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Foundation models in computational pathology: methods, applications and clinical implications.

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  • 1Computational Pathology, Novino AI, Fort Lauderdale, Florida, USA.

BMJ Oncology
|May 12, 2026
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Summary
This summary is machine-generated.

Pathology foundation AI models offer generalizable cancer diagnosis and precision oncology solutions. These advanced artificial intelligence systems aim to improve clinical translation and workflow integration in pathology.

Keywords:
Neoplasms

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Area of Science:

  • Digital pathology
  • Artificial intelligence (AI)
  • Oncological pathology

Background:

  • Digitized histopathology has spurred AI applications in cancer diagnosis and precision oncology.
  • Current AI systems are often task-specific and lack generalizability across clinical settings.
  • Pathology foundation AI models represent a paradigm shift towards generalizable representations of tissue morphology.

Purpose of the Study:

  • To review the development, methodology, and current landscape of pathology foundation models in oncological pathology.
  • To outline the evolution, trends, and classification of major pathology foundation model types and modalities.
  • To evaluate the capabilities of foundation models compared to conventional AI and explore the transition to agentic AI systems.

Main Methods:

  • Narrative review of pathology foundation models.
  • Analysis of model evolution, trends, and classification.
  • Evaluation of model capabilities, advantages, and regulatory frameworks.

Main Results:

  • Foundation AI models enable learning generalizable representations for diverse downstream tasks.
  • These models offer advantages over narrowly task-specific AI systems in clinical translation.
  • The review covers model types, modalities, and the transition towards agentic AI.

Conclusions:

  • Pathology foundation models are crucial for advancing AI in oncological pathology.
  • These models promise improved generalizability, clinical translation, and workflow integration.
  • Regulatory and governance frameworks are essential for responsible AI implementation in pathology.