mlsanityData to 7 Oct 2026

A New Era in Computational Pathology: A Survey on Foundation and Vision-Language Models

arXiv 2408.14496 ↗First posted 23 Aug 2024cs.LG cs.AI cs.CLcited by 9

On the map: Multimodal LLMs / vision-language models → Medical vision-language models

Abstract (arXiv)

Recent advances in deep learning have completely transformed the domain of computational pathology (CPath). More specifically, it has altered the diagnostic workflow of pathologists by integrating foundation models (FMs) and vision-language models (VLMs) in their assessment and decision-making process. The limitations of existing deep learning approaches in CPath can be overcome by FMs through learning a representation space that can be adapted to a wide variety of downstream tasks without explicit supervision. Deploying VLMs allow pathology reports written in natural language be used as rich semantic information sources to improve existing models as well as generate predictions in natural language form. In this survey, a holistic and systematic overview of recent innovations in FMs and VLMs in CPath is presented. Furthermore, the tools, datasets and training schemes for these models are summarized in addition to categorizing them into distinct groups. This extensive survey highlights the current trends in CPath and its possible revolution through the use of FMs and VLMs in the future.

Key facts. Cited by 9 papers in the map (data through 7 Oct 2026). Placed in Medical vision-language models, one of 16 directions in Multimodal LLMs / vision-language models. Builds on 133 of its 220 references that are in the map. First posted on arXiv 23 Aug 2024.

Builds on

133 of 220 references.

Closest ancestors · 7

Same direction, newest first

  1. 2024Cost-effective Instruction Learning for Pathology Vision and Language Analysis25 Jul
  2. 2024PathAlign: A vision-language model for whole slide images in histopathology27 Jun
  3. 2024CPLIP: Zero-Shot Learning for Histopathology with Comprehensive Vision-Language Alignment7 Jun
  4. 2024In-context learning enables multimodal large language models to classify cancer pathology images12 Mar
  5. 2024PathMMU: A Massive Multimodal Expert-Level Benchmark for Understanding and Reasoning in Pathology29 Jan
  6. 2024Demonstration of an Adversarial Attack Against a Multimodal Vision Language Model for Pathology Imaging4 Jan
  7. 2023PathAsst: A Generative Foundation AI Assistant Towards Artificial General Intelligence of Pathology24 May

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Citing papers per year: 2025: 9.

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  1. 2025PathVLM-R1: A Reinforcement Learning-Driven Reasoning Model for Pathology Visual-Language Tasks
  2. 2024Benchmarking foundation models as feature extractors for weakly-supervised computational pathology
  3. 2025Comparing Computational Pathology Foundation Models using Representational Similarity Analysis
  4. 2026Benchmarking Vision-Language Models for Automated Pathology Diagnosis and Report Generation
  5. 2025PathoHR: Hierarchical Reasoning for Vision-Language Models in Pathology
  6. 2025A Versatile Pathology Co-pilot via Reasoning Enhanced Multimodal Large Language Model
  7. 2025Effortless Vision-Language Model Specialization in Histopathology without Annotation
  8. 2026FFM-CP: Cross-Backbone Fusion of Vision-Language Foundation Models for Few-Shot Computational Pathology