Spatially Resolved Gene Expression Prediction from H&E Histology Images via Bi-modal Contrastive Learning
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Abstract (arXiv)
Histology imaging is an important tool in medical diagnosis and research, enabling the examination of tissue structure and composition at the microscopic level. Understanding the underlying molecular mechanisms of tissue architecture is critical in uncovering disease mechanisms and developing effective treatments. Gene expression profiling provides insight into the molecular processes underlying tissue architecture, but the process can be time-consuming and expensive. We present BLEEP (Bi-modaL Embedding for Expression Prediction), a bi-modal embedding framework capable of generating spatially resolved gene expression profiles of whole-slide Hematoxylin and eosin (H&E) stained histology images. BLEEP uses contrastive learning to construct a low-dimensional joint embedding space from a reference dataset using paired image and expression profiles at micrometer resolution. With this approach, the gene expression of any query image patch can be imputed using the expression profiles from the reference dataset. We demonstrate BLEEP's effectiveness in gene expression prediction by benchmarking its performance on a human liver tissue dataset captured using the 10x Visium platform, where it achieves significant improvements over existing methods. Our results demonstrate the potential of BLEEP to provide insights into the molecular mechanisms underlying tissue architecture, with important implications in diagnosis and research of various diseases. The proposed approach can significantly reduce the time and cost associated with gene expression profiling, opening up new avenues for high-throughput analysis of histology images for both research and clinical applications.
Key facts. Cited by 79 papers in the map (data through 14 Oct 2026). Builds on 9 of its 29 references that are in the map. First posted on arXiv 2 Jun 2023.
Builds on
9 of 29 references.
References · 9
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Citing papers per year: 2023: 1; 2024: 16; 2025: 29; 2026: 33.
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- 2024HEST-1k: A Dataset for Spatial Transcriptomics and Histology Image Analysiscited by 107
- 2024Accurate Spatial Gene Expression Prediction by integrating Multi-resolution featurescited by 52
- 2024Transcriptomics-guided Slide Representation Learning in Computational Pathologycited by 51
- 2025Diffusion Generative Modeling for Spatially Resolved Gene Expression Inference from Histology Imagescited by 37
- 2024Multimodal contrastive learning for spatial gene expression prediction using histology imagescited by 30
- 2024STimage-1K4M: A histopathology image-gene expression dataset for spatial transcriptomicscited by 23
- 2025Scalable Generation of Spatial Transcriptomics from Histology Images via Whole-Slide Flow Matchingcited by 19
- 2024CLIBD: Bridging Vision and Genomics for Biodiversity Monitoring at Scalecited by 18
- 2024MERGE: Multi-faceted Hierarchical Graph-based GNN for Gene Expression Prediction from Whole Slide Histopathology Imagescited by 17
- 2024ASIGN: An Anatomy-aware Spatial Imputation Graphic Network for 3D Spatial Transcriptomicscited by 13
- 2024Rethinking Transformer for Long Contextual Histopathology Whole Slide Image Analysiscited by 12
- 2023Domain-specific optimization and diverse evaluation of self-supervised models for histopathologycited by 11
38 more
- 2025MagNet: Multi-Level Attention Graph Network for Predicting High-Resolution Spatial Transcriptomicscited by 9
- 2025A Large-Scale Benchmark of Cross-Modal Learning for Histology and Gene Expression in Spatial Transcriptomicscited by 8
