A Clinically Validated Foundation Model for Comprehensive Lung Pathology Interpretation

Pathological assessment guides lung cancer diagnosis, treatment selection, and prognostic evaluation, yet current CPath approaches rely on task-specific models for isolated objectives. Although pan-cancer foundation models offer versatility, they lack subspecialty-level depth and have not been evaluated across clinical workflows or prospectively validated in real-world settings. We introduce PulmoFoundation, a multi-center, prospectively validated, randomized controlled trial (RCT)-evaluated foundation model for comprehensive lung pathology assessment across pre-operative, intra-operative, and post-operative care. Built upon Virchow2 via subspecialty-specific pretraining using ~40,000 diagnostic H&E-stained whole-slide images (WSIs), PulmoFoundation was systematically evaluated on ~26,000 WSIs across 32 clinically relevant tasks. In addition to accurately predicting molecular markers and patient survival, our model achieves clinical-grade performance in core diagnostic tasks across biopsy, frozen section, and surgical resection slides. In a registered prospective study of 1,357 patients across 11 diagnostic tasks, our model achieved an average AUC of 92.3%. Using pre-specified triage thresholds, PulmoFoundation could reduce additional second-review burden for 68.8% of biopsies and 83.0% of frozen sections, and defer 44.5% of IHC stain orders, with PPVs of 1.0, 0.991, and 0.966. Beyond prospective validation, we conducted a crossover RCT with eight pathologists, in which AI assistance improved diagnostic accuracy across 4,928 case-reader pairs (91.7% w/ AI vs. 83.8% w/o AI). AI assistance also reduced median diagnostic time by 19.6%, increased diagnostic confidence by 8.7%, and improved inter-rater agreement from moderate (kappa = 0.56) to substantial (kappa = 0.76). Together, these evaluations support PulmoFoundation as a clinically validated decision-support system for lung pathology.

Linking Heterogeneous Data with Coordinated Agent Flows for Social Media Analysis

Social media platforms generate massive volumes of heterogeneous data, capturing user behaviors, textual content, temporal dynamics, and network structures. Analyzing such data is crucial for understanding phenomena such as opinion dynamics, community formation, and information diffusion. However, discovering insights from this complex landscape is exploratory, conceptually challenging, and requires expertise in social media mining and visualization. Existing automated approaches, though increasingly leveraging large language models (LLMs), remain largely confined to structured tabular data and cannot adequately address the heterogeneity of social media analysis. We present SIA (Social Insight Agents), an LLM agent system that links heterogeneous multi-modal data -- including raw inputs (e.g., text, network, and behavioral data), intermediate outputs, mined analytical results, and visualization artifacts -- through coordinated agent flows. Guided by a bottom-up taxonomy that connects insight types with suitable mining and visualization techniques, SIA enables agents to plan and execute coherent analysis strategies. To ensure multi-modal integration, it incorporates a data coordinator that unifies tabular, textual, and network data into a consistent flow. Its interactive interface provides a transparent workflow where users can trace, validate, and refine the agent's reasoning, supporting both adaptability and trustworthiness. Through expert-centered case studies and quantitative evaluation, we show that SIA effectively discovers diverse and meaningful insights from social media while supporting human-agent collaboration in complex analytical tasks.