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Diffusion Generative Modeling for Spatially Resolved Gene Expression Inference from Histology Images
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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
- On Kidney Visium HMHVG, Stem reaches PCC-10 0.5893 and RVD 0.0751 versus TRIPLEX PCC-10 0.4654 and RVD 0.5871.
- On HER2ST HMHVG, Stem reaches PCC-10 0.8298 and RVD 0.0693 versus BLEEP PCC-10 0.7727 and RVD 0.6025.
- On the mouse brain dataset, Stem reaches PCC-10 0.4908 versus BLEEP 0.3419; TRIPLEX could not be run due to GPU memory limits.
Measured effects reported in the paper
| What was changed | Where | Measured | Effect |
|---|---|---|---|
| use Stem instead of BLEEP | Kidney Visium HMHVG · Kidney Visium HMHVG | RVD: 0.2170 -> 0.0751 | Helped |
| use Stem instead of BLEEP | HER2ST HMHVG · HER2ST HMHVG | RVD: 0.6025 -> 0.0693 | Helped |
| use Stem instead of TRIPLEX | Human prostate Visium HMHVG · Human prostate Visium HMHVG | PCC-10: 0.6173 -> 0.6103 | Hurt |
| combine CONCH and UNI embeddings instead of using CONCH alone (ablation) | Stem · Kidney Visium HMHVG; no image augmentation | PCC-10: 0.3662 -> 0.4817 | Helped |
| combine CONCH and UNI embeddings instead of using UNI alone (ablation) | Stem · Kidney Visium HMHVG; no image augmentation | PCC-10: 0.4690 -> 0.4817 | Helped |
| increase image augmentation ratio from 2:1 to 1:4 (ablation) | Stem · Kidney Visium HMHVG | PCC-10: 0.4843 -> 0.5485 | Helped |
| hold out 21-0057 (CKD) instead of 20-0038 (AKI) (ablation) | Stem · Kidney Visium HMHVG | PCC-10: 0.5893 -> 0.7026 | Helped |
| use sample median instead of sample mean to summarize generated samples (ablation) | Stem · HER2ST 1000 DEGs | PCC-10: 0.8279 -> 0.8222 | Hurt |
| use sample median instead of sample mean to summarize generated samples (ablation) | Stem · HER2ST 1000 DEGs | MAE: 0.5649 -> 0.5616 | Helped |
| replace sample mean with sample mode to summarize generated samples (ablation) | Stem · HER2ST 1000 DEGs | RVD: 0.1208 -> 0.0928 | Helped |
| use Virchow-2 instead of CONCH + UNI as image encoder (ablation) | Stem · Kidney Visium HMHVG | PCC-10: 0.5893 -> 0.5404 | Hurt |
| use H-Optimus-0 instead of CONCH + UNI as image encoder (ablation) | Stem · Kidney Visium HMHVG | PCC-10: 0.5893 -> 0.5435 | Hurt |
Surprising findings
- The mean prediction across genes can yield surprisingly high log-space PCC, so PCC alone can overstate model quality.
- Retrieval with ResNet18 or UNI embeddings alone performs competitively on PCC, and larger foundation models (Virchow-2, H-Optimus-0) did not beat CONCH+UNI.
Limitations
- Relies on a single sample mean over generated samples; other statistics were not consistently better.
- Evaluated on a small number of held-out slides, and TRIPLEX could not be run on the mouse brain dataset.
- Cross-slide and cross-dataset generalization is shown only on limited holdouts; the paper notes improved sample statistics remain future work.
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
Closest papers by meaning
- Scalable Generation of Spatial Transcriptomics from Histology Images via Whole-Slide Flow Matching (ICML 2025 · similarity 0.92)
- HEST-1k: A Dataset For Spatial Transcriptomics and Histology Image Analysis (NeurIPS 2024 · similarity 0.92)
- Towards Scalable Context-Aware Single-Cell Spatial Transcriptomics Prediction from Histology Images (NeurIPS 2026 · similarity 0.91)
- STimage-1K4M: A histopathology image-gene expression dataset for spatial transcriptomics (NeurIPS 2024 · similarity 0.91)
- Preserving DEG Rankings for Gene Discovery in Histology-Based Spatial Gene Expression Prediction (NeurIPS 2026 · similarity 0.91)
- GeneFlow: Translation of Single-cell Gene Expression to Histopathological Images via Rectified Flow (NeurIPS 2025 · similarity 0.90)
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