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SHEST: single-cell-level artificial intelligence from haematoxylin and eosin morphology for cell-type prediction and
Hoyeon Jeong1,2, Junghan Oh3, Donggeon Lee4
1Medical Research Institute, Sungkyunkwan University, 81 Irwon-Ro, 06351 Seoul, Republic of Korea.
Briefings in Bioinformatics
|February 17, 2026
Summary
SHEST integrates tissue morphology with spatial molecular profiles to predict cell types and reconstruct gene expression. This framework enhances understanding of the tumour microenvironment for precision oncology.
Area of Science:
- Computational Biology
- Genomics
- Cancer Research
Background:
- Cancer progression understanding requires integrating tissue morphology and spatial molecular data.
- Existing methods lack a unified approach for cell-type prediction and spatial gene expression reconstruction.
Purpose of the Study:
- To introduce SHEST, a multi-task framework for predicting cellular composition and reconstructing spatial gene expression from haematoxylin and eosin morphology.
- To bridge histopathology and spatial transcriptomics for comprehensive tissue characterization.
Main Methods:
- SHEST utilizes a quadruple-tile input and a neighbourhood-informed clustering algorithm.
- A shared morphological encoder with task-specific heads for cell-type classification and gene expression reconstruction.
- Multi-task optimization with cross-entropy and zero-inflated negative binomial losses for sparse spatial transcriptomic data.
Main Results:
- High accuracy in predicting tumour cells (F1: 0.97) and lymphocytes (F1: 0.91) in lung adenocarcinoma.
- Successful reconstruction of spatially resolved, cell-type-specific gene expression patterns.
- Preservation of spatial relationships and gene-level autocorrelation, reflecting tumour microenvironment structure.
Conclusions:
- SHEST provides a synergistic and cost-efficient method to integrate histopathology and spatial transcriptomics.
- Enables comprehensive tissue characterization and cell-level insights into tumour-immune ecosystems.
- Forms a foundation for precision oncology through spatially informed analysis.

