ICCV 2025 Papers

International Conference on Computer Vision

Decision breakdown

2,728papers

Counted from the official paper list; may differ slightly from the number the conference announced.

  • Poster
    2,70299.0%
  • Other / unlabeled
    261.0%

Top 10 topics (click to filter)

No topic data yet.

Trends for all 207 research topics

Browse all papers

PerLDiff: Controllable Street View Synthesis Using Perspective-Layout Diffusion Model

Jinhua Zhang, Hualian Sheng, Sijia Cai, Bing Deng, Qiao Liang, Wen Li, Ying Fu, Jieping Ye, Shuhang Gu

Expand abstract

Controllable generation is considered a potentially vital approach to address the challenge of annotating 3D data, and the precision of such controllable generation becomes particularly imperative in the context of data production for autonomous driving. Existing methods focus on the integration of diverse generative information into controlling inputs, utilizing frameworks such as GLIGEN or ControlNet, to produce commendable outcomes in controllable generation. However, such approaches intrinsically restrict generation performance to the learning capacities of predefined network architectures. In this paper, we explore the innovative integration of controlling information and introduce PerLDiff (Perspective-Layout Diffusion Models), a novel method for effective street view image generation that fully leverages perspective 3D geometric information. Our PerLDiff employs 3D geometric priors to guide the generation of street view images with precise object-level control within the network learning process, resulting in a more robust and controllable output. Moreover, it demonstrates superior controllability compared to alternative layout control methods. Empirical results justify that our PerLDiff markedly enhances the precision of controllable generation on the NuScenes and KITTI datasets.

Poster
PathFinder: A Multi-Modal Multi-Agent System for Medical Diagnostic Decision-Making Applied to Histopathology

Fatemeh Ghezloo, Mehmet Saygin Seyfioglu, Rustin Soraki, Wisdom O. Ikezogwo, Beibin Li, Tejoram Vivekanandan, Joann G. Elmore, Ranjay Krishna, Linda Shapiro

Expand abstract

Diagnosing diseases through histopathology whole slide images (WSIs) is fundamental in modern pathology but is challenged by the gigapixel scale and complexity of WSIs. Trained histopathologists overcome this challenge by navigating the WSI, looking for relevant patches, taking notes, and compiling them to produce a final holistic diagnostic. Traditional AI approaches, such as multiple instance learning and transformer-based models, fail short of such a holistic, iterative, multi-scale diagnostic procedure, limiting their adoption in the real-world. We introduce PathFinder, a multi-modal, multi-agent framework that emulates the decision-making process of expert pathologists. PathFinder integrates four AI agents, the Triage Agent, Navigation Agent, Description Agent, and Diagnosis Agent, that collaboratively navigate WSIs, gather evidence, and provide comprehensive diagnoses with natural language explanations. The Triage Agent classifies the WSI as benign or risky; if risky, the Navigation and Description Agents iteratively focus on significant regions, generating importance maps and descriptive insights of sampled patches. Finally, the Diagnosis Agent synthesizes the findings to determine the patient's diagnostic classification. Our Experiments show that PathFinder outperforms state-of-the-art methods in skin melanoma diagnosis by 8% while offering inherent explainability through natural language descriptions of diagnostically relevant patches. Qualitative analysis by pathologists shows that the Description Agent's outputs are of high quality and comparable to GPT-4o. PathFinder is also the first AI-based system to surpass the average performance of pathologists in this challenging melanoma classification task by 9%, setting a new record for efficient, accurate, and interpretable AI-assisted diagnostics in pathology. Our Data, code and models will be made available.

