Abstract Advances in both imaging- and sequencing-based spatial transcriptomics technologies have significantly increased panel size and resolution, enabling the measurement and analysis of spatially resolved single-cell transcriptomics. However, challenges remain in accurately segmenting cells due to variability in cell morphology, tissue processing, and staining methods, leading to reduced accuracy and poor generalization of existing cell segmentation algorithms. To address this, we propose DISSECT, a novel cell segmentation model that combines cytological image segmentation with transcriptome-guided fine-tuning. DISSECT leverages a pre-trained deep generative model to identify cell nuclei or membrane boundaries, unifies the gradient fields of both images and transcriptomics to refine cell boundaries, and reconstructs spatial single-cell transcriptomes. We benchmarked DISSECT using the ground-truth dataset profiled by the Visium HD, Stereo-seq, Xenium 5k, and CosMx 6k platforms, demonstrating higher mean average precision than other tools. Furthermore, evaluations on independent 10x Xenium 1k, Nanostring CosMx 1k, and Stereo-seq datasets further validate that DISSECT achieves superior segmentation accuracy, especially in densely packed cell regions. Additionally, DISSECT was applied to three paired gastric adenocarcinoma samples, which we collected before and after PD-1 treatment and sequenced using Stereo-seq, a transcriptome-wide NGS-based sequencing technology, showcasing its potential for driving in-depth biological discoveries. Citation Format: Yufeng He, Yanping Zhao, Rui Zhang, Heli Yang, Zhaode Bu, Yuan Luo, Deng Pan, Zexian Zeng. DISSECT integrates cytological images and spatial transcriptomics for cell segmentation abstract. In: Proceedings of the American Association for Cancer Research Annual Meeting 2026; Part 1 (Regular Abstracts); 2026 Apr 17-22; San Diego, CA. Philadelphia (PA): AACR; Cancer Res 2026;86(7 Suppl):Abstract nr 6895.
He et al. (Fri,) studied this question.