Abstract
Spatial omics is a broad term referring to technologies that allow for biomolecules to be observed within their native tissue context. These technologies have been used by biomedical researchers to gain a better understanding of cellular interactions, tumor microenvironment dynamics, and immune cell infiltration. While the basic outputs, such as spatial coordinates, segmentation masks, and transcript/protein matrices, are provided by the instrument software, the true biological insights come from several downstream, specialized analysis steps. Since spatial omics remains a relatively new field, no unified analysis pipeline has yet been established to encompass all platforms. Most workflows are adapted from single-cell RNA sequencing analysis frameworks, while incorporating additional steps that are specific to spatial data, especially for imaging-based technologies. At the same time, the diversity of platforms, data modalities, and output formats has introduced substantial challenges for data representation, interoperability, and cross-platform integration, highlighting the need for flexible, spatially aware, and user-friendly data structures made specifically for imaging-based data not merely adapted from other methods. This review summarizes the general analytical steps following spatial omics data acquisition, commonly used data infrastructures and tools, existing gaps, and future directions in the field.
Keywords
References
-
3. Andrews TS, Kiselev VY, McCarthy D, Hemberg M. Tutorial: Guidelines for the computational analysis of single-cell RNA sequencing data. Nat Protoc. 2021;16(1):1-9.[DOI]
-
8. Sui X, Lo JA, Luo S, He Y, Tang Z, Lin Z, et al. Scalable spatial single-cell transcriptomics and translatomics in 3D thick tissue blocks. Nat Methods. 2025;22:2574-2584.[DOI]
-
9. Chen A, Liao S, Cheng M, Ma K, Wu L, Lai Y, et al. Spatiotemporal transcriptomic atlas of mouse organogenesis using DNA nanoball-patterned arrays. Cell. 2022;185(10):1777-1792.[DOI]
-
11. Degatano K, Awdeh A, Cox RS III, Dingman W, Grant G, Khajouei F, et al. Warp analysis research pipelines: Cloud-optimized workflows for biological data processing and reproducible analysis. Bioinformatics. 2025;41(10):btaf494.[DOI]
-
12. Chu YH, Hardin H, Zhang R, Guo Z, Lloyd RV. In situ hybridization: Introduction to techniques, applications and pitfalls in the performance and interpretation of assays. Semin Diagn Pathol. 2019;36(5):336-341.[DOI]
-
13. Liu Y, Dai Y, Wang L. Spatial omics at the forefront: Emerging technologies, analytical innovations, and clinical applications. Cancer Cell. 2026;44(1):24-49.[DOI]
-
14. Righelli D, Weber LM, Crowell HL, Pardo B, Collado-Torres L, Ghazanfar S, et al. SpatialExperiment: Infrastructure for spatially-resolved transcriptomics data in R using Bioconductor. Bioinformatics. 2022;38(11):3128-3131.[DOI]
-
15. Amezquita RA, Lun ATL, Becht E, Carey VJ, Carpp LN, Geistlinger L, et al. Orchestrating single-cell analysis with bioconductor. Nat Meth. 2020;17(2):137-145.[DOI]
-
16. Satija R, Farrell JA, Gennert D, Schier AF, Regev A. Spatial reconstruction of single-cell gene expression data. Nat Biotechnol. 2015;33(5):495-502.[DOI]
-
17. Virshup I, Rybakov S, Theis FJ, Angerer P, Wolf FA. Anndata: Access and store annotated datamatrices. J Open Source Softw. 2024;9(101):4371.[DOI]
-
