Subspecialty-Specific Foundation Model for Intelligent Gastrointestinal Pathology

Gastrointestinal (GI) diseases represent a clinically significant burden, necessitating precise diagnostic approaches to optimize patient outcomes. Conventional histopathological diagnosis, heavily reliant on the subjective interpretation of pathologists, suffers from limited reproducibility and diagnostic variability. To overcome these limitations and address the lack of pathology-specific foundation models for GI diseases, we develop Digepath, a specialized foundation model for GI pathology. Our framework introduces a dual-phase iterative optimization strategy combining pretraining with fine-screening, specifically designed to address the detection of sparsely distributed lesion areas in whole-slide images. Digepath is pretrained on more than 353 million image patches from over 200,000 hematoxylin and eosin-stained slides of GI diseases. It attains state-of-the-art performance on 33 out of 34 tasks related to GI pathology, including pathological diagnosis, molecular prediction, gene mutation prediction, and prognosis evaluation, particularly in diagnostically ambiguous cases and resolution-agnostic tissue classification.We further translate the intelligent screening module for early GI cancer and achieve near-perfect 99.6% sensitivity across 9 independent medical institutions nationwide. The outstanding performance of Digepath highlights its potential to bridge critical gaps in histopathological practice. This work not only advances AI-driven precision pathology for GI diseases but also establishes a transferable paradigm for other pathology subspecialties.

P/D-Serve: Serving Disaggregated Large Language Model at Scale

Serving disaggregated large language models (LLMs) over tens of thousands of xPU devices (GPUs or NPUs) with reliable performance faces multiple challenges. 1) Ignoring the diversity (various prefixes and tidal requests), treating all the prompts in a mixed pool is inadequate. To facilitate the similarity per scenario and minimize the inner mismatch on P/D (prefill and decoding) processing, fine-grained organization is required, dynamically adjusting P/D ratios for better performance. 2) Due to inaccurate estimation on workload (queue status or maintained connections), the global scheduler easily incurs unnecessary timeouts in prefill. 3) Block-fixed device-to-device (D2D) KVCache transfer over cluster-level RDMA (remote direct memory access) fails to achieve desired D2D utilization as expected. To overcome previous problems, this paper proposes an end-to-end system P/D-Serve, complying with the paradigm of MLOps (machine learning operations), which models end-to-end (E2E) P/D performance and enables: 1) fine-grained P/D organization, mapping the service with RoCE (RDMA over converged ethernet) as needed, to facilitate similar processing and dynamic adjustments on P/D ratios; 2) on-demand forwarding upon rejections for idle prefill, decoupling the scheduler from regular inaccurate reports and local queues, to avoid timeouts in prefill; and 3) efficient KVCache transfer via optimized D2D access. P/D-Serve is implemented upon Ascend and MindSpore, has been deployed over tens of thousands of NPUs for more than eight months in commercial use, and further achieves 60\%, 42\% and 46\% improvements on E2E throughput, time-to-first-token (TTFT) SLO (service level objective) and D2D transfer time. As the E2E system with optimizations, P/D-Serve achieves 6.7x increase on throughput, compared with aggregated LLMs.