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Advances in spatial transcriptomic data analysis

Ruben Dries, Jiaji Chen, Natalie del Rossi and 3 more (opens in a new tab)

Genome Research · 2021 · Review

doi:10.1101/gr.275224.121 (opens in a new tab)

Abstract

Spatial transcriptomics is a rapidly growing field that promises to comprehensively characterize tissue organization and architecture at the single-cell or subcellular resolution. Such information provides a solid foundation for mechanistic understanding of many biological processes in both health and disease that cannot be obtained by using traditional technologies. The development of computational methods plays important roles in extracting biological signals from raw data. Various approaches have been developed to overcome technology-specific limitations such as spatial resolution, gene coverage, sensitivity, and technical biases. Downstream analysis tools formulate spatial organization and cell–cell communications as quantifiable properties, and provide algorithms to derive such properties. Integrative pipelines further assemble multiple tools in one package, allowing biologists to conveniently analyze data from beginning to end. In this review, we summarize the state of the art of spatial transcriptomic data analysis methods and pipelines, and discuss how they operate on different technological platforms.

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From PubMed Central, U.S. National Library of Medicine, as current on Oct 20, 2026. Paragraph numbers are ours, so an answer can point at one.

Multicellular organisms consist of tissues and organs, each specializing in a subset of biological processes and performed by the coordinated activities of many cells. Although all normal cells share the same genome, their gene expression patterns and morphology can be drastically different. This variation is caused not only by internal gene regulatory circuitry differences but also by signaling from the external tissue environment. Whereas decades of genome-wide studies have accumulated large amounts of information about cell type–specific gene regulatory circuitries, our understanding of the external cell–tissue environment interactions remains limited.

Recent years have witnessed an explosion of technological advances that collectively enable system-level characterization of cellular heterogeneity and spatial organization of tissues/organs. Perhaps most notably is the rapid development of single-cell RNA-seq technology (scRNA-seq) applications that made it possible to profile and compare the gene expression patterns of a large number of individual cells within a tissue/organ. Together with the development of a rich set of computational methods for data analysis (for review, see; ), the scRNA-seq field has fulfilled a key role in the discovery of novel cell types and laid the foundation for the creation of comprehensive cell atlases in different species. However, a key step in the experimental process is the creation of a single-cell suspension through mechanical and enzymatic dissociation steps, which inherently destroys the original tissue architecture.

As such, reconstructing the structure of a tissue from its cellular components alone is extremely difficult, if not impossible. Just like putting together a complex jigsaw puzzle from individual pieces, the precise position and organization of the cells matter. The tissue environment plays a critical role during development in which, for example, it defines asymmetric cell fate decisions and instructs cell movement. Positional information continues to be crucial at the adult stage to exert tissue-specific functions, to maintain tissue homeostasis, and to respond to external cues or perturbations. Notably, in diseases such as cancer, the normal tissue environment can be reprogrammed and manipulated to promote malignant cell expansion, which is normally suppressed, whereas deep understanding of the tumor immune environment is essential for developing effective immunotherapeutic approaches.

During the past few years, various technologies have been developed for transcriptomic profiling while preserving spatial information. Collectively, these technologies have been named as the method of the year of 2020 by Nature Methods to recognize their importance and are expected to rapidly transform biological research in the coming years. Currently, there exist three major approaches that are engaged to spatially explore large pieces of tissue and aim to perform this at single-cell resolution and on a genome-wide scale. First, sequential fluorescent in situ hybridization (FISH)–based methods use a targeted approach, which is based on predesigned probes. By introducing clever barcoding strategies combined with sequential hybridization and imaging, they can identify the exact position of tens to thousands of individual transcripts within a fixed tissue specimen. Second, spatial labeling technologies use ingenious ways to link all transcripts within a spatial unit with known coordinates. This in situ capturing step is subsequently followed by an unbiased standard sequencing approach. Third, select genes can be targeted for in situ sequencing (ISS), with the synthesized cDNA products labeled by fluorescent nucleotides and detected by imaging. For more detailed information about the different spatial units and the capturing and linking strategies, the reader is referred to spatial technology reviews. Here we use four data sets to illustrate the outcome or methodology of different spatial transcriptomic analysis steps: (1) a genome-wide spatial transcriptomics data set generated from multiple slices of a breast tumor biospecimen, (2) a subcellular spatial data set from a whole-mouse coronal brain slice with approximately 500 genes across about 78,000 generated by VIZGEN with MERFISH technology (https://info.vizgen.com/mouse-brain-data), (3) a genome-wide spatial data set from the human heart created by the Visium platform from 10x Genomics (https://support.10xgenomics.com/spatial-gene-expression/datasets/1.1.0/V1_Human_Heart), and (4) another subcellular spatial data set covering 10,000 genes from hundreds of cells within the mouse somatosensory cortex and generated by the seqFISH+ technology (Fig. 1; ).

