We generalize the continuous time framework for score-based generative models from an underlying Brownian motion (BM) to an approximation of fractional Brownian motion (FBM). We derive a continuous reparameterization trick and the reverse time model by representing FBM as a stochastic integral over a family of Ornstein-Uhlenbeck processes to define generative fractional diffusion models (GFDM) with driving noise converging to a non-Markovian process of infinite quadratic variation. The Hurst index $H\in(0,1)$ of FBM enables control of the roughness of the distribution transforming path. To the best of our knowledge, this is the first attempt to build a generative model upon a stochastic process with infinite quadratic variation.

While machine learning is currently transforming the field of histopathology, the domain lacks a comprehensive evaluation of state-of-the-art models based on essential but complementary quality requirements beyond a mere classification accuracy. In order to fill this gap, we developed a new methodology to extensively evaluate a wide range of classification models, including recent vision transformers, and convolutional neural networks such as: ConvNeXt, ResNet (BiT), Inception, ViT and Swin transformer, with and without supervised or self-supervised pretraining. We thoroughly tested the models on five widely used histopathology datasets containing whole slide images of breast, gastric, and colorectal cancer and developed a novel approach using an image-to-image translation model to assess the robustness of a cancer classification model against stain variations. Further, we extended existing interpretability methods to previously unstudied models and systematically reveal insights of the models' classifications strategies that can be transferred to future model architectures.