Peer-Reviewed Publication
NPJ Digit Med2026;9(1)June 18, 2026Journal Article

UNICORN: a deep learning model for integrating multi-stain data in histopathology.

Valentin Koch1,2, Sabine Bauer3,4, Shweta Mahajan1,3, Valerio Lupperger5, Michael Joner3,4, Heribert Schunkert3,4, Julia A Schnabel1,2,6, Moritz von Scheidt3,4, Carsten Marr7,8,9,10
1Computational Health Center, Helmholtz Munich - German Research Center for Environmental Health, Munich, Germany.
2School of Computation and Information Technology, Technical University of Munich, Munich, Germany.
3Department of Cardiology, German Heart Centre, TUM University Hospital, Munich, Germany.
4DZHK (German Center for Cardiovascular Research), Partner Site Munich Heart Alliance, Munich, Germany.
5MLL Munich Leukemia Laboratory, Munich, Germany.
6School of Biomedical Engineering and Imaging Sciences, King's College London, London, UK.
7Computational Health Center, Helmholtz Munich - German Research Center for Environmental Health, Munich, Germany. carsten.marr@helmholtz-munich.de.
8Department of Medicine III, Ludwig Maximilian University Hospital, Munich, Germany. carsten.marr@helmholtz-munich.de.
9Department of Physics, Ludwig-Maximilians-Universität München, Munich, Germany. carsten.marr@helmholtz-munich.de.
10DKTK, German Cancer Consortium, Heidelberg, Germany. carsten.marr@helmholtz-munich.de.

Abstract

The integration of multi-stain histopathology images through deep learning poses a significant challenge. Current approaches struggle with data heterogeneity and missing data, as concatenating multi-stain features may not effectively model stain-specific and cross-stain interactions. We introduce UNICORN (UNiversal stain Integration network for CORonary classificatioN), a two-stage, end-to-end tra…

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