High-Parameter Spatial Multi-Omics through Histology-Anchored Integration

Spatial omics face challenges in achieving high-parameter, multi-omics co-profiling. Serial-section profiling of complementary panels mitigates technical trade-offs but introduces the spatial diagonal integration problem. To address this, we present SpatialEx and its extension SpatialEx+, computational frameworks leveraging histology as a universal anchor to integrate spatial molecular data across tissue sections. SpatialEx combines a pre-trained H&E foundation model with hypergraph and contrastive learning to predict single-cell omics from histology, encoding multi-neighborhood spatial dependencies and global tissue context. SpatialEx+ further introduces an omics cycle module that encourages cross-omics consistency via slice-invariant mappings, enabling seamless integration without co-measured training data. Extensive validations show superior H&E-to-omics prediction, panel diagonal integration, and omics diagonal integration across various biological scenarios. The frameworks scale to datasets exceeding one million cells, maintain robustness with non-overlapping or heterogeneous sections, and support unlimited omics layers in principle. Our work makes multi-modal spatial profiling broadly accessible.