Obtaining a gene expression matrix and corresponding spatial coordinates from a raw ST data set is generally not a trivial process and consists of a number of preprocessing steps. These steps are typically technology or platform dependent, but there are a few recurring preprocessing steps that are inherent to some or all technologies, such as image registration, stitching, and cell segmentation for data based on imaging (Fig. 2).

For imaging-based ST data, such as the FISH and ISS technologies, the most frequent image processing steps are image correction, stitching, registration, segmentation, followed by locating and decoding individual spots that usually correspond to a single transcript. Initial corrections to the obtained images are almost always needed to adjust for technological artifacts and are often dependent on the experimental assay. The main goal here is to increase the signal-to-noise ratio and create normalized intensities for further downstream steps. Multiple overlapping fields of view, or tiles, are needed when the tissue to be analyzed is too big in size, and they need to be stitched back together (Fig. 2A). Similarly, images that consist of multiple z-stacks can be misaligned because of technical or experimental procedures. For example, this occurs when multiple hybridization rounds are sequentially imaged or when creating a 3D data set by using adjacent 2D slices. The process to correct for this misalignment is often referred to as image registration and can be performed using a variety of different transformation algorithms and strategies (Fig. 2B; ). As a demonstrating example, registration transformation is applied to a ST breast cancer data set, in which six sections were taken serially with a distance of 48 microns from each other. Applying registration transformation on all sections results in a clear visual improvement of the vertical alignment of the spatial expression data (Fig. 2B).

Both FISH- and ISS-based techniques provide single-cell or even subcellular resolution; however, this depends on proper identification of cell morphology. Tracing the cell boundaries—and other cellular structures such as the nucleus—is often referred to as cell segmentation (Fig. 2C). Although cell segmentation may appear rather simple to human eyes, it has been proven hard to automate. Segmentation difficulties are further aggravated by factors such as cell density (e.g., solid tumors) or complex cell shapes (e.g., neurons). A large number of methods have already been developed with gradual improvements in the accuracy and quality (for reviews, see; ). More recently, with the surge in deep learning frameworks and applications, there have been some considerable improvements in the creation of generalizable cell segmentation and image registration tools. Finally, each spot needs to be identified and uniquely assigned to a gene. This decoding strategy is typically intertwined with the technological setup and design, but there are efforts to make this more generalizable and available to the broad community (Fig. 2C; ).

On the other hand, there are data that do not necessarily require imaging but rather operate through capturing transcripts within a defined spatial unit and linking them with a known coordinate system before the sequencing step. As such, these approaches are typically less—or not—dependent on the raw image processing steps described above. However additional steps are needed after sequencing to map the transcript back to their spatial coordinates. When accompanying tissue images are available, they may be overlaid with the spatial coordinate system. The readers are referred to the original protocols for more information about the data preprocessing procedures.

Regardless of technological differences, a common goal in ST analysis is to connect and integrate information from both gene expression and cellular or transcript locations. This is crucial for extracting useful biological information, allowing linking with cell morphology and generating new hypotheses (Fig. 3). In the following sections we will review the state-of-the-art computational methods and tools for these analyses. A curated list with additional details for all discussed methods is also provided at GitHub (https://github.com/drieslab/awesome-spatial-data-analysis).

Identification of cell types from ST data

Cell type identification and localization is probably the most basic task for ST data analysis. If the data has single-cell resolution, such as in multiplexed FISH approaches, unsupervised clustering combined with manual or automatic annotation is a common approach to identify cell types in an unbiased manner (Fig. 4A). Because the spatial information is not needed for cell type identification, the task is highly similar to scRNA-seq analysis, for which numerous methods have been developed (for a benchmark study, see ). For example, community-based methods such as Louvain and Leiden clustering are popular choices for cell type identification, in which the clustering results are used as initial guide followed by often tedious manual biological annotations or through automated workflows as recently discussed by. To show this approach, we used the MERFISH coronal slice data set and applied Leiden clustering, resulting in a total of 19 distinct clusters. These clusters are then annotated and mapped back to the spatial coordinates (Fig. 4B).

