Evaluation and Prognostic Validation of Deep Regression Models for WSI-Based Gene-Expression Prediction

תקציר מקורי באנגליתarXiv:2410.00945v2 Announce Type: replace-cross Abstract: Gene-expression profiling is widely used in research and central to many areas of precision oncology, but remains costly and not universally accessible. Recent advances in computational pathology enable prediction of transcriptomic profiles directly from hematoxylin and eosin (H&E)-stained whole-slide images (WSIs), although optimal modeling strategies and clinical relevance remain unclear. In this study, we systematically evaluate deep regression models for WSI-based gene-expression prediction across multiple regression formulations and pathology foundation models (PFMs), and assess whether the resulting predicted transcriptomic signals retain prognostic utility. Across four TCGA datasets, we find that direct regression using atten