The article reviews how cardiac imaging techniques such as echocardiography, CMR, and CT can be integrated with bulk, single-cell, and spatial transcriptomics to create joint representations that link imaging phenotypes to detailed molecular states. It outlines the representation needs of each modality, compares multimodal fusion strategies, and synthesizes pipelines for radiogenomics, spatial alignment, and image-based gene‑expression prediction, while discussing validation, limitations, and failure modes. The review highlights emerging spatial multiomic maps of human myocardium and atherosclerotic plaque, noting that cost, scalability, and tissue availability remain major barriers to large‑scale cardiovascular translation.
By Minh H. N. Le, Thanh-Huy Nguyen, Tao Li, Bao Quang Gia Le, Han H. Huynh, Monika Raj, Carl Yang, Min Xu, Tuan Vinh, Nguyen Quoc Khanh Le
The paper introduces BCARP, a Biology‑Guided Context‑Aware Residual Propagation framework that predicts spatial gene expression from H&E‑stained histology images. Rather than directly decoding expression from visual features, BCARP treats histology embeddings as morphological priors and iteratively refines spot representations in a transcriptomics‑oriented latent space, integrating nuclei‑guided local context and prototype‑guided global propagation. Evaluations on three spatial transcriptomics datasets and ten HEST‑1k cohorts show that BCARP outperforms existing baselines in mean correlation‑based metrics, demonstrating the effectiveness of biology‑guided local‑global residual propagation for histology‑to‑transcriptomics prediction.
By Vu Van An, Long D. Nguyen, Ho Viet Duc Luong, Binh P. Nguyen
The paper presents a Multi‑Scale Graph Neural Network that predicts bulk, spatial, and single‑cell gene expression directly from whole‑slide histopathology images. It uses a Pathology Foundation Model to extract morphological features and builds spatial graphs at patch and cell levels, training on TCGA, Visium, and Xenium data from lung, kidney, and breast tissues. The model achieves accurate slide‑level predictions, moderate patch‑level accuracy (especially on Xenium), and moderate single‑cell correlation, and its outputs are shown to be useful for survival analysis, spatial hazard mapping, and tumor classification.
By Miguel Andrade, Jos\'e Almeida, Carlos Santiago, Catarina Barata
arXiv:2607. 14410v1 Announce Type: new Abstract: Spatially resolved omics studies increasingly combine transcriptomic and epigenomic assays, yet downstream analysis is often still performed using single-modality pipelines.
By Jagan Mohan Reddy Dwarampudi, Veena Kochat, Suresh Satpati, Kunal Rai, Tania Banerjee
arXiv:2606. 03644v1 Announce Type: new Abstract: Comprehensive molecular profiling is essential for modern precision oncology but remains hindered by prohibitive costs, specimen exhaustion, and protracted turnaround times.
By Fengtao Zhou, Yingxue Xu, Zhengyu Zhang, Yihui Wang, Zhengrui Guo, Ling Liang, Jiabo Ma, Cheng Jin, Ziyi Liu, Huajun Zhou, Hongyi Wang, Du Cai, Chenglong Zhao, Xi Wang, Can Yang, Yu Wang, Wenbin Li, Feng Gao, Zhe Wang, Zhenhui Li, Xiuming Zhang, Li Liang, Hao Chen
arXiv:2606. 28179v1 Announce Type: cross Abstract: Identifying robust associations between cardiac imaging phenotypes and clinical diseases is fundamental to population-scale cardiovascular research and reliable risk stratification.
By Zuoou Li, Wenlong Zhao, Kelly Yu, Weitong Zhang, Paul M. Matthews, Wenjia Bai, Bernhard Kainz, Mengyun Qiao
arXiv:2608. 14924v1 Announce Type: cross Abstract: Spatial transcriptomics (ST) links tissue morphology with molecular programs, motivating multimodal pretraining methods that align histology images with gene expression.
By Azim Dehghani Amirabad, Junchao Zhu, Pushpak Pati, Walid Abdelmoula, Tommaso Mansi, Rui Liao
arXiv:2603. 13432v4 Announce Type: replace-cross Abstract: Spatial Transcriptomics (ST) profiles thousands of gene expression values at discrete spots with precise coordinates on tissue sections, preserving spatial context essential for clinical and pathological studies.
By Yishun Zhu, Jiaxin Qi, Jian Wang, Yuhua Zheng, Jianqiang Huang
arXiv:2606. 17115v1 Announce Type: cross Abstract: Foundation models (FMs) have emerged as powerful representation extractors for medical data, yet their generalizability to datasets under distribution shift remains underexplored.
By Jingyu Hu, Giuseppe Tripodi, Reed Naidoo, Sarah F. McGough, Tapabrata Chakraborti
The paper introduces SV-Cine, a cardiac MRI segmentation framework tailored for single ventricle physiology (SVP). It combines a generative data augmentation pipeline that creates synthetic 3D cardiac meshes and MRI, with a diagnosis-conditioned adaptation of the CineMA foundation model that uses patient-level diagnostic information to improve segmentation. Evaluations on an internal cohort show high Dice scores for left and right ventricles, outperforming nnU-Net, and demonstrate that incorporating diagnosis priors can adapt a pretrained model to specialized SVP tasks.
By Lila Cunge, Yuehong Liu, Hang Xu, Thomas Coudert, Pierangelo Renella, J Paul Finn, William Hsu, Kim-Lien Nguyen
The paper introduces scEGFlow, an energy‑guided flow matching framework that predicts how single cells respond to perturbations by modeling continuous transitions from control to perturbed states. It uses conditional flow matching and condition‑specific energy gradients to dynamically adjust predictions without retraining, achieving superior performance on imaging and transcriptomic benchmarks, even for unseen perturbations or limited data. The method preserves cellular manifold geometry, heterogeneity, and accurately recapitulates gene‑expression regulatory patterns.
By Jianan Wei, Jiajun Hong, Guikun Chen, Ning Yang, Lifeng Fan, Wenguan Wang
arXiv:2607. 01039v1 Announce Type: cross Abstract: Therapy-induced cardiotoxicity is the leading non-oncological cause of treatment interruption in breast cancer patients, yet early, automated risk stratification from routine cardiac imaging remains an unsolved problem.
By Grigorios Kalliatakis, Georgia Karanasiou, Georgios Manikis, Manolis Tsiknakis, Dimitrios Fotiadis, Dorothea Tsekoura, Kalliopi Keramida, Vasileios Bouratzis, Lampros Lakkas, Katerina Naka, Andri Papakonstantinou, Anastasia Constantinidou, Kostas Marias