HiST: Histological Images Reconstruct Tumor Spatial Transcriptomics via MultiScale Fusion Deep Learning
Wei Li1, Dong Zhang2, Eryu Peng2
1Shanghai Tenth People's Hospital, Shanghai Key Laboratory of Signaling and Disease Research, School of Life Sciences and Technology, Tongji University, Shanghai, China.
Advanced Science (Weinheim, Baden-Wurttemberg, Germany)
|January 5, 2026
Summary
We developed HiST, a deep learning tool that reconstructs spatial gene expression profiles from histology images. This method enhances tumor profiling and clinical analysis, overcoming the cost limitations of spatial transcriptomics.
Area of Science:
- Computational biology
- Genomics
- Cancer research
Background:
- Spatial transcriptomics (ST) offers insights into the tumor microenvironment but is limited by high costs.
- Integrating spatial molecular data with histological context is crucial for cancer research.
Purpose of the Study:
- To develop a cost-effective deep learning framework (HiST) for reconstructing spatial gene expression profiles (GEPs) from histological images.
- To enhance downstream clinical analyses, including tumor heterogeneity assessment and patient stratification.
Main Methods:
- A multi-scale convolutional deep learning framework, HiST, was developed to learn the relationship between GEPs and histological morphology.
- HiST utilizes ST data to train the model for predicting spatial GEPs from standard histology slides.
Main Results:
- HiST accurately predicts tumor regions across multiple cancer types (AUC: 0.96) and reconstructs spatial GEPs from histology images with high fidelity (avg. PCC: 0.74).
- The reconstructed GEPs enable robust tumor heterogeneity assessment, identification of tumor subtypes, and stratification of patient prognosis (e.g., breast cancer CI: 0.78).
- HiST outperforms existing models by approximately two-fold in GEP reconstruction and facilitates immunotherapy response prediction.
Conclusions:
- HiST provides a reliable and cost-effective molecular representation from histological images, significantly advancing spatial transcriptomics applications.
- This framework enhances tumor profiling, biomarker discovery, and clinical decision-making in oncology.
Keywords:
HiSThistological imageprognosis and immunotherapy efficacy predictionspatial transcriptomicstumor spot identification

