Artificial Intelligence for Digital and Computational Pathology
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Abstract (arXiv)
Advances in digitizing tissue slides and the fast-paced progress in artificial intelligence, including deep learning, have boosted the field of computational pathology. This field holds tremendous potential to automate clinical diagnosis, predict patient prognosis and response to therapy, and discover new morphological biomarkers from tissue images. Some of these artificial intelligence-based systems are now getting approved to assist clinical diagnosis; however, technical barriers remain for their widespread clinical adoption and integration as a research tool. This Review consolidates recent methodological advances in computational pathology for predicting clinical end points in whole-slide images and highlights how these developments enable the automation of clinical practice and the discovery of new biomarkers. We then provide future perspectives as the field expands into a broader range of clinical and research tasks with increasingly diverse modalities of clinical data.
Key facts. Cited by 108 papers in the map (data through 14 Oct 2026). Builds on 67 of its 248 references that are in the map. First posted on arXiv 13 Dec 2023.
Builds on
67 of 248 references.
References · 67
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- 2018Attention-based Deep Multiple Instance Learningcited by 1,095
- 2020Data Efficient and Weakly Supervised Computational Pathology on Whole Slide Imagescited by 745
- 2020Contrastive Learning for Unpaired Image-to-Image Translationcited by 639
- 2021TransMIL: Transformer based Correlated Multiple Instance Learning for Whole Slide Image Classificationcited by 555
- 2020Dual-stream Multiple Instance Learning Network for Whole Slide Image Classification with Self-supervised Contrastive Learningcited by 478
- 2019Deep Ensembles: A Loss Landscape Perspectivecited by 443
- 2018HoVer-Net: Simultaneous Segmentation and Classification of Nuclei in Multi-Tissue Histology Imagescited by 388
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- 2019Causality matters in medical imagingcited by 193
- 2019Quantifying the effects of data augmentation and stain color normalization in convolutional neural networks for computational pathologycited by 173
- 2019Pathomic Fusion: An Integrated Framework for Fusing Histopathology and Genomic Features for Cancer Diagnosis and Prognosiscited by 165
- 2019Identifying and Correcting Label Bias in Machine Learningcited by 146
- 2020Self supervised contrastive learning for digital histopathologycited by 146
- 2018BACH: Grand Challenge on Breast Cancer Histology Imagescited by 131
- 2021Whole Slide Images are 2D Point Clouds: Context-Aware Survival Prediction using Patch-based Graph Convolutional Networkscited by 124
- 2020Deep Learning-based Computational Pathology Predicts Origins for Cancers of Unknown Primarycited by 89
- 2019Automated Gleason Grading of Prostate Biopsies using Deep Learningcited by 69
- 2022Flowformer: Linearizing Transformers with Conservation Flowscited by 69
- 2022Mitosis domain generalization in histopathology images -- The MIDOG challengecited by 67
- 2018Neural Image Compression for Gigapixel Histopathology Image Analysiscited by 65
- 2018Predicting breast tumor proliferation from whole-slide images: the TUPAC16 challengecited by 61
- 2021Hierarchical Graph Representations in Digital Pathologycited by 59
- 2022Additive MIL: Intrinsically Interpretable Multiple Instance Learning for Pathologycited by 58
- 2018Whole-Slide Mitosis Detection in H&E Breast Histology Using PHH3 as a Reference to Train Distilled Stain-Invariant Convolutional Networkscited by 57
- 2019CGC-Net: Cell Graph Convolutional Network for Grading of Colorectal Cancer Histology Imagescited by 57
- 2020Federated Learning for Computational Pathology on Gigapixel Whole Slide Imagescited by 54
- 2022Self-Supervised Vision Transformers Learn Visual Concepts in Histopathologycited by 50
- 2019Deep learning-based survival prediction for multiple cancer types using histopathology imagescited by 47
- 2020NuClick: A Deep Learning Framework for Interactive Segmentation of Microscopy Imagescited by 46
- 2022Differentiable Zooming for Multiple Instance Learning on Whole-Slide Imagescited by 43
- 2019Similar Image Search for Histopathology: SMILYcited by 41
- 2019Streaming convolutional neural networks for end-to-end learning with multi-megapixel imagescited by 41
- 2021A Survey on Graph-Based Deep Learning for Computational Histopathologycited by 41
- 2020Representation Learning of Histopathology Images using Graph Neural Networkscited by 40
- 2019Context-Aware Convolutional Neural Network for Grading of Colorectal Cancer Histology Imagescited by 39
- 2022Uncertainty-Informed Deep Learning Models Enable High-Confidence Predictions for Digital Histopathologycited by 37
50 most cited of 67 All 67 (JSON)
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Citing papers per year: 2024: 37; 2025: 48; 2026: 23.