Although it is possible to use a sequential FISH approach to generate transcriptome-scale profiles, owing to the additional technical challenge, the common practice is to target a limited number of genes (typically only a few hundreds), which are often selected based on prior biological knowledge. As a consequence, the data are insufficient to discover unknown cell types in an unbiased manner but allow the biologists to annotate cell types whose gene signature is already known, often through external scRNA-seq analysis. Although the simplest approach is to identify the cell type whose gene signature has the highest correlation, a drawback is that it does not distinguish cell type marker genes from the transcriptome-wide background. Numerous computational approaches have been developed to optimize accuracy. For example, one approach is to build a support vector machine classifier based on the scRNA-seq data but only use information from the subset of genes that is also profiled in seqFISH. A likelihood ratio test can also be used. Importantly, cross-platform normalization is needed to calibrate signals detected from different technologies. More generally, platform-specific technical variations can be estimated and reduced. Furthermore, Bayesian models have been developed to incorporate the impact of cell segmentation uncertainty on cell type annotations. Apart from cell type annotation, methods have also been developed to impute transcriptome-wide gene expression levels by integration with scRNA-seq data.

Commercially available, array-based ST technologies (such as 10x Genomics Visium and NanoString GeoMx) typically do not have single-cell resolution. Because the variation of gene expression profiles may be associated with changes of cell type composition rather than new cell types, it is not appropriate to apply a clustering algorithm directly to such data and interpret the resulting clusters as cell types. Furthermore, it is possible to estimate cell type composition only if the underlying gene expression signatures are known. There are two general approaches for estimating cell type composition (Fig. 4C). The first approach is to evaluate the enrichment of cell type–specific markers among the expressed genes at each spot. This approach is fast and can be performed one cell type at a time. However, the results are qualitative, indicating the presence or absence of a cell type. The second approach, deconvolution, aims to quantitatively estimate the proportion of different cell types at each location. Many deconvolution methods have been developed and benchmarked for RNA-seq data analysis. In principle, these tools can also be applied to ST analysis. On the other hand, ST data have certain distinct properties; for example, the number of cells associated with each location is often small. Therefore, it is often more accurate to use methods that are tailored for ST analysis. Among these methods, RCTD uses a linear regression model for gene counts, which further incorporates a random-effect term for platform-specific variations. The gene expression levels are modeled by a Poisson distribution. A similar approach is used in stereoscope. Cell2location uses a similar approach but models gene expression using the negative binomial distribution. It can also model platform- and location-specific effects. SpatialDWLS uses a two-step procedure to reduce noise. The first step identifies cell types that are likely to be present, by using an enrichment analysis as described above, and then the second step quantifies the relative proportion of each cell type by using a dampened weighted least-square procedure previously developed for RNA-seq data deconvolution. SPOTlight uses a seeded nonnegative matrix factorization (NMF) regression, initialized using cell type marker genes and nonnegative least squares (NNLS) for subsequent deconvolution. DSTG uses a graph-based convolutional network approach. DestVI uses a variational inference approach for deconvolution. As an illustrating example, we use the Visium heart data set and matching scRNA-seq data to perform both cell type enrichment (Fig. 4D) and spatial deconvolution (Fig. 4E). Visualizing cell type enrichment is performed for each set of signature genes, whereas deconvolution results in a quantitative assessment of cell type composition for each spot.

A complementary approach to study cell type localization is to use scRNA-seq data as the starting point and then reconstruct spatial information based on similarities with spatial expression profiles. Before the explosion of ST technologies, it was possible to obtain spatial information only for a handful of landmark genes using traditional methods. Using such limited information, two groups were able to reconstruct transcriptome-wide spatial patterns using clever computational modeling. Around the same time, tomo-seq and Geo-seq technologies were developed to reconstruct 3D patterns from gene expression profiles obtained from 2D slices. A key missing link is that the spatial information is not directly measured from data; therefore, the patterns inferred from these analyses remain speculative. With the rapid development of ST technologies in the past few years, it is now possible to measure spatial information directly and further integrate with scRNA-seq data for additional refinement. Therefore, newer approaches integrate scRNA-seq and ST data in a more balanced manner. For example, a platform-agnostic, mutual nearest neighbor (MNN) approach has been used to align these data types, which results in cell locations mapping. DEEPsc uses an artificial neural network to predict spatial locations. GLUER combines joint NMF, MNN algorithm, and deep neural network to align data. Tangram aligns scRNA-seq and ST data sets while optimizing the spatial correlation between each gene in the scRNA-seq data and in the spatial data. A similar idea is also implemented in NovaSparc and D-CE. Of note, the alignment can be either probabilistic or deterministic. With the additional assumption that the total number of cells is known (which can be extracted from the H&E staining information), the deterministic mode of Tangram alignment also serves as a deconvolution method.