Poster
PathDiff: Histopathology Image Synthesis with Unpaired Text and Mask Conditions

Mahesh Bhosale, Abdul Wasi, Yuanhao Zhai, Yunjie Tian, Samuel Border, Nan Xi, Pinaki Sarder, Junsong Yuan, David Doermann, Xuan Gong

Expand abstract

Diffusion-based generative models have shown promise in synthesizing histopathology images to address data scarcity caused by privacy constraints. Diagnostic text reports provide high-level semantic descriptions, and masks offer fine-grained spatial structures essential for representing distinct morphological regions. However, public datasets lack paired text and mask data for the same histopathological images, limiting their joint use in image generation. This constraint restricts the ability to fully exploit the benefits of combining both modalities for enhanced control over semantics and spatial details. To overcome this, we propose PathDiff, a diffusion framework that effectively learns from unpaired mask-text data by integrating both modalities into a unified conditioning space. PathDiff allows precise control over structural and contextual features, generating high-quality, semantically accurate images. PathDiff also improves image fidelity, text-image alignment, and faithfulness, enhancing data augmentation for downstream tasks like nuclei segmentation and classification. Extensive experiments demonstrate its superiority over existing methods. Our code is publicly available at https://github.com/bhosalems/PathDiff.

Poster
PatchScaler: An Efficient Patch-Independent Diffusion Model for Image Super-Resolution

Yong Liu, Hang Dong, Jinshan Pan, Qingji Dong, Kai Chen, Rongxiang Zhang, Lean Fu, Fei Wang

Expand abstract

While diffusion models significantly improve the perceptual quality of super-resolved images, they usually require a large number of sampling steps, resulting in high computational costs and long inference times. Recent efforts have explored reasonable acceleration schemes by reducing the number of sampling steps. However, these approaches treat all regions of the image equally, overlooking the fact that regions with varying levels of reconstruction difficulty require different sampling steps. To address this limitation, we propose PatchScaler, an efficient patch-independent diffusion pipeline for single image super-resolution. Specifically, PatchScaler introduces a Patch-adaptive Group Sampling (PGS) strategy that groups feature patches by quantifying their reconstruction difficulty and establishes shortcut paths with different sampling configurations for each group. To further optimize the patch-level reconstruction process of PGS, we propose a texture prompt that provides rich texture conditional information to the diffusion model. The texture prompt adaptively retrieves texture priors for the target patch from a common reference texture memory. Extensive experiments show that our PatchScaler achieves favorable performance in both quantitative and qualitative evaluations, while significantly speeding up inference. Project page: https://github.com/yongliuy/PatchScaler.

Poster
Passing the Driving Knowledge Test

Maolin Wei, Wanzhou Liu, Eshed Ohn-Bar

Expand abstract

If a Large Language Model (LLM) were to take a driving knowledge test today, would it pass? Beyond standard spatial and visual question-answering (QA) tasks on current autonomous driving benchmarks, driving knowledge tests require a complete understanding of all traffic rules, signage, and right-of-way principles. To pass this test, human drivers must discern various edge cases that rarely appear in real-world datasets. In this work, we present DriveQA, an extensive open-source text and vision-based benchmark that exhaustively covers traffic regulations and scenarios. Through our experiments using DriveQA, we show that (1) state-of-the-art LLMs and Multimodal LLMs (MLLMs) perform well on basic traffic rules but exhibit significant weaknesses in numerical reasoning and complex right-of-way scenarios, traffic sign variations, and spatial layouts, (2) fine-tuning on DriveQA improves accuracy across multiple categories, particularly in regulatory sign recognition and intersection decision-making, (3) controlled variations in DriveQA-V provide insights into model sensitivity to environmental factors such as lighting, perspective, distance, and weather conditions, and (4) pretraining on DriveQA enhances downstream driving task performance, leading to improved results on real-world datasets such as nuScenes and BDD, while also demonstrating that models can internalize text and synthetic traffic knowledge to generalize effectively across downstream QA tasks.