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- 2024HEST-1k: A Dataset for Spatial Transcriptomics and Histology Image Analysiscited by 107
- 2024Phikon-v2, A large and public feature extractor for biomarker predictioncited by 74
- 2024Morphological Prototyping for Unsupervised Slide Representation Learning in Computational Pathologycited by 72
- 2024Feature Re-Embedding: Towards Foundation Model-Level Performance in Computational Pathologycited by 67
- 2024SlideChat: A Large Vision-Language Assistant for Whole-Slide Pathology Image Understandingcited by 57
- 2024Transcriptomics-guided Slide Representation Learning in Computational Pathologycited by 51
- 2024Multimodal Prototyping for cancer survival predictioncited by 47
- 2025Distilling foundation models for robust and efficient models in digital pathologycited by 36
- 2025Do Multiple Instance Learning Models Transfer?cited by 29
- 2024Multistain Pretraining for Slide Representation Learning in Pathologycited by 28
- 2025ViLa-MIL: Dual-scale Vision-Language Multiple Instance Learning for Whole Slide Image Classificationcited by 28
- 2025Evidence-based diagnostic reasoning with multi-agent copilot for human pathologycited by 27
38 more
- 2025PathBench: A comprehensive comparison benchmark for pathology foundation models towards precision oncologycited by 24
- 2024Interpretable Vision-Language Survival Analysis with Ordinal Inductive Bias for Computational Pathologycited by 14
- 2024A Comprehensive Evaluation of Histopathology Foundation Models for Ovarian Cancer Subtype Classificationcited by 13
- 2024Pathology-knowledge Enhanced Multi-instance Prompt Learning for Few-shot Whole Slide Image Classificationcited by 13
- 2024MamMIL: Multiple Instance Learning for Whole Slide Images with State Space Modelscited by 12
- 2024MPCODER: Multi-user Personalized Code Generator with Explicit and Implicit Style Representation Learningcited by 12
- 2024Agent Aggregator with Mask Denoise Mechanism for Histopathology Whole Slide Image Analysiscited by 11
- 2024AEM: Attention Entropy Maximization for Multiple Instance Learning based Whole Slide Image Classificationcited by 10
- 2024Benchmarking Embedding Aggregation Methods in Computational Pathology: A Clinical Data Perspectivecited by 10
- 2024Sm: enhanced localization in Multiple Instance Learning for medical imaging classificationcited by 10
- 2024Queryable Prototype Multiple Instance Learning with Vision-Language Models for Incremental Whole Slide Image Classificationcited by 10
- 2024A New Era in Computational Pathology: A Survey on Foundation and Vision-Language Modelscited by 9
- 2025PathoHR: Breast Cancer Survival Prediction on High-Resolution Pathological Imagescited by 9
- 2026Scanner-Induced Domain Shifts Undermine the Robustness of Pathology Foundation Modelscited by 9
- 2024Virtual birefringence imaging and histological staining of amyloid deposits in label-free tissue using autofluorescence microscopy and deep learningcited by 8
- 2025Foundation Models in Medical Imaging: A Review and Outlookcited by 8
- 2025PRISM2: Unlocking Multi-Modal General Pathology AI with Clinical Dialoguecited by 8
- 2024Cost-effective Instruction Learning for Pathology Vision and Language Analysiscited by 7
- 2024Advances in Multiple Instance Learning for Whole Slide Image Analysis: Techniques, Challenges, and Future Directionscited by 7
- 2024M4: Multi-Proxy Multi-Gate Mixture of Experts Network for Multiple Instance Learning in Histopathology Image Analysiscited by 6
- 2025Multi-Resolution Pathology-Language Pre-training Model with Text-Guided Visual Representationcited by 6
- 2025[De|Re]constructing VLMs' Reasoning in Countingcited by 6
- 2026CARE: A Molecular-Guided Foundation Model with Adaptive Region Modeling for Whole Slide Image Analysiscited by 6
- 2025Content Generation Models in Computational Pathology: A Comprehensive Survey on Methods, Applications, and Challengescited by 5
- 2025Streamline pathology foundation model by cross-magnification distillationcited by 5
- 2025TeamPath: Building MultiModal Pathology Experts with Reasoning AI Copilotscited by 5
