搜索医学 AI 论文与资源

ICLR 2026 Poster accepted paper at ICLR 2026. Recent years have witnessed remarkable progress in multimodal learning within computational pathology. Existing models primarily rely on vision and language modalities; however, language alone lacks molecular specificity and offers limited pathological supervision, leading to representational bottlenecks. In this paper, we propose STAMP, a Spatial Transcriptomics-Augmented Multimodal Pathology representation learning framework that integrates spatially-resolved gene expression profiles to enable molecule-guided joint embedding of pathology images and transcriptomic data. Our study shows that self-supervised, gene-guided training provides a robust and task-agnostic signal for learning pathology image representations. Code/project link: https://github.com/Hanminghao/STAMP

ICLR 2026 Poster accepted paper at ICLR 2026. Few-shot Whole Slide Image (WSI) classification is severely hampered by overfitting. We argue that this is not merely a data-scarcity issue but a fundamentally geometric problem. Grounded in the manifold hypothesis, our analysis shows that features from pathology foundation models exhibit a low-dimensional manifold geometry that is easily perturbed by downstream models. This insight reveals a key potential issue in downstream multiple instance learning models: linear layers are geometry-agnostic and, as we show empirically, can distort the manifold geometry of the features. To address this, we propose the Manifold Residual (MR) block, a plug-and-play module that is explicitly geometry-aware. Code/project link: https://github.com/BearCleverProud/MR-Block

ICLR 2026 Poster accepted paper at ICLR 2026. Accurate cell instance segmentation is foundational for digital pathology analysis. Existing methods based on contour detection and distance mapping still face significant challenges in processing complex and dense cellular regions. Graph coloring-based methods provide a new paradigm for this task, yet the effectiveness of this paradigm in real-world scenarios with dense overlaps and complex topologies has not been verified. Addressing this issue, we release a large-scale dataset GBC-FS 2025, which contains highly complex and dense sub-cellular nuclear arrangements. We conduct the first systematic analysis of the chromatic properties of cell adjacency graphs across four diverse datasets and reveal an important discovery: most real-world cell graphs are non-bipartite, with a high prevalence of odd-length cycles (predominantly triangles).

ICLR 2026 Poster accepted paper at ICLR 2026. Segmentation in pathology image requires handling out-of-domain tissue morphologies and new pathologies beyond training distributions, where traditional closed-set segmentation approaches fail to generalize. Reasoning segmentation enables zero-shot generalization via prompting with text queries. However, existing reasoning segmentation models face three barriers when applied to pathology: (1) the vision encoder lack pathology-specific knowledge and robustness to staining variations, (2) the large language model (LLM) backbone for reasoning fails to identify whether it has gathered sufficient semantic context to trigger the segmentation output, and (3) no reasoning segmentation benchmarks and datasets exist for pathology analysis. Consequently, we introduce PathChat-SegR1, a reasoning segmentation model built upon pathology-specific vision encoders trained with a novel stain-invariant self-distillation for robust pathology image representations.

ICLR 2026 Poster accepted paper at ICLR 2026. Multiple Instance Learning (MIL) is the predominant framework for classifying gigapixel whole-slide images in computational pathology. MIL follows a sequence of 1) extracting patch features, 2) applying a linear layer to obtain task-specific patch features, and 3) aggregating the patches into a slide feature for classification. While substantial efforts have been devoted to optimizing patch feature extraction and aggregation, none have yet addressed the second point, the critical layer which transforms general-purpose features into task-specific features. We hypothesize that this layer constitutes an overlooked performance bottleneck and that stronger representations can be achieved with a low-rank transformation tailored to each patch's phenotype, yielding synergistic effects with any of the existing MIL approaches.

ICLR 2026 Poster accepted paper at ICLR 2026. The integration of histology images and gene profiles has shown great promise for improving survival prediction in cancer. However, current approaches often struggle to model intra- and inter-modal interactions efficiently and effectively due to the high dimensionality and complexity of the inputs. A major challenge is capturing critical prognostic events that, though few, underlie the complexity of the observed inputs and largely determine patient outcomes. These events---manifested as high-level structural signals such as spatial histologic patterns or pathway co-activations---are typically sparse, patient-specific, and unannotated, making them inherently difficult to uncover.

