Abstract

We investigate whether modeling cellular context within transcriptomic spots improves cell-based prediction of spatial gene expression from histology images. Existing cell-based approaches independently map each cell embedding to a gene score and therefore do not account for relationships among nuclei within the same spot. We introduce a Contextual Cell Transformer that jointly processes the cell embeddings in each spot and averages the resulting context-dependent gene scores to predict spot-level expression. We compare the proposed predictor with non-contextual linear and multilayer perceptron predictors under identical cell embeddings, target genes, aggregation, and optimization settings. Experiments on the HER2ST and ccRCC datasets show that the proposed predictor achieves lower mean squared error and higher mean Pearson and Spearman correlations than both non-contextual cell-based predictors. It also achieves the lowest mean squared error and highest mean Pearson correlation among the compared patch- and cell-based methods on both datasets, although the highest Spearman correlation on each dataset is obtained by a patch-based baseline. These results provide a proof-of-concept that intra-spot cellular context can improve cell-based histology-to-spatial transcriptomics prediction.

Links to Paper and Supplementary Materials

Main Paper (Open Access Version): https://papers.miccai.org/miccai-2026-sat/paper/COMPAYL_014.pdf

SharedIt Link: Not yet available

SpringerLink (DOI): Not yet available

Supplementary Material: Not Submitted

Link to Open Review

Open Review Page: https://openreview.net/forum?id=pePDlXMuJ9&referrer=%5BProgram%20Chair%20Console%5D(%2Fgroup%3Fid%3DMICCAI.org%2F2026%2FWorkshop%2FCOMPAYL%2FProgram_Chairs%23submission-status)

BibTex

@InProceedings{KogRyo_Modeling_MICCAISAT2026,
        author = { Koga, Ryoichi},
        title = { { Modeling Intra-spot Cellular Context for Histology-to-Spatial Transcriptomics Prediction } },
        booktitle = {Medical Image Computing and Computer Assisted Intervention -- MICCAI 2026 Workshops and Challenges},
        year = {2026},
        publisher = {Springer Nature Switzerland},
        volume = {LNCS 17251},
        month = {pending},
        page = {pending}
}


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