Peer-Reviewed Publication
Cell Rep Med2026;103054.September 18, 2026Journal Article

Class visualizations and activation atlases for computational pathology.

Marco Gustav1, Fabian Wolf1, Christina Glasner2, Nic G Reitsam3, Stefan Schulz2, Kira Aschenbroich2, Bruno Märkl4, Sebastian Foersch2, Jakob Nikolas Kather5
1Else Kroener Fresenius Center for Digital Health, Faculty of Medicine, TUD Dresden University of Technology, Dresden, Germany.
2Institute of Pathology, University Medical Center Mainz, Mainz, Germany.
3Else Kroener Fresenius Center for Digital Health, Faculty of Medicine, TUD Dresden University of Technology, Dresden, Germany; Pathology, Faculty of Medicine, University of Augsburg, Augsburg, Germany; Bavarian Cancer Research Center (BZKF), Augsburg, Germany.
4Pathology, Faculty of Medicine, University of Augsburg, Augsburg, Germany; Bavarian Cancer Research Center (BZKF), Augsburg, Germany.
5Else Kroener Fresenius Center for Digital Health, Faculty of Medicine, TUD Dresden University of Technology, Dresden, Germany; Department of Medicine I, Faculty of Medicine, TUD Dresden University of Technology, Dresden, Germany; Medical Oncology, National Center for Tumor Diseases (NCT), University Hospital Heidelberg, Heidelberg, Germany; Pathology & Data Analytics, Leeds Institute of Medical Research at St James's, University of Leeds, Leeds, UK. Electronic address: kather.jn@tu-dresden.de.

Abstract

The clinical promise of computational pathology increasingly depends on foundation model-based pipelines, yet the morphological concepts encoded by these systems remain poorly understood. We address this gap with a concept-level visualization framework using class visualizations (CVs) and activation atlases (AAs) in a pathology foundation-model setting across colorectal tissue and multi-organ canc…

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