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Structured Report

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PathOrchestra

AI Imaging Pathology Foundation Model Self-Supervised Clinical-Grade Structured Report
PUBMED_LINK
41258399
FULL NAME
PathOrchestra — Comprehensive Pathology Foundation Model with 100+ Clinical-Grade Tasks
DESCRIPTION
PathOrchestra is a versatile pathology foundation model from Shanghai AI Lab and multiple Chinese institutions, trained via self-supervised learning on 287,424 H&E-stained WSIs from 21 tissue types across 3 independent clinical centers. Evaluated on the largest known clinical task benchmark (112 tasks: 61 private + 51 public) spanning digital slide preprocessing, pan-cancer classification (17 cancer types), lesion identification, multi-cancer subtype classification (36 tasks), biomarker assessment (36 tasks), gene expression prediction, and structured report generation. Achieves over 0.950 accuracy in 47 tasks. First model to generate structured pathology reports for colorectal cancer and lymphoma. Apache 2.0 open-source license.
URL
https://github.com/yanfang-research/PathOrchestra
TITLE
PathOrchestra: a comprehensive foundation model for computational pathology with over 100 diverse clinical-grade tasks.
Main citation
Yan F, et al. (2025) PathOrchestra: a comprehensive foundation model for computational pathology with over 100 diverse clinical-grade tasks. npj Digital Medicine, 8(1):695. doi:10.1038/s41746-025-02027-w. PMID 41258399
ABSTRACT
The complexity and variability of high-resolution pathological images present significant challenges in computational pathology. We present PathOrchestra, a versatile pathology foundation model trained via self-supervised learning on 287,424 slides from 21 tissue types across three centers. Evaluated on 112 tasks from 61 private and 51 public datasets, covering digital slide preprocessing, pan-cancer classification, lesion identification, multi-cancer subtype classification, biomarker assessment, gene expression prediction, and structured report generation. Across 27,755 WSIs and 9,415,729 ROI images, it achieved over 0.950 accuracy in 47 tasks. It is the first to generate structured reports for colorectal cancer and lymphoma.
DOI
10.1038/s41746-025-02027-w