- 2024Mamba2MIL: State Space Duality Based Multiple Instance Learning for Computational Pathologycited by 4
- 2024Towards a Comprehensive Benchmark for Pathological Lymph Node Metastasis in Breast Cancer Sectionscited by 4
- 2025Beyond Diagnostic Performance: Revealing and Quantifying Ethical Risks in Pathology Foundation Modelscited by 4
- 2026Mixture of Mini Experts: Overcoming the Linear Layer Bottleneck in Multiple Instance Learningcited by 4
- 2025MGPATH: Vision-Language Model with Multi-Granular Prompt Learning for Few-Shot WSI Classificationcited by 3
- 2025Can We Simplify Slide-level Fine-tuning of Pathology Foundation Models?cited by 3
- 2025MurreNet: Modeling Holistic Multimodal Interactions Between Histopathology and Genomic Profiles for Survival Predictioncited by 3
- 2026MLLM-HWSI: A Multimodal Large Language Model for Hierarchical Whole Slide Image Understandingcited by 3
- 2024NuLite -- Lightweight and Fast Model for Nuclei Instance Segmentation and Classificationcited by 2
- 2025Adaptive Prototype Learning for Multimodal Cancer Survival Analysiscited by 2
- 2025HiLa: Hierarchical Vision-Language Collaboration for Cancer Survival Predictioncited by 2
- 2025Controllable Latent Space Augmentation for Digital Pathologycited by 2
50 most cited of 108 All 108 (JSON)
- 2026Beyond Sparse Captions: Aligning Slide-Level Text and Patch-Level Vision in Pathology12 Oct 2026
- 2026Transcriptome-informed multi-modal AI for predicting neoadjuvant therapy response from breast cancer biopsies2 Oct 2026
- 2026Nonparametric Distribution Matching for Self-Supervised Whole-Slide Image Condensation30 Sep 2026
- 2026Towards Scalable Context-Aware Single-Cell Spatial Transcriptomics Prediction from Histology Images29 Sep 2026
- 2026Lumen: Parameter-Efficient Alignment of Pretrained Vision and Language Encoders for Zero-Shot Computational Pathology15 Sep 2026
- 2026Destroy Me: Automatic Artifact Generation for Histopathology Images27 Aug 2026
- 2026S3-Diff: Structural Semantic Synergy Diffusion Model for High Fidelity Super Resolution of Pathological Images4 Aug 2026
- 2026Cellular-Communication-Level Interpretability for Pathology Foundation Models via Graph Distillation on Microenvironment2 Aug 2026
- 2026From Patches to Evidence Balls: Class-Conditioned Evidence Retrieval for Few-Shot Whole Slide Image Classification2 Aug 2026
- 2026AdaSurvMamba: Dynamic Fusion and Semantic Scanning for Multimodal Survival Analysis28 Jun 2026
- 2026Controllable Histopathology Image Synthesis with Training-free Structural Initialization and Textural Modulation26 Jun 2026
- 2026Re-mixing Embeddings for Patient Augmentation in Data Scarce Multiple Instance Learning24 Jun 2026
38 more
- 2026Semantic-Anchored Evidential Fusion for Domain-Robust Whole-Slide Survival Analysis18 Jun 2026
- 2026Benchmarking Pathology Foundation Models for Spatial Domain Understanding25 May 2026
- 2026GCE-MIL: Faithful and Recoverable Evidence for Multiple Instance Learning in Whole-Slide Imaging17 May 2026
- 2026Spatial Blindness in Whole-Slide Multiple Instance Learning17 May 2026
- 2026RNA-FM: Flow-Matching Generative Model for Genome-wide RNA-Seq Prediction12 May 2026
- 2026MLLM-HWSI: A Multimodal Large Language Model for Hierarchical Whole Slide Image Understanding24 Mar 2026
- 2026Mixture of Mini Experts: Overcoming the Linear Layer Bottleneck in Multiple Instance Learning23 Mar 2026
- 2026Mixed Magnification Aggregation for Generalizable Region-Level Representations in Computational Pathology25 Feb 2026
- 2026CARE: A Molecular-Guided Foundation Model with Adaptive Region Modeling for Whole Slide Image Analysis25 Feb 2026
- 2026MUSE: Harnessing Precise and Diverse Semantics for Few-Shot Whole Slide Image Classification24 Feb 2026
- 2026Scanner-Induced Domain Shifts Undermine the Robustness of Pathology Foundation Models7 Jan 2026
- 2025WSD-MIL: Window Scale Decay Multiple Instance Learning for Whole Slide Image Classification23 Dec 2025
- 2025CAPRMIL: Context-Aware Patch Representations for Multiple Instance Learning16 Dec 2025
- 2025mViSE: A Visual Search Engine for Analyzing Multiplex IHC Brain Tissue Images12 Dec 2025