- 2025Spatially Gene Expression Prediction using Dual-Scale Contrastive Learningcited by 7
- 2024Boundary-Guided Learning for Gene Expression Prediction in Spatial Transcriptomicscited by 6
- 2025Img2ST-Net: Efficient High-Resolution Spatial Omics Prediction from Whole Slide Histology Images via Fully Convolutional Image-to-Image Learningcited by 5
- 2026HistoPrism: Unlocking Functional Pathway Analysis from Pan-Cancer Histology via Gene Expression Predictioncited by 5
- 2024RankByGene: Gene-Guided Histopathology Representation Learning Through Cross-Modal Ranking Consistencycited by 4
- 2025Doloris: Dual Conditional Diffusion Implicit Bridges with Sparsity Masking Strategy for Unpaired Single-Cell Perturbation Estimationcited by 4
- 2025PH2ST:ST-Prompt Guided Histological Hypergraph Learning for Spatial Gene Expression Predictioncited by 3
- 2025Completing Spatial Transcriptomics Data for Gene Expression Prediction Benchmarkingcited by 3
- 2025Spatial Transcriptomics Expression Prediction from Histopathology Based on Cross-Modal Mask Reconstruction and Contrastive Learningcited by 3
- 2025SPADE: Spatial Transcriptomics and Pathology Alignment Using a Mixture of Data Experts for an Expressive Latent Spacecited by 3
- 2025GenAR: Next-Scale Autoregressive Generation for Spatial Gene Expression Predictioncited by 3
- 2025Learning Relative Gene Expression Trends from Pathology Images in Spatial Transcriptomicscited by 3
- 2026Adapting a Pre-trained Single-Cell Foundation Model to Spatial Gene Expression Generation from Histology Imagescited by 3
- 2026A Multimodal Foundation Model of Spatial Transcriptomics and Histology for Biological Discovery and Clinical Predictioncited by 3
- 2024Genomics-guided Representation Learning for Pathologic Pan-cancer Tumor Microenvironment Subtype Predictioncited by 2
- 2024SpaRED benchmark: Enhancing Gene Expression Prediction from Histology Images with Spatial Transcriptomics Completioncited by 2
- 2025A Cross Modal Knowledge Distillation & Data Augmentation Recipe for Improving Transcriptomics Representations through Morphological Featurescited by 2
- 2025ST-DAI: Single-shot 2.5D Spatial Transcriptomics with Intra-Sample Domain Adaptive Imputation for Cost-efficient 3D Reconstructioncited by 2
- 2025PEaRL: Pathway-Enhanced Representation Learning for Gene and Pathway Expression Prediction from Histologycited by 2
- 2025GeneFlow: Translation of Single-cell Gene Expression to Histopathological Images via Rectified Flowcited by 2
- 2026Cell-Type Prototype-Informed Neural Network for Gene Expression Estimation from Pathology Imagescited by 2
- 2026HEXST: Hexagonal Shifted-Window Transformer for Spatial Transcriptomics Gene Expression Predictioncited by 2
- 2024Spatially Resolved Gene Expression Prediction from Histology via Multi-view Graph Contrastive Learning with HSIC-bottleneck Regularizationcited by 1
- 2025Towards Spatial Transcriptomics-guided Pathological Image Recognition with Batch-Agnostic Encodercited by 1
- 2025Gene-DML: Dual-Pathway Multi-Level Discrimination for Gene Expression Prediction from Histopathology Imagescited by 1
- 2025MVHybrid: Improving Spatial Transcriptomics Prediction with Hybrid State Space-Vision Transformer Backbone in Pathology Vision Foundation Modelscited by 1
- 2025Latent Gene Diffusion for Spatial Transcriptomics Completioncited by 1
- 2025MMAP: A Multi-Magnification and Prototype-Aware Architecture for Predicting Spatial Gene Expressioncited by 1
- 2025SIGMMA: Hierarchical Graph-Based Multi-Scale Multi-modal Contrastive Alignment of Histopathology Image and Spatial Transcriptomecited by 1
- 2025SCR2-ST: Combine Single Cell with Spatial Transcriptomics for Efficient Active Sampling via Reinforcement Learningcited by 1
