross-Modal WSI Retrieval

    Aug 1, 2026Sigrid Vila-Bagaria, Mar Teixidó, Miquel Piñol +3Computational PathologyCross-Modal Retrieval

  21. Gene Ontology-Guided Hierarchical Spatial Gene Expression Prediction from Histopathology Images

    Aug 1, 2026Zhiwen Xu, Xiaoming Yan, Chengkun Wu +3Computational PathologySpatial Transcriptomics

  22. What Carries the Signal in Pathology Foundation-Model Atlases? A Patient-Level Controlled Benchmark in Breast Cancer

    Jul 31, 2026Chimdi Walter NdubuisiBreast CancerComputational Pathology

  23. HistoGPA: A Context-Conditioned Gene-Prior Attention Framework for Histology-Based Spatial Gene Expression Prediction

    Jul 27, 2026Ziang Liu, Xinhai Chen, Yigui Feng +3Computational PathologySpatial Transcriptomics

  24. HierarchicalDAEW: Domain-Aware Edge-Weighted Graph Convolution with Evidential Uncertainty for Multi-Section Spatial Gene Expression Prediction from H&E Histology

    Jul 23, 2026Kritanu Chattopadhyay, Soumya Chatterjee, Ondrej Krejcar +1Computational PathologySpatial Transcriptomics

  25. COAST: Context-Aware Differential Learning for Gene Expression Prediction in Spatial Transcriptomics

    Jul 10, 2026Keunho Byeon, Sunhong Park, Jeewoo Lim +1Spatial TranscriptomicsSpatial Gene Expression Prediction

  26. DriftST: One-Step Generative Inference of Spatial Transcriptomics from H&E Histology

    Jul 6, 2026Yuhang Yang, Yonggan Bu, Shengyuan Zhou +2Computational PathologySpatial Transcriptomics

  27. Data-Efficient Multimodal Alignment for Histopathology-based Molecular Prediction

    Jun 29, 2026Dominik Winter, Dominik Vonficht, Loïc Le Bescond +6Computational PathologyCross-Modal Alignment

  28. JASPR: Joint Spatial Representation learning of histology and spatial genomics for improved virtual genomic screening and clinical prognostication

    Jun 24, 2026Marija Pizurica, Eric Zimmermann, Neil Tenenholtz +5Cancer GenomicsComputational Pathology