Poster
Partially Matching Submap Helps: Uncertainty Modeling and Propagation for Text to Point Cloud Localization

Mingtao Feng, Longlong Mei, Zijie Wu, Jianqiao Luo, Fenghao Tian, Jie Feng, Weisheng Dong, Yaonan Wang

Expand abstract

Text to point cloud cross-modal localization is a crucial vision-language task for future human-robot collaboration. Existing coarse-to-fine frameworks assume that each query text precisely corresponds to the center area of a submap, limiting their applicability in real-world scenarios. This work redefines the task under a more realistic assumption, relaxing the one-to-one retrieval constraint by allowing partially matching query text and submap pairs. To address this challenge, we augment datasets with partially matching submaps and introduce an uncertainty-aware framework. Specifically, we model cross-modal ambiguity in fine-grained location regression by integrating uncertainty scores, represented as 2D Gaussian distributions, to mitigate the impact of challenging samples. Additionally, we propose an uncertainty-aware similarity metric that enhances similarity assessment between query text and submaps by propagating uncertainty into coarse place recognition, enabling the model to learn discriminative features, effectively handle partially matching samples and improve task synergy. Extensive experiments on KITTI360Pose and CityRefer demonstrate that our method achieves state-of-the-art performance across both stages. Our code is available at https://github.com/Afoolbird/PMSH

Poster
Partial Forward Blocking: A Novel Data Pruning Paradigm for Lossless Training Acceleration

Dongyue Wu, Zilin Guo, Jialong Zuo, Nong Sang, Changxin Gao

Expand abstract

The ever-growing size of training datasets enhances the generalization capability of machine learning models but also incurs exorbitant computational costs. Existing data pruning approaches aim to accelerate training by removing those less important samples. However, they often rely on gradients or proxy models, leading to prohibitive additional costs of gradient back-propagation and proxy model training. In this paper, we propose Partial Forward Blocking (PFB), a novel framework for lossless training acceleration. The efficiency of PFB stems from its unique adaptive pruning pipeline: sample importance is assessed based on features extracted from the shallow layers of the target model. Less important samples are then pruned, allowing only the retained ones to proceed with the subsequent forward pass and loss back-propagation. This mechanism significantly reduces the computational overhead of deep-layer forward passes and back-propagation for pruned samples, while also eliminating the need for auxiliary backward computations and proxy model training. Moreover, PFB introduces probability density as an indicator of sample importance. Combined with an adaptive distribution estimation module, our method dynamically prioritizes relatively rare samples, aligning with the constantly evolving training state. Extensive experiments demonstrate the significant superiority of PFB in performance and speed. On ImageNet, PFB achieves a 0.5% accuracy improvement and 33% training time reduction with 40% data pruned.

Poster
PartField: Learning 3D Feature Fields for Part Segmentation and Beyond

Minghua Liu, Mikaela Angelina Uy, Donglai Xiang, Hao Su, Sanja Fidler, Nicholas Sharp, Jun Gao

Expand abstract

We propose PartField, a feedforward approach for learning part-based 3D features, which captures the general concept of parts and their hierarchy without relying on predefined templates or text-based names, and can be applied to open-world 3D shapes across various modalities. PartField requires only a 3D feedforward pass at inference time, significantly improving runtime and robustness compared to prior approaches. Our model is trained by distilling 2D and 3D part proposals from a mix of labeled datasets and image segmentations on large unsupervised datasets, via a contrastive learning formulation. It produces a continuous feature field which can be clustered to yield a hierarchical part decomposition. Comparisons show that PartField is up to 20% more accurate and often orders of magnitude faster than other recent class-agnostic part-segmentation methods. Beyond single-shape part decomposition, consistency in the learned field emerges across shapes, enabling tasks such as co-segmentation and correspondence, which we demonstrate in several applications of these general-purpose, hierarchical, and consistent 3D feature fields. Check our Webpage! https://research.nvidia.com/labs/toronto-ai/partfield-release/

Poster
Parametric Shadow Control for Portrait Generation in Text-to-Image Diffusion Models