- 2026MINT: Molecularly Informed Training with Spatial Transcriptomics Supervision for Pathology Foundation Modelscited by 1
- 2026FEAST: Fully Connected Expressive Attention for Spatial Transcriptomicscited by 1
- 2026Cross-Modal Knowledge Distillation from Spatial Transcriptomics to Histologycited by 1
- 2026DUET: Dual-Paradigm Adaptive Expert Triage with Single-cell Inductive Prior for Spatial Transcriptomics Predictioncited by 1
- 2026HiST: A Hierarchical Sparse Transformer for Cross-Modal Spatial Transcriptomics Modelingcited by 1
- 2024What makes for good morphology representations for spatial omics?cited by 0
50 most cited of 79 All 79 (JSON)
- 2026MIST: Multi-Scale Spatial Context for Gene Expression Prediction from Histology13 Oct 2026
- 2026GATE-ST: Gene-Aware Text-image Encoder for Spatial Transcriptomics30 Sep 2026
- 2026Towards Scalable Context-Aware Single-Cell Spatial Transcriptomics Prediction from Histology Images29 Sep 2026
- 2026Preserving DEG Rankings for Gene Discovery in Histology-Based Spatial Gene Expression Prediction27 Sep 2026
- 2026Is H&E Image-to-Spatial Transcriptomics Simpler Than It Looks?26 Sep 2026
- 2026Benchmarking Active Spot Selection for Cost-Efficient Spatial Transcriptomics23 Sep 2026
- 2026Hyperbolic Contrastive Learning with Entailment for Spatial Transcriptomics14 Sep 2026
- 2026Correlation-Guided Flow Matching with Annealed Masking for Spatial Transcriptomics Generation28 Aug 2026
- 2026Concept-based explanation of gene expression prediction from H&E images17 Aug 2026
- 2026PaSTel: Anchoring Histology in Spatial Transcriptomics via Multi-Scale Hierarchical Bio-Prior Contrastive Pretraining14 Aug 2026
- 2026Disentangled Shared Representations Improve Morpho-Transcriptomic Integration14 Aug 2026
- 2026Path2ST: Hierarchical Cell-Tissue Grounded Cross-Modal Translation for Spatial Transcriptomics11 Aug 2026
38 more
- 2026DriftST: One-Step Generative Inference of Spatial Transcriptomics from H&E Histology6 Jul 2026
- 2026Resolving superposition in AI for interpretability and cross-modal alignment in patient-neuronal images30 Jun 2026
- 2026JASPR: Joint Spatial Representation learning of histology and spatial genomics for improved virtual genomic screening and clinical prognostication24 Jun 2026
- 2026Contrastive and Adaptive Multi-modal Masked Autoencoder for Spatial Transcriptomics19 Jun 2026
- 2026Predicting Immune Biomarkers with MultiModal Mixture-of-Expert Pathology Foundation Models Empowers Precision Oncology16 Jun 2026
- 2026HiST: A Hierarchical Sparse Transformer for Cross-Modal Spatial Transcriptomics Modeling12 Jun 2026
- 2026SNR-ST-Mix: Sample-specific Neighborhood Regression Mixup for Augmented Spatial Transcriptomics Imputation with Deep Neural Network7 Jun 2026
- 2026GC-MoE: Genomics-Guided Cell-Type-Specific Mixture of Experts for Histology-Based Single-Cell Spatial Transcriptomics1 Jun 2026
- 2026FLAG: Foundation model representation with Latent diffusion Alignment via Graph for spatial gene expression prediction18 May 2026
- 2026DUET: Dual-Paradigm Adaptive Expert Triage with Single-cell Inductive Prior for Spatial Transcriptomics Prediction13 May 2026
- 2026HEXST: Hexagonal Shifted-Window Transformer for Spatial Transcriptomics Gene Expression Prediction6 May 2026
- 2026CHRep: Cross-modal Histology Representation and Post-hoc Calibration for Spatial Gene Expression Prediction23 Apr 2026
- 2026Cross-Modal Knowledge Distillation from Spatial Transcriptomics to Histology10 Apr 2026
- 2026A Multimodal Foundation Model of Spatial Transcriptomics and Histology for Biological Discovery and Clinical Prediction4 Apr 2026
- 2026FEAST: Fully Connected Expressive Attention for Spatial Transcriptomics26 Mar 2026
- 2026Adapting a Pre-trained Single-Cell Foundation Model to Spatial Gene Expression Generation from Histology Images20 Mar 2026
