Towards Large-Scale Training of Pathology Foundation Models
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Abstract (arXiv)
Driven by the recent advances in deep learning methods and, in particular, by the development of modern self-supervised learning algorithms, increased interest and efforts have been devoted to build foundation models (FMs) for medical images. In this work, we present our scalable training pipeline for large pathology imaging data, and a comprehensive analysis of various hyperparameter choices and training techniques for building pathology FMs. We release and make publicly available the first batch of our pathology FMs (https://github.com/kaiko-ai/towards_large_pathology_fms) trained on open-access TCGA whole slide images, a commonly used collection of pathology images. The experimental evaluation shows that our models reach state-of-the-art performance on various patch-level downstream tasks, ranging from breast cancer subtyping to colorectal nuclear segmentation. Finally, to unify the evaluation approaches used in the field and to simplify future comparisons of different FMs, we present an open-source framework (https://github.com/kaiko-ai/eva) designed for the consistent evaluation of pathology FMs across various downstream tasks.
Key facts. Cited by 23 papers in the map (data through 14 Oct 2026). Builds on 35 of its 57 references that are in the map. First posted on arXiv 24 Mar 2024.
Builds on
35 of 57 references.
References · 35
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Citing papers per year: 2024: 4; 2025: 6; 2026: 13.
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- 2024Do Histopathological Foundation Models Eliminate Batch Effects? A Comparative Studycited by 18
- 2025A Survey on Computational Pathology Foundation Models: Datasets, Adaptation Strategies, and Evaluation Taskscited by 16
- 2024A Comprehensive Evaluation of Histopathology Foundation Models for Ovarian Cancer Subtype Classificationcited by 13
- 2025PixCell: A generative foundation model for digital histopathology imagescited by 11
- 2024A New Era in Computational Pathology: A Survey on Foundation and Vision-Language Modelscited by 9
- 2024Evaluating Computational Pathology Foundation Models for Prostate Cancer Grading under Distribution Shiftscited by 9
- 2025SurGen: 1020 H&E-stained Whole Slide Images With Survival and Genetic Markerscited by 8
- 2025Foundation Models in Medical Imaging: A Review and Outlookcited by 8
- 2026GloPath: An Entity-Centric Foundation Model for Glomerular Lesion Assessment and Clinicopathological Insightscited by 2
- 2026Mixed Magnification Aggregation for Generalizable Region-Level Representations in Computational Pathologycited by 1
- 2026Plug-and-Play Logit Fusion for Heterogeneous Pathology Foundation Modelscited by 1
- 2026Beyond ViT Tokens: Masked-Diffusion Pretrained Convolutional Pathology Foundation Model for Cell-Level Dense Predictioncited by 1
11 more
- 2026DistillPath: An Efficient 22M Distilled Pathology Encoder Approaching Large Foundation Model Performancecited by 1
- 2025Autonomous labeling of surgical resection margins using a foundation modelcited by 0
- 2025OnSight Pathology: A real-time platform-agnostic computational pathology companion for histopathologycited by 0
- 2026MAD: Microenvironment-Aware Distillation -- A Pretraining Strategy for Virtual Spatial Omics from Microscopycited by 0
- 2026DaX: Learning General Pathology Representations Across Scalescited by 0
- 2026STREAM: Stochastic Riemannian Flow Matching with Anisotropic Decoder for Digital Histopathology Image Generationcited by 0
- 2026From Patches to Patients: A study of the tile-to-slide performance transferability in Digital Pathologycited by 0
- 2026GigaPath-Flash and GigaTIME-Flash: Efficient Pathology Foundation Models for Whole-Slide and Tumor Microenvironment Analysiscited by 0
- 2026CellPath-Bench: A Multidimensional Benchmark for Whole-Slide Cellular Representations in Pathology Foundation Modelscited by 0
- 2026Scaling Multi-Teacher Distillation for Digital Pathologycited by 0
- 2026Morphology-aware deep learning predicts colorectal cancer survival from whole-slide imagescited by 0
- 2026Morphology-aware deep learning predicts colorectal cancer survival from whole-slide images13 Oct 2026
- 2026Scaling Multi-Teacher Distillation for Digital Pathology8 Oct 2026
- 2026CellPath-Bench: A Multidimensional Benchmark for Whole-Slide Cellular Representations in Pathology Foundation Models21 Aug 2026
- 2026DistillPath: An Efficient 22M Distilled Pathology Encoder Approaching Large Foundation Model Performance18 Aug 2026
- 2026GigaPath-Flash and GigaTIME-Flash: Efficient Pathology Foundation Models for Whole-Slide and Tumor Microenvironment Analysis20 Jul 2026
