Recent advances in computational pathology have led to the emergence of numerous foundation models. These models typically rely on general-purpose encoders with multi-instance learning for whole slide image (WSI) classification or apply multimodal approaches to generate reports directly from images. However, these models cannot emulate the diagnostic approach of pathologists, who systematically examine slides at low magnification to obtain an overview before progressively zooming in on suspicious regions to formulate comprehensive diagnoses.

Modern single-image super-resolution (SISR) models deliver photo-realistic results at the scale factors on which they are trained, but collapse when asked to magnify far beyond that regime. We address this scalability bottleneck with Chain-of-Zoom (CoZ), a model-agnostic framework that factorizes SISR into an autoregressive chain of intermediate scale-states with multi-scale-aware prompts. CoZ repeatedly re-uses a backbone SR model, decomposing the conditional probability into tractable sub-problems to achieve extreme resolutions without additional training. Because visual cues diminish at high magnifications, we augment each zoom step with multi-scale-aware text prompts generated by a vision-language model (VLM). The prompt extractor itself is fine-tuned using Generalized Reward Policy Optimization (GRPO) with a critic VLM, aligning text guidance towards human preference. Experiments show that a standard 4 diffusion SR model wrapped in CoZ attains beyond 256 enlargement with high perceptual quality and fidelity.

Magnification shift is a major obstacle to robust histopathology classification, because models trained on one imaging scale often generalize poorly to another. Here, we evaluated this problem on the BreaKHis dataset using a strict patient-disjoint leave-one-magnification-out protocol, comparing supervised baseline, baseline augmented with DCGAN-generated patches, and a gradient-reversal domain-general model designed to preserve discriminative information while suppressing magnification-specific variation. Across held-out magnifications, the domain-general model achieved the strongest overall discrimination and its clearest gain was observed when 200X was held out. By contrast, GAN augmentation produced inconsistent effects, improving some folds but degrading others, particularly at 400X. The domain-general model also yielded the lowest Brier score at 0.063 vs 0.089 at baseline. Sparse embedding analysis further revealed that domain-general training reduced average signature size more than three-fold (306 versus 1,074 dimensions) while preserving equivalent predictive performance (AUC: 0.967 vs 0.965; F1: 0.930 vs 0.931). It also increased cross-fold signature reproducibility from near-zero Jaccard overlap in the baseline to 0.99 between the 100X and 200X folds. These findings show that calibrated, compact, and transferable representations can be learned without added architectural complexity, with clear implications for the reliable deployment of computational pathology models across heterogeneous acquisition settings.

This paper presents a simple, self-supervised method for magnifying subtle motions in video: given an input video and a magnification factor, we manipulate the video such that its new optical flow is scaled by the desired amount. To train our model, we propose a loss function that estimates the optical flow of the generated video and penalizes how far if deviates from the given magnification factor. Thus, training involves differentiating through a pretrained optical flow network. Since our model is self-supervised, we can further improve its performance through test-time adaptation, by finetuning it on the input video. It can also be easily extended to magnify the motions of only user-selected objects. Our approach avoids the need for synthetic magnification datasets that have been used to train prior learning-based approaches.

Note that a metric space is calledcompact if X is closed and bounded.

We used the CRC-100K dataset to construct the CRC-MIL dataset with different positive instance ratios.

Survival analysis is critical for cancer prognosis and treatment planning, yet existing methods lack the transparency essential for clinical adoption. While recent pathology agents have demonstrated explainability in diagnostic tasks, they face three limitations for survival prediction: inability to integrate multimodal data, ineffective region-of-interest exploration, and failure to leverage experiential learning from historical cases. We introduce SurvAgent, the first hierarchical chain-of-thought (CoT)-enhanced multi-agent system for multimodal survival prediction. SurvAgent consists of two stages: (1) WSI-Gene CoT-Enhanced Case Bank Construction employs hierarchical analysis through Low-Magnification Screening, Cross-Modal Similarity-Aware Patch Mining, and Confidence-Aware Patch Mining for pathology images, while Gene-Stratified analysis processes six functional gene categories. Both generate structured reports with CoT reasoning, storing complete analytical processes for experiential learning. (2) Dichotomy-Based Multi-Expert Agent Inference retrieves similar cases via RAG and integrates multimodal reports with expert predictions through progressive interval refinement. Extensive experiments on five TCGA cohorts demonstrate SurvAgent's superority over conventional methods, proprietary MLLMs, and medical agents, establishing a new paradigm for explainable AI-driven survival prediction in precision oncology.