18. Wolf FA, Angerer P, Theis FJ. SCANPY large-scale single-cell gene expression data analysis. Genome Biol. 2018;19(1):15.[DOI]
-
19. Moses L, Einarsson PH, Jackson K, Luebbert L, Booeshaghi AS, Antonsson S, et al. Voyager: Exploratory single-cell genomics data analysis with geospatial statistics. BioRxiv [Preprint]. 2023.[DOI]
-
20. Pebesma E. Simple features for R: Standardized support for spatial vector data. R J. 2018;10(1):439.[DOI]
-
21. Marconato L, Palla G, Yamauchi KA, Virshup I, Heidari E, Treis T, et al. SpatialData: An open and universal data framework for spatial omics. Nat Meth. 2025;22(1):58-62.[DOI]
-
22. Mitchel J, Gao T, Cole E, Petukhov V, Kharchenko PV. Impact of segmentation errors in analysis of spatial transcriptomics data. BioRxiv [Preprint]. 2025.[DOI]
-
23. Wu L, Beechem JM, Danaher P. Using transcripts to refine image based cell segmentation with FastReseg. Sci Rep. 2025;15:30508.[DOI]
-
24. Stringer C, Pachitariu M. Cellpose3: One-click image restoration for improved cellular segmentation. Nat Meth. 2025;22(3):592-599.[DOI]
-
25. Schmidt U, Weigert M, Broaddus C, Myers G. Cell detection with star-convex polygons. In: Frangi AF, Schnabel JA, Davatzikos C, Alberola-López C, Fichtinger G, editors. Medical image computing and computer assisted intervention–MICCAI 2018; 2018 Sep 16-20; Granada, Spain. Cham: Springer; 2018. p. 265-273.[DOI]
-
26. Heidari E, Moorman A, Unyi D, Pasnuri N, Rukhovich G, Calafato D, et al. Segger: Fast and accurate cell segmentation of imaging-based spatial transcriptomics data. BioRxiv [Preprint]. 2025.[DOI]
-
29. Jones DC, Elz AE, Hadadianpour A, Ryu H, Glass DR, Newell EW. Cell simulation as cell segmentation. Nat Meth. 2025;22(6):1331-1342.[DOI]
-
32. He Y, Tang X, Huang J, Ren J, Zhou H, Chen K, et al. ClusterMap for multi-scale clustering analysis of spatial gene expression. Nat Commun. 2021;12:5909.[DOI]
-
35. Salas SM, Dammann M, Rubens RK, Drummer F, Halle L, Becker S, et al. Exploration of RNA outside segmented cells in spatial transcriptomics reveals extrasomatic RNA organization. BioRxiv [Preprint]. 2025.[DOI]
-
38. Plummer JT, Dezem FS, Cook DP, Park J, Zhang L, Liu Y, et al. Standardized metrics for assessment and reproducibility of imaging-based spatial transcriptomics datasets. Nat Biotechnol. 2025;1-13.[DOI]
-
41. Atta L, Clifton K, Anant M, Aihara G, Fan J. Gene count normalization in single-cell imaging-based spatially resolved transcriptomics. Genome Biol. 2024;25(1):153.[DOI]
-
42. Li W, Mao L, Liu Y, Peng F, Sachs N, Wu W, et al. Toward computationally complete spatial omics. BioRxiv [Preprint]. 2026.[DOI]
-
48. Korotkevich G, Sukhov V, Budin N, Shpak B, Artyomov MN, Sergushichev A. Fast gene set enrichment analysis. BioRxiv [Preprint]. 2016.[DOI]
-
49. Aibar S, González-Blas CB, Moerman T, Huynh-Thu VA, Imrichova H, Hulselmans G, et al. SCENIC: Single-cell regulatory network inference and clustering. Nat Meth. 2017;14(11):1083-1086.[DOI]
-
51. Toro-Domínguez D, Martorell-Marugán J, Martinez-Bueno M, López-Domínguez R, Carnero-Montoro E, Barturen G, et al. Scoring personalized molecular portraits identify Systemic Lupus Erythematosus subtypes and predict individualized drug responses, symptomatology and disease progression. Brief Bioinform. 2022;23(5):bbac332.[DOI]
-
56. Zhong Y, Zhang J, Ren X. Spatial transcriptomics prediction from histology images at single-cell resolution using RedeHist. BioRxiv [Preprint]. 2024.[DOI]