- 2026From Patches to Patients: A study of the tile-to-slide performance transferability in Digital Pathology9 Jun 2026
- 2026STREAM: Stochastic Riemannian Flow Matching with Anisotropic Decoder for Digital Histopathology Image Generation5 Jun 2026
- 2026DaX: Learning General Pathology Representations Across Scales5 Jun 2026
- 2026Beyond ViT Tokens: Masked-Diffusion Pretrained Convolutional Pathology Foundation Model for Cell-Level Dense Prediction8 May 2026
- 2026Plug-and-Play Logit Fusion for Heterogeneous Pathology Foundation Models9 Apr 2026
- 2026MAD: Microenvironment-Aware Distillation -- A Pretraining Strategy for Virtual Spatial Omics from Microscopy11 Mar 2026
- 2026GloPath: An Entity-Centric Foundation Model for Glomerular Lesion Assessment and Clinicopathological Insights3 Mar 2026
11 more
- 2026Mixed Magnification Aggregation for Generalizable Region-Level Representations in Computational Pathology25 Feb 2026
- 2025OnSight Pathology: A real-time platform-agnostic computational pathology companion for histopathology3 Dec 2025
- 2025Autonomous labeling of surgical resection margins using a foundation model27 Nov 2025
- 2025Foundation Models in Medical Imaging: A Review and Outlook10 Jun 2025
- 2025PixCell: A generative foundation model for digital histopathology images5 Jun 2025
- 2025SurGen: 1020 H&E-stained Whole Slide Images With Survival and Genetic Markers7 Feb 2025
- 2025A Survey on Computational Pathology Foundation Models: Datasets, Adaptation Strategies, and Evaluation Tasks27 Jan 2025
- 2024Do Histopathological Foundation Models Eliminate Batch Effects? A Comparative Study8 Nov 2024
- 2024Evaluating Computational Pathology Foundation Models for Prostate Cancer Grading under Distribution Shifts9 Oct 2024
- 2024A New Era in Computational Pathology: A Survey on Foundation and Vision-Language Models23 Aug 2024
- 2024A Comprehensive Evaluation of Histopathology Foundation Models for Ovarian Cancer Subtype Classification16 May 2024
- 2024Do Histopathological Foundation Models Eliminate Batch Effects? A Comparative Studycited by 18
- 2025A Survey on Computational Pathology Foundation Models: Datasets, Adaptation Strategies, and Evaluation Taskscited by 16
- 2024A Comprehensive Evaluation of Histopathology Foundation Models for Ovarian Cancer Subtype Classificationcited by 13
- 2025PixCell: A generative foundation model for digital histopathology imagescited by 11
- 2024Evaluating Computational Pathology Foundation Models for Prostate Cancer Grading under Distribution Shiftscited by 9
- 2025SurGen: 1020 H&E-stained Whole Slide Images With Survival and Genetic Markerscited by 8
- 2025Foundation Models in Medical Imaging: A Review and Outlookcited by 8
- 2026GloPath: An Entity-Centric Foundation Model for Glomerular Lesion Assessment and Clinicopathological Insightscited by 2
- 2026Mixed Magnification Aggregation for Generalizable Region-Level Representations in Computational Pathologycited by 1
- 2026Plug-and-Play Logit Fusion for Heterogeneous Pathology Foundation Modelscited by 1
- 2026Beyond ViT Tokens: Masked-Diffusion Pretrained Convolutional Pathology Foundation Model for Cell-Level Dense Predictioncited by 1
- 2026DistillPath: An Efficient 22M Distilled Pathology Encoder Approaching Large Foundation Model Performancecited by 1
12 most cited of 21 All 21 (JSON)
- 2026Morphology-aware deep learning predicts colorectal cancer survival from whole-slide images13 Oct 2026
- 2026Scaling Multi-Teacher Distillation for Digital Pathology8 Oct 2026
- 2026CellPath-Bench: A Multidimensional Benchmark for Whole-Slide Cellular Representations in Pathology Foundation Models21 Aug 2026
- 2026DistillPath: An Efficient 22M Distilled Pathology Encoder Approaching Large Foundation Model Performance18 Aug 2026
- 2026GigaPath-Flash and GigaTIME-Flash: Efficient Pathology Foundation Models for Whole-Slide and Tumor Microenvironment Analysis20 Jul 2026
- 2026From Patches to Patients: A study of the tile-to-slide performance transferability in Digital Pathology9 Jun 2026
- 2026DaX: Learning General Pathology Representations Across Scales5 Jun 2026
- 2026Beyond ViT Tokens: Masked-Diffusion Pretrained Convolutional Pathology Foundation Model for Cell-Level Dense Prediction8 May 2026
- 2026Plug-and-Play Logit Fusion for Heterogeneous Pathology Foundation Models9 Apr 2026
- 2026MAD: Microenvironment-Aware Distillation -- A Pretraining Strategy for Virtual Spatial Omics from Microscopy11 Mar 2026
- 2026GloPath: An Entity-Centric Foundation Model for Glomerular Lesion Assessment and Clinicopathological Insights3 Mar 2026
- 2026Mixed Magnification Aggregation for Generalizable Region-Level Representations in Computational Pathology25 Feb 2026
12 newest of 21 All 21 (JSON)