- 2025OnSight Pathology: A real-time platform-agnostic computational pathology companion for histopathology3 Dec 2025
- 2025Cross-Stain Contrastive Learning for Paired Immunohistochemistry and Histopathology Slide Representation Learning3 Dec 2025
- 2025Structural Prognostic Event Modeling for Multimodal Cancer Survival Analysis30 Nov 2025
- 2025TeamPath: Building MultiModal Pathology Experts with Reasoning AI Copilots20 Nov 2025
- 2025PySlyde: A Lightweight, Open-Source Toolkit for Pathology Preprocessing7 Nov 2025
- 2025[De|Re]constructing VLMs' Reasoning in Counting22 Oct 2025
- 2025Fourier Transform Multiple Instance Learning for Whole Slide Image Classification16 Oct 2025
- 2025DCMIL: A Progressive Representation Learning of Whole Slide Images for Cancer Prognosis Analysis16 Oct 2025
- 2025EfficientMIL: Efficient Linear-Complexity MIL Method for WSI Classification28 Sep 2025
- 2025Streamline pathology foundation model by cross-magnification distillation27 Sep 2025
- 2025Revisiting Data Challenges of Computational Pathology: A Pack-based Multiple Instance Learning Training Framework25 Sep 2025
- 2025C2MIL: Synchronizing Semantic and Topological Causalities in Multiple Instance Learning for Robust and Interpretable Survival Analysis24 Sep 2025
- 2025Multiple Instance Learning Framework with Masked Hard Instance Mining for Gigapixel Histopathology Image Analysis15 Sep 2025
- 2025torchmil: A PyTorch-based library for deep Multiple Instance Learning9 Sep 2025
- 2025A Unified Low-level Foundation Model for Enhancing Pathology Image Quality1 Sep 2025
- 2025Glo-VLMs: Leveraging Vision-Language Models for Fine-Grained Diseased Glomerulus Classification21 Aug 2025
- 2025Controllable Latent Space Augmentation for Digital Pathology20 Aug 2025
- 2025Artificial Intelligence-Based Classification of Spitz Tumors7 Aug 2025
- 2025Predict Patient Self-reported Race from Skin Histological Images29 Jul 2025
- 2025DepViT-CAD: Deployable Vision Transformer-Based Cancer Diagnosis in Histopathology14 Jul 2025
- 2025GNN-ViTCap: GNN-Enhanced Multiple Instance Learning with Vision Transformers for Whole Slide Image Classification and Captioning9 Jul 2025
- 2025MurreNet: Modeling Holistic Multimodal Interactions Between Histopathology and Genomic Profiles for Survival Prediction7 Jul 2025
- 2025HiLa: Hierarchical Vision-Language Collaboration for Cancer Survival Prediction7 Jul 2025
- 2025Evidence-based diagnostic reasoning with multi-agent copilot for human pathology26 Jun 2025
50 newest of 108 All 108 (JSON)
- 2024SlideChat: A Large Vision-Language Assistant for Whole-Slide Pathology Image Understandingcited by 57
- 2024Queryable Prototype Multiple Instance Learning with Vision-Language Models for Incremental Whole Slide Image Classificationcited by 10
- 2024A New Era in Computational Pathology: A Survey on Foundation and Vision-Language Modelscited by 9
- 2024Cost-effective Instruction Learning for Pathology Vision and Language Analysiscited by 7
- 2025Multi-Resolution Pathology-Language Pre-training Model with Text-Guided Visual Representationcited by 6
- 2025MGPATH: Vision-Language Model with Multi-Granular Prompt Learning for Few-Shot WSI Classificationcited by 3
- 2026MLLM-HWSI: A Multimodal Large Language Model for Hierarchical Whole Slide Image Understandingcited by 3
- 2025Glo-VLMs: Leveraging Vision-Language Models for Fine-Grained Diseased Glomerulus Classificationcited by 2
- 2025VLEER: Vision and Language Embeddings for Explainable Whole Slide Image Representationcited by 1
- 2026Lumen: Parameter-Efficient Alignment of Pretrained Vision and Language Encoders for Zero-Shot Computational Pathologycited by 0
- 2026Lumen: Parameter-Efficient Alignment of Pretrained Vision and Language Encoders for Zero-Shot Computational Pathology15 Sep 2026
- 2026MLLM-HWSI: A Multimodal Large Language Model for Hierarchical Whole Slide Image Understanding24 Mar 2026
- 2025Glo-VLMs: Leveraging Vision-Language Models for Fine-Grained Diseased Glomerulus Classification21 Aug 2025
- 2025Multi-Resolution Pathology-Language Pre-training Model with Text-Guided Visual Representation26 Apr 2025
- 2025VLEER: Vision and Language Embeddings for Explainable Whole Slide Image Representation28 Feb 2025