-
59. Blampey Q, Benkirane H, Bercovici N, Mulder K, Gessain G, Ginhoux F, et al. Novae: A graph-based foundation model for spatial transcriptomics data. Nat Meth. 2025;22(12):2539-2550.[DOI]
-
60. Bussi Y, Shainshein D, Ovits E, Posner S, Azulay N, Maimon N, et al. CellTune: An integrative software for accurate cell classification in spatial proteomics. BioRxiv [Preprint]. 2025.[DOI]
-
62. Amitay Y, Bussi Y, Feinstein B, Bagon S, Milo I, Keren L. CellSighter: A neural network to classify cells in highly multiplexed images. Nat Commun. 2023;14:4302.[DOI]
-
64. Ma Y, Zhou X. Spatially informed cell-type deconvolution for spatial transcriptomics. Nat Biotechnol. 2022;40(9):1349-1359.[DOI]
-
65. Zubair A, Chapple RH, Natarajan S, Wright WC, Pan M, Lee HM, et al. Cell type identification in spatial transcriptomics data can be improved by leveraging cell-type-informative paired tissue images using a Bayesian probabilistic model. Nucleic Acids Res. 2022;50(14):e80.[DOI]
-
68. Coleman K, Hu J, Schroeder A, Lee EB, Li M. SpaDecon: Cell-type deconvolution in spatial transcriptomics with semi-supervised learning. Commun Biol. 2023;6:378.[DOI]
-
70. Si Y, Lee C, Hwang Y, Yun JH, Cheng W, Cho CS, et al. FICTURE: Scalable segmentation-free analysis of submicron-resolution spatial transcriptomics. Nat Meth. 2024;21(10):1843-1854.[DOI]
-
73. Traag VA, Waltman L, van Eck NJ. From Louvain to leiden: Guaranteeing well-connected communities. Sci Rep. 2019;9:5233.[DOI]
-
74. Blondel VD, Guillaume JL, Lambiotte R, Lefebvre E. Fast unfolding of communities in large networks. J Stat Mech. 2008;2008(10):P10008.[DOI]
-
75. Yuan Z, Zhao F, Lin S, Zhao Y, Yao J, Cui Y, et al. Benchmarking spatial clustering methods with spatially resolved transcriptomics data. Nat Meth. 2024;21(4):712-722.[DOI]
-
78. Singh A, Cakmak P, Lun JH, Macas J, Plate KH, Reiss Y, et al. Benchmarking cell-type deconvolution in cross-platform transcriptomic data. BioRxiv [Preprint]. 2025.[DOI]
-
80. Palla G, Spitzer H, Klein M, Fischer D, Schaar AC, Kuemmerle LB, et al. Squidpy: A scalable framework for spatial omics analysis. Nat Meth. 2022;19(2):171-178.[DOI]
-
81. Tan Y, Kempchen TN, Becker M, Haist M, Feyaerts D, Liu J, et al. SPACEc: A streamlined, interactive Python workflow for multiplexed image processing and analysis. Nat Commun. 2025;16:10652.[DOI]
-
82. Andrei P, Grieco M, Acha-Sagredo A, Dhami P, Fung K, Rodriguez-Justo M, et al. Kandinsky: Enabling neighbourhood analysis of spatial omics data for functional insights on cell ecosystems. BioRxiv [Preprint]. 2025.[DOI]
-
84. Cang Z, Zhao Y, Almet AA, Stabell A, Ramos R, Plikus MV, et al. Screening cell–cell communication in spatial transcriptomics via collective optimal transport. Nat Meth. 2023;20(2):218-228.[DOI]
-
86. Shao X, Li C, Yang H, Lu X, Liao J, Qian J, et al. Knowledge-graph-based cell-cell communication inference for spatially resolved transcriptomic data with SpaTalk. Nat Commun. 2022;13:4429.[DOI]
-
88. Li H, Ma T, Hao M, Guo W, Gu J, Zhang X, et al. Decoding functional cell–cell communication events by multi-view graph learning on spatial transcriptomics. Brief Bioinform. 2023;24(6):bbad359.[DOI]
-
90. Jin S, Guerrero-Juarez CF, Zhang L, Chang I, Ramos R, Kuan CH, et al. Inference and analysis of cell-cell communication using CellChat. Nat Commun. 2021;12:1088.[DOI]
