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Update AZ-POSTMAN deck: reframe as engagement timeline
- Vision slide: spatial proteomics from any H&E, signal was always there - Problem: missed opportunity framing, almost none have spatial proteomics - Solution: 183 channels, 3.45M patches - Comparison table: added ROSIE (134M patches) and GigaTIME (49K) numbers - Timeline: reframed as "how we'd work together" not internal status - Next steps: reframed as "how we work" - Changed biomarkers → channels/protein markers throughout Co-Authored-By: Claude Opus 4.5 <noreply@anthropic.com>
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slides/AZ-postman.md

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![w:400](../assets/logo-white.svg)
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## POSTMAN
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<span style="color:#D9D1BB">In Silico spatial proteomics from H&E</span>
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<span style="color:#D9D1BB">In silico spatial proteomics from H&E</span>
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---
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## What if every H&E slide already contained spatial proteomics?
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## What if you could get spatial proteomics from any H&E?
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Every clinical trial generates **thousands of H&E slides**. The spatial protein information is encoded in the tissue morphology — we just couldn't read it. Until now.
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At a fraction of the cost. No limit on scale.
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POSTMAN unlocks **183 biomarkers** from routine histology — no wet lab, no extra tissue, no waiting.
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Run spatial proteomics on **1,000 H&E slides** for the cost of staining one.
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POSTMAN unlocks **183 spatially resolved protein biomarkers** from routine histology.
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<small style="margin-top:auto;color:#D9D1BB">POSTMAN is the first model in our spatial biology platform.</small>
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- The hook: the data is already there, hidden in morphology
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- Reframe H&E from "basic stain" to "information-rich source"
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- This is the vision before we explain the problem/solution
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- The "first model" line plants the seed that there's more coming
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-->
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---
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## The problem: H&E archives are under-leveraged
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## The missed opportunity on H&E
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- You have **thousands of H&E slides** — but most lack paired spatial proteomics
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- Running mIF assays is **expensive** ($5-10K/slide) and slow (days per round)
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- Many archived samples are **degraded or exhausted** — you can't run new assays on them
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- Without spatial biomarker data, you're leaving **patient stratification insights** on the table
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- You have **thousands of H&E slides** — but you can't run spatial proteomics on all of them
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- Running mIF assays is **expensive** ($5-10K/slide) and takes days per round
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- Many samples are **degraded or hard to access** — you can't run new assays
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- **Thousands of patients. Decades of trials. Spatial proteomics on almost none of them.**
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- This is the pain point: H&E is cheap and abundant, proteomics is expensive and scarce
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```mermaid
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graph LR
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A["H&E image"] --> B["POSTMAN"] --> C["Predicted mIF<br/>183 biomarkers"]
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A["H&E image"] --> B["POSTMAN"] --> C["Predicted mIF<br/>183 channels"]
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style A fill:#F2F1ED,color:#00120A,stroke:#D9D1BB
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style B fill:#00120A,color:#F2F1ED,stroke:#00120A
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style C fill:#F2F1ED,color:#00120A,stroke:#D9D1BB
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We trained on **7.5 TB of paired H&E + mIF data** — the largest dataset in the field.
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- **3.45M patches** across **18,573 regions**
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- Covers **183 unique biomarkers** — immune, structural, functional
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- Covers **183 unique protein markers** — immune, structural, functional
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- Pan-cancer, multi-site training data
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<!--
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### Training scale
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| Method | Patches | Biomarkers |
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| Method | Patches | Channels |
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|--------|---------|------------|
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| HEX (2026) | 755K | 40 |
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| ROSIE (2025) | | 50 |
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| GigaTIME (2026) | | 21 |
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| HEX (2025) | 755K | 40 |
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| ROSIE (2025) | 134M | 50 |
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| GigaTIME (2025) | 49K | 21 |
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| **POSTMAN** | **3.45M** | **183** |
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</div>
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<div style="flex:1">
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### Architecture advantages
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- **VAE + Flow Matching**generates realistic spatial distributions, not blurry averages
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- **State-of-the-art generative modeling**produces realistic spatial distributions, not blurry averages
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- Predicts **spatially resolved** expression, not slide-level labels
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- Fine-tunable to your indications and target panels
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## The cost equation changes entirely
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**Today**: spatial proteomics costs **$5-10K/slide**, limits you to hundreds of patients.