- 2026Cell-Type Prototype-Informed Neural Network for Gene Expression Estimation from Pathology Images19 Mar 2026
- 2026MINT: Molecularly Informed Training with Spatial Transcriptomics Supervision for Pathology Foundation Models9 Mar 2026
- 2026Fusing Pixels and Genes: Spatially-Aware Learning in Computational Pathology15 Feb 2026
- 2026MoLF: Mixture-of-Latent-Flow for Pan-Cancer Spatial Gene Expression Prediction from Histology2 Feb 2026
- 2026HistoPrism: Unlocking Functional Pathway Analysis from Pan-Cancer Histology via Gene Expression Prediction29 Jan 2026
- 2025SCR2-ST: Combine Single Cell with Spatial Transcriptomics for Efficient Active Sampling via Reinforcement Learning15 Dec 2025
- 2025Learning Relative Gene Expression Trends from Pathology Images in Spatial Transcriptomics7 Dec 2025
- 2025HyperST: Hierarchical Hyperbolic Learning for Spatial Transcriptomics Prediction27 Nov 2025
- 2025SIGMMA: Hierarchical Graph-Based Multi-Scale Multi-modal Contrastive Alignment of Histopathology Image and Spatial Transcriptome19 Nov 2025
- 2025GeneFlow: Translation of Single-cell Gene Expression to Histopathological Images via Rectified Flow31 Oct 2025
- 2025MMAP: A Multi-Magnification and Prototype-Aware Architecture for Predicting Spatial Gene Expression13 Oct 2025
- 2025GenAR: Next-Scale Autoregressive Generation for Spatial Gene Expression Prediction5 Oct 2025
- 2025PEaRL: Pathway-Enhanced Representation Learning for Gene and Pathway Expression Prediction from Histology3 Oct 2025
- 2025Latent Gene Diffusion for Spatial Transcriptomics Completion2 Sep 2025
- 2025Img2ST-Net: Efficient High-Resolution Spatial Omics Prediction from Whole Slide Histology Images via Fully Convolutional Image-to-Image Learning20 Aug 2025
- 2025CellSymphony: Deciphering the molecular and phenotypic orchestration of cells with single-cell pathomics13 Aug 2025
- 2025A Large-Scale Benchmark of Cross-Modal Learning for Histology and Gene Expression in Spatial Transcriptomics2 Aug 2025
- 2025MVHybrid: Improving Spatial Transcriptomics Prediction with Hybrid State Space-Vision Transformer Backbone in Pathology Vision Foundation Models1 Aug 2025
- 2025ST-DAI: Single-shot 2.5D Spatial Transcriptomics with Intra-Sample Domain Adaptive Imputation for Cost-efficient 3D Reconstruction29 Jul 2025
- 2025Gene-DML: Dual-Pathway Multi-Level Discrimination for Gene Expression Prediction from Histopathology Images19 Jul 2025
- 2025PAST: A multimodal single-cell foundation model for histopathology and spatial transcriptomics in cancer8 Jul 2025
- 2025Spatially Gene Expression Prediction using Dual-Scale Contrastive Learning30 Jun 2025
50 newest of 79 All 79 (JSON)
- 2025Diffusion Generative Modeling for Spatially Resolved Gene Expression Inference from Histology Imagescited by 37
- 2025Scalable Generation of Spatial Transcriptomics from Histology Images via Whole-Slide Flow Matchingcited by 19
- 2025Doloris: Dual Conditional Diffusion Implicit Bridges with Sparsity Masking Strategy for Unpaired Single-Cell Perturbation Estimationcited by 4
- 2025GeneFlow: Translation of Single-cell Gene Expression to Histopathological Images via Rectified Flowcited by 2
- 2026FLAG: Foundation model representation with Latent diffusion Alignment via Graph for spatial gene expression predictioncited by 0
- 2026Correlation-Guided Flow Matching with Annealed Masking for Spatial Transcriptomics Generationcited by 0
- 2026Correlation-Guided Flow Matching with Annealed Masking for Spatial Transcriptomics Generation28 Aug 2026
- 2026FLAG: Foundation model representation with Latent diffusion Alignment via Graph for spatial gene expression prediction18 May 2026
- 2025GeneFlow: Translation of Single-cell Gene Expression to Histopathological Images via Rectified Flow31 Oct 2025