Haoming Cai, Tsung-Wei Huang, Shiv Gehlot, Brandon Y. Feng, Sachin Shah, Guan-Ming Su, Christopher Metzler

Expand abstract

Text-to-image diffusion models excel at generating diverse portraits, but lack intuitive shadow control. Existing editing approaches, as post-processing, struggle to offer effective manipulation across diverse styles. Additionally, these methods either rely on expensive real-world light-stage data collection or require extensive computational resources for training. To address these limitations, we introduce Shadow Director, a method that extracts and manipulates hidden shadow attributes within well-trained diffusion models. Our approach uses a small estimation network that requires only a few thousand synthetic images and hours of training--no costly real-world light-stage data needed. Shadow Director enables parametric and intuitive control over shadow shape, placement, and intensity during portrait generation while preserving artistic integrity and identity across diverse styles. Despite training only on synthetic data built on real-world identities, it generalizes effectively to generated portraits with diverse styles, making it a more accessible and resource-friendly solution.

Poster
Parameter-Efficient Adaptation of Geospatial Foundation Models through Embedding Deflection

Romain Thoreau, Valerio Marsocci, Dawa Derksen

Expand abstract

As large-scale heterogeneous data sets become increasingly available, adapting foundation models at low cost has become a key issue. Seminal works in natural language processing, e.g. Low-Rank Adaptation (LoRA), leverage the low "intrinsic rank" of parameter updates during adaptation. In this paper, we argue that incorporating stronger inductive biases on both the data and the models can enhance the adaptation of Geospatial Foundation Models (GFMs), pretrained on RGB satellite images, to other types of optical satellite data. Specifically, the pretrained parameters of GFMs serve as a strong prior for the spatial structure of multispectral images. For this reason, we introduce DEFLECT (Deflecting Embeddings for Finetuning Latent representations for Earth and Climate Tasks), a novel strategy for adapting GFMs to multispectral satellite imagery with very few additional parameters. DEFLECT improves the representation capabilities of the extracted features, particularly enhancing spectral information, which is essential for geoscience and environmental-related tasks. We demonstrate the effectiveness of our method across three different GFMs and five diverse datasets, ranging from forest monitoring to marine environment segmentation. Compared to competing methods, DEFLECT achieves on-par or higher accuracy with 5-10x fewer parameters for classification and segmentation tasks. The code is available at https://github.com/VMarsocci/DEFLECT.

Poster
PanoSplatt3R: Leveraging Perspective Pretraining for Generalized Unposed Wide-Baseline Panorama Reconstruction

Jiahui Ren, Mochu Xiang, Jiajun Zhu, Yuchao Dai

Expand abstract

Wide-baseline panorama reconstruction has emerged as a highly effective and pivotal approach for not only achieving geometric reconstruction of the surrounding 3D environment, but also generating highly realistic and immersive novel views. Although existing methods have shown remarkable performance across various benchmarks, they are predominantly reliant on accurate pose information. In practical real-world scenarios, the acquisition of precise pose often requires additional computational resources and is highly susceptible to noise. These limitations hinder the broad applicability and practicality of such methods. In this paper, we present PanoSplatt3R, an unposed wide-baseline panorama reconstruction method. We extend and adapt the foundational reconstruction pretrainings from the perspective domain to the panoramic domain, thus enabling powerful generalization capabilities. To ensure a seamless and efficient domain-transfer process, we introduce RoPE rolling that spans rolled coordinates in rotary positional embeddings across different attention heads, maintaining a minimal modification to RoPE's mechanism, while modeling the horizontal periodicity of panorama images.Comprehensive experiments demonstrate that PanoSplatt3R, even in the absence of pose information, significantly outperforms current state-of-the-art methods. This superiority is evident in both the generation of high-quality novel views and the accuracy of depth estimation, thereby showcasing its great potential for practical applications.

