Emerging AI Approaches for Cancer Spatial Omics (2506.23857v1)

Abstract: Technological breakthroughs in spatial omics and AI have the potential to transform the understanding of cancer cells and the tumor microenvironment. Here we review the role of AI in spatial omics, discussing the current state-of-the-art and further needs to decipher cancer biology from large-scale spatial tissue data. An overarching challenge is the development of interpretable spatial AI models, an activity which demands not only improved data integration, but also new conceptual frameworks. We discuss emerging paradigms, in particular data-driven spatial AI, constraint-based spatial AI, and mechanistic spatial modeling, as well as the importance of integrating AI with hypothesis-driven strategies and model systems to realize the value of cancer spatial information.