Scalable 3D cell-interaction analysis via supercell graphs for prostate cancer risk stratification.

Abstract

Cellular interactions underlie fundamental biological processes but are not fully represented in conventional 2D histology images. While 3D pathology allows for more-accurate construction of cell-level graphs, machine-learning models are computationally unwieldy and prone to overfitting, especially when dealing with small cohorts. Here, we introduce <b>SCALE3D</b>, a <b>S</b>uper<b>C</b>ell graph <b>A</b>nalysis framework for <b>L</b>arg<b>E 3D</b> pathology datasets. In SCALE3D, spatially adjacent and morphologically similar cells are grouped into functional "supercells." Supercell subtypes are defined via morphology-based clustering and 3D graphs connecting these supercells are used to model their interactions. Validation was performed with 76 radical prostatectomy specimens from patients with known 5-year biochemical recurrence (BCR) outcomes. SCALE3D-derived features achieve higher performance for BCR prediction than established 3D nuclear and glandular morphological features. Combining these complementary features further improves prediction performance. Compared to individual cell-level 3D graphs, SCALE3D maintains comparable prognostic performance with improved noise tolerance while reducing computational times by up to 1,000-fold.

EDRN PI Authors
  • (None specified)
Medline Author List
  • Almagro-Pérez C
  • Baraznenok E
  • Brenes D
  • Chan E
  • Chow SSL
  • Downes M
  • Lal P
  • Liu JTC
  • Lopez JS
  • Madabhush A
  • Mahmood F
  • Serafin R
  • Song AH
  • True LD
  • Yan R
  • Zhao Y
PubMed ID
Appears In
bioRxiv, 2026 Jul (issue None)