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Diffusion Generative Modeling for Spatially Resolved Gene Expression Inference from Histology Images

ICLR 2025 · Image generation › Autoregressive and latent generation · approach: Retrieval and matching with generative features · 1 citations (OpenAlex)

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Stem applies a conditional DiT-based diffusion model to predict spatially resolved gene expression from H&E patches, conditioned on pooled pathology foundation model embeddings, and introduces a relative variation distance metric.

Problem

Predicting spatially resolved gene expression from H&E histology is usually cast as deterministic regression, which ignores one-to-many image-to-expression relationships and is evaluated mainly with Pearson correlation that can overstate performance.

Approach

Model the conditional distribution of gene expression given an H&E patch with a DDPM whose backbone is a DiT adapted to gene tokens, with conditioning from pooled CONCH+UNI foundation model embeddings via adaLN, and evaluate with a new relative variation distance (RVD) capturing gene variance fidelity.

Key results

Measured effects reported in the paper

What was changedWhereMeasuredEffect
use Stem instead of BLEEPKidney Visium HMHVG · Kidney Visium HMHVGRVD: 0.2170 -> 0.0751Helped
use Stem instead of BLEEPHER2ST HMHVG · HER2ST HMHVGRVD: 0.6025 -> 0.0693Helped
use Stem instead of TRIPLEXHuman prostate Visium HMHVG · Human prostate Visium HMHVGPCC-10: 0.6173 -> 0.6103Hurt
combine CONCH and UNI embeddings instead of using CONCH alone (ablation)Stem · Kidney Visium HMHVG; no image augmentationPCC-10: 0.3662 -> 0.4817Helped
combine CONCH and UNI embeddings instead of using UNI alone (ablation)Stem · Kidney Visium HMHVG; no image augmentationPCC-10: 0.4690 -> 0.4817Helped
increase image augmentation ratio from 2:1 to 1:4 (ablation)Stem · Kidney Visium HMHVGPCC-10: 0.4843 -> 0.5485Helped
hold out 21-0057 (CKD) instead of 20-0038 (AKI) (ablation)Stem · Kidney Visium HMHVGPCC-10: 0.5893 -> 0.7026Helped
use sample median instead of sample mean to summarize generated samples (ablation)Stem · HER2ST 1000 DEGsPCC-10: 0.8279 -> 0.8222Hurt
use sample median instead of sample mean to summarize generated samples (ablation)Stem · HER2ST 1000 DEGsMAE: 0.5649 -> 0.5616Helped
replace sample mean with sample mode to summarize generated samples (ablation)Stem · HER2ST 1000 DEGsRVD: 0.1208 -> 0.0928Helped
use Virchow-2 instead of CONCH + UNI as image encoder (ablation)Stem · Kidney Visium HMHVGPCC-10: 0.5893 -> 0.5404Hurt
use H-Optimus-0 instead of CONCH + UNI as image encoder (ablation)Stem · Kidney Visium HMHVGPCC-10: 0.5893 -> 0.5435Hurt

Surprising findings

Limitations

Experimental setup

Datasets: Kidney Visium HER2ST PRAD Visium (HEST-1k) healthy mouse brain Visium (HEST-1k)

Benchmarks: Kidney Visium HER2ST PRAD Visium healthy mouse brain Visium

Metrics: PCC-k MAE MSE RVD

Baselines: HisToGene BLEEP TRIPLEX ST-Net Hist2ST

Builds on: DDPM DiT adaptive LayerNorm (adaLN-Zero) BLEEP TRIPLEX

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