SciCore-Omics: a tri-modal foundation model unifying histology, spatial transcriptomics and language for spatial biology

Abstract

Histomorphology and spatial transcriptomics capture complementary aspects of tissue biology, but their relationships remain difficult to extract, align, and interpret at scale. Existing foundation models typically connect histology, omics, or language only pairwise, which limits their capacity to jointly infer molecular states, decode spatial tissue organization, and generate biologically grounded explanations. Here, we show SciCore-Omics, the first tri-modal foundation model linking histology images, spatial transcriptomics, and biological language. We constructed a spatially paired image-gene-text dataset comprising 151,182 spots across multiple tissues and performed a three-stage progressive training of SciCore-Omics on this dataset. Across gene expression prediction and spatial domain recognition, SciCore-Omics achieved 23.6-80.9% relative gains in task-specific metrics over the strongest external baselines. It further showed robust zero-shot generalization in histopathology classification, outperforming GPT-5 by 6.16 percentage points in mean accuracy across four benchmarks. Expert evaluation in 10 breast cancer cases confirmed its H&E-only case-level molecular reasoning capability. Together, our method demonstrates that a tri-modal framework can effectively bridge histomorphology and molecular state, providing a more general and interpretable foundation model for computational pathology and omics analysis.