- 2025MGPATH: Vision-Language Model with Multi-Granular Prompt Learning for Few-Shot WSI Classification11 Feb 2025
- 2024SlideChat: A Large Vision-Language Assistant for Whole-Slide Pathology Image Understanding15 Oct 2024
- 2024Queryable Prototype Multiple Instance Learning with Vision-Language Models for Incremental Whole Slide Image Classification14 Oct 2024
- 2024A New Era in Computational Pathology: A Survey on Foundation and Vision-Language Models23 Aug 2024
- 2024Cost-effective Instruction Learning for Pathology Vision and Language Analysis25 Jul 2024
- 2025HistoSmith: Single-Stage Histology Image-Label Generation via Conditional Latent Diffusion for Enhanced Cell Segmentation and Classificationcited by 0
- 2026RNA-FM: Flow-Matching Generative Model for Genome-wide RNA-Seq Predictioncited by 0
- 2026Controllable Histopathology Image Synthesis with Training-free Structural Initialization and Textural Modulationcited by 0
- 2026S3-Diff: Structural Semantic Synergy Diffusion Model for High Fidelity Super Resolution of Pathological Imagescited by 0
- 2026S3-Diff: Structural Semantic Synergy Diffusion Model for High Fidelity Super Resolution of Pathological Images4 Aug 2026
- 2026Controllable Histopathology Image Synthesis with Training-free Structural Initialization and Textural Modulation26 Jun 2026
- 2026RNA-FM: Flow-Matching Generative Model for Genome-wide RNA-Seq Prediction12 May 2026
- 2025HistoSmith: Single-Stage Histology Image-Label Generation via Conditional Latent Diffusion for Enhanced Cell Segmentation and Classification12 Feb 2025
- 2024HEST-1k: A Dataset for Spatial Transcriptomics and Histology Image Analysiscited by 107
- 2024Phikon-v2, A large and public feature extractor for biomarker predictioncited by 74
- 2024Morphological Prototyping for Unsupervised Slide Representation Learning in Computational Pathologycited by 72
- 2024Feature Re-Embedding: Towards Foundation Model-Level Performance in Computational Pathologycited by 67
- 2024Transcriptomics-guided Slide Representation Learning in Computational Pathologycited by 51
- 2024Multimodal Prototyping for cancer survival predictioncited by 47
- 2025Distilling foundation models for robust and efficient models in digital pathologycited by 36
- 2025Do Multiple Instance Learning Models Transfer?cited by 29
- 2024Multistain Pretraining for Slide Representation Learning in Pathologycited by 28
- 2025ViLa-MIL: Dual-scale Vision-Language Multiple Instance Learning for Whole Slide Image Classificationcited by 28
- 2025PathBench: A comprehensive comparison benchmark for pathology foundation models towards precision oncologycited by 24
- 2024Interpretable Vision-Language Survival Analysis with Ordinal Inductive Bias for Computational Pathologycited by 14
12 most cited of 87 All 87 (JSON)
- 2026Beyond Sparse Captions: Aligning Slide-Level Text and Patch-Level Vision in Pathology12 Oct 2026
- 2026Transcriptome-informed multi-modal AI for predicting neoadjuvant therapy response from breast cancer biopsies2 Oct 2026
- 2026Nonparametric Distribution Matching for Self-Supervised Whole-Slide Image Condensation30 Sep 2026
- 2026Towards Scalable Context-Aware Single-Cell Spatial Transcriptomics Prediction from Histology Images29 Sep 2026
- 2026Destroy Me: Automatic Artifact Generation for Histopathology Images27 Aug 2026
- 2026Cellular-Communication-Level Interpretability for Pathology Foundation Models via Graph Distillation on Microenvironment2 Aug 2026
- 2026From Patches to Evidence Balls: Class-Conditioned Evidence Retrieval for Few-Shot Whole Slide Image Classification2 Aug 2026
- 2026Re-mixing Embeddings for Patient Augmentation in Data Scarce Multiple Instance Learning24 Jun 2026
- 2026Semantic-Anchored Evidential Fusion for Domain-Robust Whole-Slide Survival Analysis18 Jun 2026
- 2026Benchmarking Pathology Foundation Models for Spatial Domain Understanding25 May 2026
- 2026GCE-MIL: Faithful and Recoverable Evidence for Multiple Instance Learning in Whole-Slide Imaging17 May 2026
- 2026Spatial Blindness in Whole-Slide Multiple Instance Learning17 May 2026
12 newest of 87 All 87 (JSON)