ICLR 2026 Poster accepted paper at ICLR 2026. We propose a frequency-oriented perspective on retinal representation learning by analyzing masked autoencoders (MAE) through the lens of spatial frequency. Our analysis shows that MAE favors low-frequency content while under-encoding diagnostically critical high-frequency structures in retinal images. Because retinal pathology often manifests in high-frequency detail, this bias limits diagnostic performance and motivates frequency-balanced representations. Within a mutual-information (MI) formulation of MAE, we introduce the Frequency-Balanced Retinal Masked Autoencoder (RetMAE), which augments the reconstruction objective with a MI regularizer that suppresses low-frequency redundancy and accentuates clinically salient high-frequency information.

ICLR 2026 Poster accepted paper at ICLR 2026. Medical image segmentation is fundamental to clinical decision-making, yet existing models remain fragmented. They are usually trained on single knowledge sources and specific to individual tasks, modalities, or organs. This fragmentation contrasts sharply with clinical practice, where experts seamlessly integrate diverse knowledge: anatomical priors from training, exemplar-based reasoning from reference cases, and iterative refinement through real-time interaction. We present $\textbf{K-Prism}$, a unified segmentation framework that mirrors this clinical flexibility by systematically integrating three knowledge paradigms: (i) $\textit{semantic priors}$ learned from annotated datasets, (ii) $\textit{in-context knowledge}$ from few-shot reference examples, and (iii) $\textit{interactive feedback}$ from user inputs like clicks or scribbles. Code/project link: https://github.com/bangwayne/K-Prism

ICLR 2026 Poster accepted paper at ICLR 2026. Fusing histopathology images and genomics data with deep learning has significantly advanced precision oncology. However, genomics data is often missing due to its high acquisition cost and complexity in real-world clinical scenarios. Existing solutions aim to reconstruct genomics data from histopathology images. Nevertheless, these methods typically relied only on individual case and overlooked the potential relationships among cases. Additionally, they failed to take advantage of the authentic genomics data of diagnostically related cases that are accessible from training for inference. In this work, we propose a novel Multi-modal Structural Representation Learning (MSRL) framework for data-efficient precision oncology. Code/project link: https://github.com/WkEEn/MSRL

ICLR 2026 Poster accepted paper at ICLR 2026. Accurate detection of all pathological findings in 3D medical images remains a significant challenge, as supervised models are limited to detecting only the few pathology classes annotated in existing datasets. To address this, we frame pathology detection as an unsupervised visual anomaly segmentation (UVAS) problem, leveraging the inherent rarity of pathological patterns compared to healthy ones. We enhance the existing density-based UVAS framework with two key innovations: (1) dense self-supervised learning for feature extraction, eliminating the need for supervised pretraining, and (2) learned, masking-invariant dense features as conditioning variables, replacing hand-crafted positional encodings. Trained on over 30,000 unlabeled 3D CT volumes, our fully self-supervised model, Screener, outperforms existing UVAS methods on four large-scale test datasets comprising 1,820 scans with diverse pathologies. Code/project link: https://github.com/mishgon/screener; https://anonymous.4open.science/r/screener-35EE/

ICLR 2026 Poster accepted paper at ICLR 2026. Pretrained medical foundation models (FMs) have shown strong generalization across diverse imaging tasks, such as disease classification in radiology and tumor grading in histopathology. While recent advances in parameter-efficient finetuning have enabled effective adaptation of FMs to downstream tasks, these approaches are typically designed for a single modality. In contrast, many clinical workflows rely on joint diagnosis from heterogeneous domains, such as radiology and pathology, where fully leveraging the representation capacity of multiple FMs remains an open challenge. To address this gap, we propose Concept Tuning and Fusing (CTF), a parameter-efficient framework that uses clinically grounded concepts as a shared semantic interface to enable cross-modal co-adaptation before fusion. Code/project link: https://github.com/HKU-MedAI/CTF; https://github.com/neuronflow/BraTS-Toolkit

Prov-GigaPath is a pathology foundation model trained on real-world whole-slide images and released with a Nature paper and project resources.