EXAONE Path 2.5: Pathology Foundation Model with Multi-Omics Alignment

Fuente: arXiv
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Main Authors: Yun, Juseung, Yu, Sunwoo, Ha, Sumin, Kim, Jonghyun, Lee, Janghyeon, Jang, Jongseong, Lee, Soonyoung
Format: Preprint
Published: 2025
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author Yun, Juseung
Yu, Sunwoo
Ha, Sumin
Kim, Jonghyun
Lee, Janghyeon
Jang, Jongseong
Lee, Soonyoung
author_facet Yun, Juseung
Yu, Sunwoo
Ha, Sumin
Kim, Jonghyun
Lee, Janghyeon
Jang, Jongseong
Lee, Soonyoung
contents Cancer progression arises from interactions across multiple biological layers, especially beyond morphological and across molecular layers that remain invisible to image-only models. To capture this broader biological landscape, we present EXAONE Path 2.5, a pathology foundation model that jointly models histologic, genomic, epigenetic and transcriptomic modalities, producing an integrated patient representation that reflects tumor biology more comprehensively. Our approach incorporates three key components: (1) multimodal SigLIP loss enabling all-pairwise contrastive learning across heterogeneous modalities, (2) a fragment-aware rotary positional encoding (F-RoPE) module that preserves spatial structure and tissue-fragment topology in WSI, and (3) domain-specialized internal foundation models for both WSI and RNA-seq to provide biologically grounded embeddings for robust multimodal alignment. We evaluate EXAONE Path 2.5 against six leading pathology foundation models across two complementary benchmarks: an internal real-world clinical dataset and the Patho-Bench benchmark covering 80 tasks. Our framework demonstrates high data and parameter efficiency, achieving on-par performance with state-of-the-art foundation models on Patho-Bench while exhibiting the highest adaptability in the internal clinical setting. These results highlight the value of biologically informed multimodal design and underscore the potential of integrated genotype-to-phenotype modeling for next-generation precision oncology.
format Preprint
id arxiv_https___arxiv_org_abs_2512_14019
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle EXAONE Path 2.5: Pathology Foundation Model with Multi-Omics Alignment
Yun, Juseung
Yu, Sunwoo
Ha, Sumin
Kim, Jonghyun
Lee, Janghyeon
Jang, Jongseong
Lee, Soonyoung
Machine Learning
Quantitative Methods
Cancer progression arises from interactions across multiple biological layers, especially beyond morphological and across molecular layers that remain invisible to image-only models. To capture this broader biological landscape, we present EXAONE Path 2.5, a pathology foundation model that jointly models histologic, genomic, epigenetic and transcriptomic modalities, producing an integrated patient representation that reflects tumor biology more comprehensively. Our approach incorporates three key components: (1) multimodal SigLIP loss enabling all-pairwise contrastive learning across heterogeneous modalities, (2) a fragment-aware rotary positional encoding (F-RoPE) module that preserves spatial structure and tissue-fragment topology in WSI, and (3) domain-specialized internal foundation models for both WSI and RNA-seq to provide biologically grounded embeddings for robust multimodal alignment. We evaluate EXAONE Path 2.5 against six leading pathology foundation models across two complementary benchmarks: an internal real-world clinical dataset and the Patho-Bench benchmark covering 80 tasks. Our framework demonstrates high data and parameter efficiency, achieving on-par performance with state-of-the-art foundation models on Patho-Bench while exhibiting the highest adaptability in the internal clinical setting. These results highlight the value of biologically informed multimodal design and underscore the potential of integrated genotype-to-phenotype modeling for next-generation precision oncology.
title EXAONE Path 2.5: Pathology Foundation Model with Multi-Omics Alignment
topic Machine Learning
Quantitative Methods
url https://arxiv.org/abs/2512.14019