Poster
PanoLlama: Generating Endless and Coherent Panoramas with Next-Token-Prediction LLMs

Teng Zhou, Xiaoyu Zhang, Yongchuan Tang

Expand abstract

Panoramic Image Generation (PIG) aims to create coherent images of arbitrary lengths. Most existing methods fall in the joint diffusion paradigm, but their complex and heuristic crop connection designs often limit their ability to achieve multilevel coherence. By deconstructing this challenge into its core components, we find it naturally aligns with next-token prediction, leading us to adopt an autoregressive (AR) paradigm for PIG modeling. However, existing visual AR (VAR) models are limited to fixed-size generation, lacking the capability to produce panoramic images. In this paper, we propose PanoLlama, a novel framework that achieves endless and coherent panorama generation with the autoregressive paradigm. Our approach develops a training-free strategy that utilizes token redirection to overcome the size limitations of existing VAR models, enabling next-crop prediction in both horizontal and vertical directions. This refreshes the PIG pipeline while achieving SOTA performance in coherence (47.50%), fidelity(28.16%), and aesthetics (15%). Additionally, PanoLlama supports applications other PIG methods cannot achieve, including mask-free layout control, multi-scale and multi-guidance synthesis. To facilitate standardized evaluation, we also establish a dataset with 1,000 prompts spanning 100+ themes, providing a new testing benchmark for PIG research.

Poster
PanSt3R: Multi-view Consistent Panoptic Segmentation

Lojze Zust, Yohann Cabon, Juliette Marrie, Leonid Antsfeld, Boris Chidlovskii, Jerome Revaud, Gabriela Csurka

Expand abstract

Panoptic segmentation in 3D is a fundamental problem in scene understanding. Existing approaches typically rely on costly test-time optimizations (often based on NeRF) to consolidate 2D predictions of off-the-shelf panoptic segmentation methods into 3D. Instead, in this work, we propose a unified and integrated approach PanSt3R, which eliminates the need for test-time optimization by jointly predicting 3D geometry and multi-view-consistent panoptic segmentation in a single forward pass. Our approach harnesses the 3D representations of MUSt3R, a recent scalable multi-view version of DUSt3R, and 2D representations of DINOv2, then performs joint multi-view panoptic prediction via a mask transformer architecture. We additionally revisit the standard post-processing mask merging procedure and introduce a more principled approach for multi-view segmentation. We also introduce a simple method for generating novel-view predictions based on the predictions of PanSt3R and vanilla 3DGS. Overall, the proposed PanSt3R is conceptually simple yet fast and scalable, and achieves state-of-the-art performance on several benchmarks, while being orders of magnitude faster.

Poster
PacGDC: Label-Efficient Generalizable Depth Completion with Projection Ambiguity and Consistency

Haotian Wang, Aoran Xiao, Xiaoqin Zhang, Meng Yang, Shijian Lu

Expand abstract

Generalizable depth completion enables the acquisition of dense metric depth maps for unseen environments, offering robust perception capabilities for various downstream tasks. However, training such models typically requires large-scale datasets with metric depth labels, which are often labor-intensive to collect. This paper presents PacGDC, a label-efficient technique that enhances data diversity with minimal annotation effort for generalizable depth completion. PacGDC builds on novel insights into inherent ambiguities and consistencies in object shapes and positions during 2D-to-3D projection, allowing the synthesis of numerous pseudo geometries for the same visual scene. This process greatly broadens available geometries by manipulating scene scales of the corresponding depth maps. To leverage this property, we propose a new data synthesis pipeline that uses multiple depth foundation models as scale manipulators. These models robustly provide pseudo depth labels with varied scene scales, affecting both local objects and global layouts, while ensuring projection consistency that supports generalization. To further diversify geometries, we incorporate interpolation and relocation strategies, as well as unlabeled images, extending the data coverage beyond the individual use of foundation models. Extensive experiments show that PacGDC achieves remarkable generalizability across multiple benchmarks, excelling in diverse scene semantics/scales and depth sparsity/patterns under both zero-shot and few-shot settings. Code: https://github.com/Wang-xjtu/PacGDC.