- 2025Doloris: Dual Conditional Diffusion Implicit Bridges with Sparsity Masking Strategy for Unpaired Single-Cell Perturbation Estimation26 Jun 2025
- 2025Scalable Generation of Spatial Transcriptomics from Histology Images via Whole-Slide Flow Matching25 May 2025
- 2025Diffusion Generative Modeling for Spatially Resolved Gene Expression Inference from Histology Images26 Jan 2025
- 2026MoLF: Mixture-of-Latent-Flow for Pan-Cancer Spatial Gene Expression Prediction from Histologycited by 0
- 2026GC-MoE: Genomics-Guided Cell-Type-Specific Mixture of Experts for Histology-Based Single-Cell Spatial Transcriptomicscited by 0
- 2026Predicting Immune Biomarkers with MultiModal Mixture-of-Expert Pathology Foundation Models Empowers Precision Oncologycited by 0
- 2026Predicting Immune Biomarkers with MultiModal Mixture-of-Expert Pathology Foundation Models Empowers Precision Oncology16 Jun 2026
- 2026GC-MoE: Genomics-Guided Cell-Type-Specific Mixture of Experts for Histology-Based Single-Cell Spatial Transcriptomics1 Jun 2026
- 2026MoLF: Mixture-of-Latent-Flow for Pan-Cancer Spatial Gene Expression Prediction from Histology2 Feb 2026
- 2024HEST-1k: A Dataset for Spatial Transcriptomics and Histology Image Analysiscited by 107
- 2024Accurate Spatial Gene Expression Prediction by integrating Multi-resolution featurescited by 52
- 2024Transcriptomics-guided Slide Representation Learning in Computational Pathologycited by 51
- 2024Multimodal contrastive learning for spatial gene expression prediction using histology imagescited by 30
- 2024STimage-1K4M: A histopathology image-gene expression dataset for spatial transcriptomicscited by 23
- 2024CLIBD: Bridging Vision and Genomics for Biodiversity Monitoring at Scalecited by 18
- 2024MERGE: Multi-faceted Hierarchical Graph-based GNN for Gene Expression Prediction from Whole Slide Histopathology Imagescited by 17
- 2024ASIGN: An Anatomy-aware Spatial Imputation Graphic Network for 3D Spatial Transcriptomicscited by 13
- 2024Rethinking Transformer for Long Contextual Histopathology Whole Slide Image Analysiscited by 12
- 2023Domain-specific optimization and diverse evaluation of self-supervised models for histopathologycited by 11
- 2025MagNet: Multi-Level Attention Graph Network for Predicting High-Resolution Spatial Transcriptomicscited by 9
- 2025A Large-Scale Benchmark of Cross-Modal Learning for Histology and Gene Expression in Spatial Transcriptomicscited by 8
12 most cited of 69 All 69 (JSON)
- 2026MIST: Multi-Scale Spatial Context for Gene Expression Prediction from Histology13 Oct 2026
- 2026GATE-ST: Gene-Aware Text-image Encoder for Spatial Transcriptomics30 Sep 2026
- 2026Towards Scalable Context-Aware Single-Cell Spatial Transcriptomics Prediction from Histology Images29 Sep 2026
- 2026Preserving DEG Rankings for Gene Discovery in Histology-Based Spatial Gene Expression Prediction27 Sep 2026
- 2026Is H&E Image-to-Spatial Transcriptomics Simpler Than It Looks?26 Sep 2026
- 2026Benchmarking Active Spot Selection for Cost-Efficient Spatial Transcriptomics23 Sep 2026
- 2026Hyperbolic Contrastive Learning with Entailment for Spatial Transcriptomics14 Sep 2026
- 2026Concept-based explanation of gene expression prediction from H&E images17 Aug 2026
- 2026PaSTel: Anchoring Histology in Spatial Transcriptomics via Multi-Scale Hierarchical Bio-Prior Contrastive Pretraining14 Aug 2026
- 2026Disentangled Shared Representations Improve Morpho-Transcriptomic Integration14 Aug 2026
- 2026Path2ST: Hierarchical Cell-Tissue Grounded Cross-Modal Translation for Spatial Transcriptomics11 Aug 2026
- 2026DriftST: One-Step Generative Inference of Spatial Transcriptomics from H&E Histology6 Jul 2026
12 newest of 69 All 69 (JSON)