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Add IHC panel expansion slide and speaker notes throughout elucidate deck
New slide for Gul's cross-section multiplex + IHC imputation use case, with references to closest published methods (7-UP, MIM-CyCIF, ExIF). Added concise bulleted speaker notes to every slide covering talking points, paper citations, and meeting context.
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elucidate.md

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## Strand AI x Elucidate Bio
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<span style="color:#D9D1BB">Virtual spatial omics at scale</span>
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<span style="color:#D9D1BB">in-silico spatial omics at scale</span>
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<span style="color:#D9D1BB;margin-top:40px;display:block">Backed by Y Combinator (W26)</span>
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<!--
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- Oded: ex-Enable Medicine, petabyte-scale spatial biology platform
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- Yue: ex-Enable / Pathos / Tempus AI, managed 1000+ H200s
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- YC W26
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-->
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## Recap: what you told us you need
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- **H&E → proteomics** (primary) and **H&E → transcriptomics** (secondary)
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- **H&E → proteomics** and **H&E → transcriptomics**
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- Impute missing proteins onto your proteomic stack from IHC on serial sections
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- Longer term: **predict any missing modality** from the other two (H&E, proteomics, transcriptomics)
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- Correlations **> 0.8** — current published methods aren't there
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- Validation against **patient outcomes**, not just reconstruction loss
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The throughput bottleneck: spatial omics assays cost **$5-10K+ per slide** and take days. You can't run them on every sample.
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<!--
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- From Jan 20 call with Will + Gul
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- Will: proteomics is primary, transcriptomics secondary
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- Gul: asked about IHC → multiplex stack imputation
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- Both want >0.8 PCC, validated on patient outcomes
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- They know their assays can't scale: MACSima = days/round, RNAscope = 12 RNA targets max
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-->
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</div>
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<!--
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- S2-omics: Nature Cell Bio 2025, smart ROI selection, 76% cell-type accuracy
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- GHIST: Nature Methods 2025, PCC 0.27 on top 20 SVGs, 0.16 across all genes
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- They asked us to look into these — show we did the homework
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-->
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Your paired data + our ML and compute expertise = **accelerate past SOTA**.
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We're already training the first cross-modal bridge.
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<!--
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- POSTMAN is already training — not a proposal, a product
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- Their single-slide multiomics (Sizun Jiang / MICSSS) = co-registered paired data
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- Best possible training signal — no serial-section alignment artifacts
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-->
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<!--
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- HEX: Nature Medicine 2026, 755K tiles, 10 patients, 40 biomarkers
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- GigaTIME: Cell 2026, Microsoft/Providence, 21-channel mIF
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- ROSIE: Nature Comms 2025, 50 proteins, 134M patches
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- POSTMAN uses VAE + Flow Matching (MMDiT) architecture
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-->
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![w:900](assets/postman-biomarker-coverage.png)
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<!-- Walk through the distribution — immune, structural, functional markers all covered -->
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![h:550](assets/postman-reconstruction.png)
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<!-- Point to PCC/SSIM scores per marker — these are early results, expect improvement with fine-tuning -->
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<!--
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- MACSima can do 200+ proteins but ~1 day per staining round
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- Their RNAscope HiPlex Pro caps at 12 RNA targets
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- This is the slide where the FOMO lands — you can't scale without virtual staining
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-->
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<!-- Their proprietary paired data from Sizun Jiang's single-slide platform is uniquely valuable here — co-registered, not serial-section -->
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<small style="margin-top:auto;color:#666">*The S2-omics approach (learn from a small paired region, predict the rest) but trained on your data, your indications, and pushed past their published benchmarks.</small>
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<!--
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- Their biggest RNA gap: RNAscope HiPlex Pro = 12 targets, not discovery-scale
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- This slide addresses their weakest modality
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- Will said transcriptomics is secondary but the need is real
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-->
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---
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<!-- _paginate: false -->
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## Expanding your proteomic panel from IHC
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<div style="display:flex;gap:60px;margin-top:20px">
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<div style="flex:1">
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### The problem
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- You have a **50-plex mIF panel** on one section and a **single IHC stain** for an extra protein on a serial section
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- Can you **impute that protein into the multiplex stack** — spatially resolved, registered, ready to analyze?
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- Scale it: train on enough pairs and predict new proteins onto the stack from IHC alone
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</div>
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<div style="flex:1">
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### Why nobody has solved this yet
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- **7-UP**, **MIM-CyCIF**, **ExIF** impute missing channels — but only within a single section
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- No published method fuses **cross-section multiplex + single IHC** into an expanded panel
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- Requires serial section registration + panel-aware imputation + cross-stain translation — we build all three
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</div>
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</div>
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<!--
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- Gul's use case from Jan 20 call
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- Will asked: how much signal from H&E (~20%) vs existing 50-plex (~80%)?
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- Closest papers (all same-section only):
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- 7-UP: PNAS Nexus 2023, 7→40 plex
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- MIM-CyCIF: Comms Bio 2024, 9→25 channels
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- ExIF: NatComms 2025, anchoring channels concept
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- Genuine open problem — nobody has published cross-section panel expansion
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-->
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