Poster
PVMamba: Parallelizing Vision Mamba via Dynamic State Aggregation

Fei Xie, Zhongdao Wang, Weijia Zhang, Chao Ma

Expand abstract

Mamba, an architecture with RNN-like sequence modeling of State Space Model (SSM), has demonstrated promising capabilities in long-range modeling with high efficiency. However, Mamba models struggle with structured 2D visual data using sequential computing, thereby lagging behind their attention-based counterparts. In this paper, we propose a Parallel Vision Mamba (PVMamba), a novel SSM architecture tailored for visual data. PVMamba encompasses two key designs: 1) Based on the sparsity and adjacency of visual signals, we parallelize the sequential computing through three core steps, termed Dynamic State Aggregation (DSA), i.e., parallelization, alignment, and aggregation. DSA generates the hidden state in SSM by a feasible spatial aggregation, thereby overcoming the inherent sequential constraints. 2) Along with maintaining linear computational complexity, we apply a dynamic operator to learn the spatial samplings for each hidden state. To further boost the local modeling capability, we restrict the dynamic operator to the neighboring pixels in shallow layers. We also devise a layer multiplexing technique to stabilize the training and reduce the learning redundancy. PVMamba is a versatile backbone network with dynamic operators for various vision tasks, such as image classification and dense prediction. Extensive experiments show that PVMamba achieves state-of-the-art performance on a range of benchmarks.

Poster
PVChat: Personalized Video Chat with One-Shot Learning

YUFEI SHI, Weilong Yan, Gang Xu, Yumeng Li, Yucheng Chen, Zhenxi Li, Fei Yu, Ming Li, Si Yong Yeo

Expand abstract

Video large language models (ViLLMs) excel in general video understanding, e.g., recognizing activities like talking and eating, but struggle with identity-aware comprehension, such as "Wilson is receiving chemotherapy" or "Tom is discussing with Sarah", limiting their applicability in smart healthcare and smart home environments. To address this limitation, we propose a one-shot learning framework PVChat, the first personalized ViLLM that enables subject-aware question answering (QA) from a single video for each subject. Our approach optimizes a Mixture-of-Heads (MoH) enhanced ViLLM on a synthetically augmented video-QA dataset, leveraging a progressive image-to-video learning strategy. Specifically, we introduce an automated augmentation pipeline that synthesizes identity-preserving positive samples and retrieves hard negatives from existing video corpora, generating a diverse training dataset with four QA types: existence, appearance, action, and location inquiries. To enhance subject-specific learning, we propose a ReLU Routing MoH attention mechanism, alongside two novel objectives: (1) Smooth Proximity Regularization for progressive learning through exponential distance scaling and (2) Head Activation Enhancement for balanced attention routing. Finally, we adopt a two-stage training strategy, transitioning from image pre-training to video fine-tuning, enabling a gradual learning process from static attributes to dynamic representations. We evaluate PVChat on diverse datasets covering medical scenarios, TV series, anime, and real-world footage, demonstrating its superiority in personalized feature understanding after learning from a single video, compared to state-of-the-art ViLLMs.

Poster
PUMPS: Skeleton-Agnostic Point-based Universal Motion Pre-Training for Synthesis in Human Motion Tasks

