Spatial Oncology Suite  Zenodo DOI: 10.5281/zenodo.23621924  Star on GitHub  GPL-3.0 License

InSituVision-AI: Low-Cost H&E Digital Pathology (< 5 €)

Predicting Microvascular Decoupling and Osimertinib PFS from Routine H&E Whole-Slide Images via Attention-MIL (< 5 € / slide)

Luca Celebrano • School of Medicine and Surgery, Università degli Studi di Napoli Federico II & TIGEM

Study Overview

Democratizing spatial precision oncology: translating 5,000 € spatial transcriptomics into a routine diagnostic artificial intelligence framework operating directly on universal diagnostic H&E slides at under 5 € per patient.

Attention-MIL Neural Network

Gated attention multiple instance learning architecture extracting complex microarchitectural sanctuary features from gigapixel whole-slide images.

Democratized Cost (< 5 €)

Reduces the diagnostic cost barrier by 99.91% compared to spatial transcriptomics, enabling global deployment in public healthcare systems.

Survival Prediction

Achieves robust survival concordance (Harrell's C-index ≈ 0.74) for predicting osimertinib therapeutic durability directly from routine histology.

Zero-Disk Streaming

Lightweight streaming inference engine processing gigapixel WSI bags in Google Colab T4 environments without heavy storage overhead.