-
91. Browaeys R, Saelens W, Saeys Y. NicheNet: Modeling intercellular communication by linking ligands to target genes. Nat Meth. 2020;17(2):159-162.[DOI]
-
92. Efremova M, Vento-Tormo M, Teichmann SA, Vento-Tormo R. CellPhoneDB: Inferring cell–cell communication from combined expression of multi-subunit ligand–receptor complexes. Nat Protoc. 2020;15(4):1484-1506.[DOI]
-
94. Cesaro G, Nagai JS, Gnoato N, Chiodi A, Tussardi G, Klöker V, et al. Advances and challenges in cell–cell communication inference: A comprehensive review of tools, resources, and future directions. Brief Bioinform. 2025;26(3):bbaf280.[DOI]
-
97. Lopez R, Regier J, Cole MB, Jordan MI, Yosef N. Deep generative modeling for single-cell transcriptomics. Nat Meth. 2018;15(12):1053-1058.[DOI]
-
98. Ludington L, Ouardini K, Secheresse X, Loeb R, Pignet A, Domingues OD, et al. Comprehensive benchmarking of batch integration methods for spatial transcriptomics using a large-scale cancer atlas. BioRxiv [Preprint]. 2026.[DOI]
-
101. Guo Y, Liu JS, Cheng H, Ma Y. JADE: Joint Alignment and Deep Embedding for Multi-Slice Spatial Transcriptomics. BioRxiv [Preprint]. 2025.[DOI]
-
104. Zhang C, Liu L, Zhang Y, Li M, Fang S, Kang Q, et al. spatiAlign: An unsupervised contrastive learning model for data integration of spatially resolved transcriptomics. GigaScience. 2024;13:giae042.[DOI]
-
105. Wess M, Midtbust E, Guillem JCC, Viset T, Størkersen Ø, Krossa S, et al. Spatial integration of multi-omics data from serial sections using the novel Multi-Omics Imaging Integration Toolset. GigaScience. 2025;14:giaf035.[DOI]
-
106. Zhou X, Dong K, Zhang S. Integrating spatial transcriptomics data across different conditions, technologies and developmental stages. Nat Comput Sci. 2023;3(10):894-906.[DOI]
-
108. Lou Y, Li X, Yang Q, Dai H, Ma K, Zuo C. Vector-guided graph learning for spatial multi-slice multi-omics alignment. Cell Rep Meth. 2025;5(12):101241.[DOI]
-
109. Liu Y, Ma K, Xu H, Xu K, Hu Y, Lin Z, et al. Interpretable spatial multi-omics data integration and dimension reduction with SpaMV. BioRxiv [Preprint]. 2025.[DOI]
-
110. Yang P, Jin K, Yao Y, Jin L, Shao X, Li C, et al. Spatial integration of multi-omics single-cell data with SIMO. Nat Commun. 2025;16:1265.[DOI]
-
111. Liu Y, Wang C, Wang Z, Chen L, Li Z, Song J, et al. High-parameter spatial multi-omics through histology-anchored integration. Nat Meth. 2026;23(2):373-386.[DOI]
-
112. Coleman K, Schroeder A, Loth M, Zhang D, Park JH, Sung JY, et al. Resolving tissue complexity by multimodal spatial omics modeling with MISO. Nat Meth. 2025;22(3):530-538.[DOI]
-
114. Pitino E, Pascual-Reguant A, Segato-Dezem F, Wise K, Salvador-Martinez I, Crowell HL, et al. STAMP: Single-cell transcriptomics analysis and multimodal profiling through imaging. Cell. 2025;188(18):5100-5117.[DOI]
-
115. Khan M, Arslanturk S, Draghici S. A comprehensive review of spatial transcriptomics data alignment and integration. Nucleic Acids Res. 2025;53(12):gkaf536.[DOI]
-
116. Yan Y, Gu T, Sun C, Zhang Y, Cui Y, Lin S, et al. Benchmarking alignment methods for spatial transcriptomics data. Nat Comput Sci. 2026;1-18.[DOI]
-
117. Atta L, Clifton K, Anant M, Aihara G, Fan J. Gene count normalization in single-cell imaging-based spatially resolved transcriptomics. BioRxiv [Preprint]. 2024.[DOI]
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