Clinton Ansun Mo, Kun Hu, Chengjiang Long, Dong Yuan, Wan-Chi Siu, Zhiyong Wang

Expand abstract

Motion skeletons drive 3D character animation by transforming bone hierarchies, but differences in proportions or structure make motion data hard to transfer across skeletons, posing challenges for data-driven motion synthesis. Temporal Point Clouds (TPCs) offer an unstructured, cross-compatible motion representation. Though reversible with skeletons, TPCs mainly serve for compatibility, not for direct motion task learning. Doing so would require data synthesis capabilities for the TPC format, which presents unexplored challenges regarding its unique temporal consistency and point identifiability. Therefore, we propose PUMPS, the primordial autoencoder architecture for TPC data. PUMPS independently reduces frame-wise point clouds into sampleable feature vectors, from which a decoder extracts distinct temporal points using latent Gaussian noise vectors as sampling identifiers. We introduce linear assignment-based point pairing to optimise the TPC reconstruction process, and negate the use of expensive point-wise attention mechanisms in the architecture. Using these latent features, we pre-train a motion synthesis model capable of performing motion prediction, transition generation, and keyframe interpolation. For these pre-training tasks, PUMPS performs remarkably well even without native dataset supervision, matching state-of-the-art performance. When fine-tuned for motion denoising or estimation, PUMPS outperforms many respective methods without deviating from its generalist architecture.

Poster
PUMA: Empowering Unified MLLM with Multi-granular Visual Generation

Rongyao Fang, Chengqi Duan, Kun Wang, Hao Li, Linjiang Huang, Hao Tian, Xingyu Zeng, Rui Zhao, Jifeng Dai, Hongsheng Li, Xihui Liu

Expand abstract

Recent advancements in multimodal foundation models have yielded significant progress in vision-language understanding. Initial attempts have also explored the potential of multimodal large language models for visual content generation. However, existing approaches face a trade-off between generation diversity and controllability, struggling to meet the varying granularity demands of different image generation tasks within a unified MLLM framework. In this work, we propose PUMA, emPowering Unified MLLM with Multi-grAnular visual generation, a novel paradigm that tackles the diversity-controllability trade-off. PUMA achieves this by unifying multi-granular visual features as both inputs and outputs of MLLMs, thus effectively meeting the distinct granularity needs for diverse generation and precise manipulation within a single framework. Following multimodal pretraining and instruction tuning, PUMA demonstrates remarkable capabilities in a wide range of multimodal tasks, including image understanding, diverse text-to-image generation, editing, inpainting, colorization, and conditional generation. This work marks a significant stride towards realizing truly unified MLLMs capable of seamlessly adapting to the diverse granularity demands and task requirements inherent in various visual tasks. The code and model will be released upon acceptance.

Poster
PS3: A Multimodal Transformer Integrating Pathology Reports with Histology Images and Biological Pathways for Cancer Survival Prediction

Manahil Raza, Ayesha Azam, Talha Qaiser, Nasir Rajpoot

Expand abstract

Current multimodal fusion approaches in computational oncology primarily focus on integrating multi-gigapixel histology whole slide images (WSIs) with genomic or transcriptomic data, demonstrating improved survival prediction. We hypothesize that incorporating pathology reports can further enhance prognostic performance. Pathology reports, as essential components of clinical workflows, offer readily available complementary information by summarizing histopathological findings and integrating expert interpretations and clinical context. However, fusing these modalities poses challenges due to their heterogeneous nature. WSIs are high-dimensional, each containing several billion pixels, whereas pathology reports consist of concise text summaries of varying lengths, leading to potential modality imbalance. To address this, we propose a prototype-based approach to generate balanced representations, which are then integrated using a Transformer-based fusion model for survival prediction that we term PS3 (Predicting Survival from Three Modalities). Specifically, we present: (1) Diagnostic prototypes from pathology reports, leveraging self-attention to extract diagnostically relevant sections and standardize text representation; (2) Histological prototypes to compactly represent key morphological patterns in WSIs; and (3) Biological pathway prototypes to encode transcriptomic expressions, accurately capturing cellular functions. PS3, the three-modal transformer model, processes the resulting prototype-based multimodal tokens and models intra-modal and cross-modal interactions across pathology reports, WSIs and transcriptomic data. The proposed model outperforms state-of-the-art methods when evaluated against clinical, unimodal and multimodal baselines on six datasets from The Cancer Genome Atlas (TCGA). The code will be released upon publication.

Poster