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**With POSTMAN**: run the assay on a small subset, predict the rest.
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<div style="display:flex;gap:60px;margin-top:30px">
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<div style="flex:1;text-align:center">
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### Traditional approach
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100 slides × $7K = **$700K**
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(and you can't re-run degraded samples)
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</div>
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<div style="flex:1;text-align:center">
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### POSTMAN approach
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10 slides × $7K + inference = **$70K**
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(predict the other 90 from H&E)
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## How we'd work together
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<div style="position:relative;margin:40px 0 30px 0;padding:0 20px;height:20px;display:flex;align-items:center">
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<div style="position:absolute;left:20px;right:20px;height:4px;background:linear-gradient(to right,#004D3B 30%,#D9D1BB 30%);border-radius:2px"></div>
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<div style="position:absolute;left:20px;width:20px;height:20px;background:#004D3B;border-radius:50%;border:3px solid #fff"></div>
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<div style="position:absolute;left:30%;width:20px;height:20px;background:#D9D1BB;border-radius:50%;border:3px solid #fff"></div>
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<div style="position:absolute;left:42%;width:20px;height:20px;background:#D9D1BB;border-radius:50%;border:3px solid #fff"></div>
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<div style="position:absolute;right:20px;font-size:1.2em;color:#D9D1BB">→</div>
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</div>
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<div style="display:flex;justify-content:space-between;padding:0 20px;font-size:0.7em">
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<div style="text-align:left"><strong>Now</strong><br/>Align on validation criteria</div>
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<div style="text-align:center;margin-left:5%"><strong>March 1</strong><br/>We deliver model</div>
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<div style="text-align:center"><strong>You validate</strong><br/>Run on your cohort</div>
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<div style="text-align:right"><strong>Ongoing</strong><br/>Fine-tune & expand</div>
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</div>
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- 10x cost reduction is conservative
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- Real value: you can analyze samples you physically can't re-stain
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- Enables retrospective analysis of trial archives
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---
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## Status and timeline
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### Current status
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### Validation plan
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- Model: **Training**
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- Dataset: 7.5 TB indexed and preprocessed
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- Early reconstructions showing strong PCC/SSIM
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- **Reconstruction metrics** — PCC, SSIM per marker
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- **Cox regression** — overall survival prediction
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- **Open to additional endpoints** you want validated
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### Validation plan
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### What's next
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- **Reconstruction metrics** — PCC, SSIM per biomarker
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- **Cox regression** — overall survival prediction
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- Open to **additional validations** AZ wants to see
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- Fine-tuning on your indications and panels
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- **In-silico perturbations** — responder prediction
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</div>
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</div>
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### Future work
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- Perturbation prediction — how would biomarker expression change under treatment?
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- Fine-tuning on AZ-specific indications and panels
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- Training expected complete by mid-Feb
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- Happy to discuss what validation endpoints matter most to AZ
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- Perturbation is the longer-term vision: predict counterfactuals
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- Reframed as engagement timeline, not internal dev status
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- March 1st is a delivery commitment to them
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- "You validate" puts them in control
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### Next steps
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### How we work
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1. **Define validation criteria** — which biomarkers, which indications, what correlation thresholds?
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1. **Align on success criteria** — which biomarkers, which indications, what validation thresholds
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2. **Share paired data** (optional) — fine-tuning on AZ data will outperform generic model
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2. **Scope the engagement** — define a pilot cohort, timelines, and collaboration terms
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3. **Pilot on your H&E archive** — pick a cohort, we run inference, you validate
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<div style="display:flex;align-items:center;justify-content:center;gap:30px;margin-top:auto">
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<img src="../assets/logo-pthalo.svg" width="220" />

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