Peer-Reviewed Publication
Mol Aspects Med2026;112101504.September 18, 2026Journal Article

Role of foundation models in data-driven tissue diagnostics.

Mohsin Bilal1, Aadam2, Manahil Raza3, Anas Alsuhaibani4, Youssef N Altherwy4, Abdulrahman Alabduljabbar4, Fahdah Almarshad4, Paul Golding5, Nasir Rajpoot6
1Information Systems Department, College of Computer Engineering and Sciences, Prince Sattam bin Abdulaziz University, Al-Kharj, Saudi Arabia. Electronic address: m.farooq@psau.edu.sa.
2Luddy School of Informatics, Computing, and Engineering, Indiana University Indianapolis, United States of America.
3Tissue Image Analytics Centre, Department of Computer Science, University of Warwick, Coventry, United Kingdom.
4Information Systems Department, College of Computer Engineering and Sciences, Prince Sattam bin Abdulaziz University, Al-Kharj, Saudi Arabia.
5Frontier AI, San Francisco Bay Area, United States of America.
6Tissue Image Analytics Centre, Department of Computer Science, University of Warwick, Coventry, United Kingdom; Histofy Ltd, The Venture Centre, University of Warwick Science Park, Coventry, United Kingdom. Electronic address: N.M.Rajpoot@warwick.ac.uk.

Abstract

Artificial intelligence (AI)-based tissue diagnostics is entering a new phase driven by pathology foundation models: large-scale encoders and multimodal systems pretrained with self-supervised and vision-language objectives. Yet the evidence base has expanded faster than the methods used to evaluate and interpret claimed capabilities. The central clinical question is no longer whether these models…

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