Multi stain graph fusion for multimodal integration in pathology
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Abstract (arXiv)
In pathology, tissue samples are assessed using multiple staining techniques to enhance contrast in unique histologic features. In this paper, we introduce a multimodal CNN-GNN based graph fusion approach that leverages complementary information from multiple non-registered histopathology images to predict pathologic scores. We demonstrate this approach in nonalcoholic steatohepatitis (NASH) by predicting CRN fibrosis stage and NAFLD Activity Score (NAS). Primary assessment of NASH typically requires liver biopsy evaluation on two histological stains: Trichrome (TC) and hematoxylin and eosin (H&E). Our multimodal approach learns to extract complementary information from TC and H&E graphs corresponding to each stain while simultaneously learning an optimal policy to combine this information. We report up to 20% improvement in predicting fibrosis stage and NAS component grades over single-stain modeling approaches, measured by computing linearly weighted Cohen's kappa between machine-derived vs. pathologist consensus scores. Broadly, this paper demonstrates the value of leveraging diverse pathology images for improved ML-powered histologic assessment.
Key facts. Cited by 11 papers in the map (data through 7 Oct 2026). Builds on 22 of its 52 references that are in the map. First posted on arXiv 26 Apr 2022.
Builds on
22 of 52 references.
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10 more
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Citing papers per year: 2022: 1; 2023: 5; 2024: 3; 2025: 2.
11 papers.
- 2023Towards a Visual-Language Foundation Model for Computational Pathologycited by 52
- 2023AMIGO: Sparse Multi-Modal Graph Transformer with Shared-Context Processing for Representation Learning of Giga-pixel Imagescited by 18
- 2024Cutting Through the Noise: Boosting LLM Performance on Math Word Problemscited by 14
- 2024Graph Neural Networks in Histopathology: Emerging Trends and Future Directionscited by 13
- 2022Multi-Scale Relational Graph Convolutional Network for Multiple Instance Learning in Histopathology Imagescited by 6
- 2024SHAP-CAT: A interpretable multi-modal framework enhancing WSI classification via virtual staining and shapley-value-based multimodal fusioncited by 3
- 2023A vision transformer-based framework for knowledge transfer from multi-modal to mono-modal lymphoma subtyping modelscited by 1
- 2025BioX-CPath: Biologically-driven Explainable Diagnostics for Multistain IHC Computational Pathologycited by 1
- 2025Is Exchangeability better than I.I.D to handle Data Distribution Shifts while Pooling Data for Data-scarce Medical image segmentation?cited by 1
- 2023MUSTANG: Multi-Stain Self-Attention Graph Multiple Instance Learning Pipeline for Histopathology Whole Slide Imagescited by 0
- 2023Correlation-Distance Graph Learning for Treatment Response Prediction from rs-fMRIcited by 0
- 2025Is Exchangeability better than I.I.D to handle Data Distribution Shifts while Pooling Data for Data-scarce Medical image segmentation?25 Jul 2025
- 2025BioX-CPath: Biologically-driven Explainable Diagnostics for Multistain IHC Computational Pathology26 Mar 2025
- 2024SHAP-CAT: A interpretable multi-modal framework enhancing WSI classification via virtual staining and shapley-value-based multimodal fusion2 Oct 2024
- 2024Graph Neural Networks in Histopathology: Emerging Trends and Future Directions18 Jun 2024
- 2024Cutting Through the Noise: Boosting LLM Performance on Math Word Problems30 May 2024
- 2023Correlation-Distance Graph Learning for Treatment Response Prediction from rs-fMRI17 Nov 2023
- 2023MUSTANG: Multi-Stain Self-Attention Graph Multiple Instance Learning Pipeline for Histopathology Whole Slide Images19 Sep 2023
- 2023A vision transformer-based framework for knowledge transfer from multi-modal to mono-modal lymphoma subtyping models2 Aug 2023
- 2023Towards a Visual-Language Foundation Model for Computational Pathology24 Jul 2023
- 2023AMIGO: Sparse Multi-Modal Graph Transformer with Shared-Context Processing for Representation Learning of Giga-pixel Images1 Mar 2023
- 2022Multi-Scale Relational Graph Convolutional Network for Multiple Instance Learning in Histopathology Images17 Dec 2022