Characterizing spatial patterns of transcriptomic profiles

The key contribution of ST analysis is to characterize not just the cell types but also how they are spatially organized. This is fundamentally important for studying the impact of tissue architecture and cell–cell interactions (Fig. 5A,C,E). To study the spatial patterns associated with gene expression and cell states, pairwise enrichment analysis can be used to identify cell type pairs that are likely to be next to each other. Cell neighborhood motif analysis identifies recurrent patterns of multiple cell type neighborhoods. An alternative approach to identify enriched patterns is to use topic models. Furthermore, the continuity of cell states can be incorporated into a hidden Markov random field (HMRF) model to identify coherent spatial domains. This approach has been extended in more recent studies. BayesSpace uses a Bayesian formulation of HMRF, and the model parameters are estimated by a Markov chain Monte Carlo (MCMC) algorithm, whereas SPICEMIX combines HMRF with NMF. staNMF combines NMF with a stability criterion study to identify spatial patterns. To illustrate how spatial network patterns and cellular neighborhoods are studied, we used the MERFISH coronal slice data and created a cell–cell proximity network based on the physical coordinates of each cell that are connected through Delaunay triangulation. The cell–cell proximity network along with the heatmap shows the closeness and connectivity between different cell types and informs users about the spatial topology of the studied tissue (Fig. 5B). A detailed exploration of individual niches is shown in Figure 5D. Here, specific cells are identified as “source,” and then their connectivity with other neighboring cell types is depicted.

A number of groups model spatial patterns of gene expression as derived from predefined processes. For example, spatialDE uses a random effect model that contains two terms, corresponding to the spatial and nonspatial component, respectively. The spatial component can be specified as various forms such as linear, periodic, or a Gaussian process. The degree of spatial variability is then quantified by the ratio of the variance explained by these two terms. SOMDE uses a similar approach but increases computational efficiency by first compressing spatial information by using a self-organizing map-based transformation. Trendsceek models spatial patterns as a marked point process. SPARK models spatial count data through generalized linear spatial models with an additional step to calibrate P-value calculation. Some methods are mainly concerned about local continuity. As an example, binSpect detects spatially coherent genes as those that tend to be coexpressed in neighboring cells, using a spatial network formulation. Yet another approach is to quantify spatial structure in terms of diffusive steps it takes to reach a homogeneous configuration. The identification of spatially coherent genes can in turn inform cell-state spatial pattern detection. Alternatively, the spatial gene and domain detection steps are inferred simultaneously. As a concrete example, binSpect was used to identify genes with a spatial coherent pattern in the MERFISH coronal brain slice data, and top-ranked genes are shown in Figure 5F.

Subcellular structure analysis

With the advancement of newer technologies, it is now possible to study subcellular transcript organizations. In addition to FISH-based methods, which are well known to have single-molecule resolution, ISS approaches also offer very high resolution. In addition, high-density array or bead-based technologies have also enabled subcellular resolution. Here we use the seqFISH+ mouse somatosensory cortex data set to illustrate some key concepts of subcellular data analysis (Fig. 6). In a data set with subcellular resolution, each point typically represents a single transcript (Fig. 6A). Analyzing the subcellular gene expression patterns can be used as an alternative approach for spatial analysis but also can be used to enhance the accuracy of cell segmentation (Fig. 6B). Finally, subcellular localization of RNA transcripts can also be used to gain biological insights that are not possible through cell-level analyses. Individual spatial relationships between genes or between genes and subcellular structures are found through analysis of colocalization patterns (Fig. 6C) and transcription dynamics within each cell (Fig. 6D).

A number of methods have been developed to use subcellular gene expression patterns to circumvent cell segmentation, which can be challenging. For example, SSAM assigns cell type labels directly to pixels without cell segmentation. stLearn uses a similar approach but further clusters spatially proximal pixels that are assigned to the same cell type. Spage2vec also uses a similar approach but adapts a neural network formulation. Alternatively, supervised cell type mapping strategies based on known cell type–specific signatures have been developed. For example, a naive Bayes model is used to assign cell types for HDST data. Subcellular gene expression patterns can in turn be used to improve cell segmentation. For example, Baysor models the subcellular gene expression patterns by using a Markov random field model and further integrates cell shape labeling information (such as DAPI) to improve cell segmentation accuracy. Sparcle uses a Dirichlet process mixture model instead as well as the transcripts’ distance between neighboring cells and adjacent transcripts to enhance cell segmentation. JTSA uses an EM algorithm to iteratively improve pixel-level gene expression profile classification and cell-boundary annotations.

Analysis of the subcellular patterns of gene expression can also provide new biological insights. For example, an in situ RNA velocity approach has been developed to use subcellular RNA localization information to infer the transcription rates. Because newly transcribed RNAs are cumulated in the nucleus, whereas mature mRNA needs to be transported to the cytoplasm for translation (Fig. 6D), the relative composition of nuclear versus cytoplasmic transcripts associated with each gene can be used to estimate the transcriptional activity. This is performed by using a similar mathematical formulation as in the original RNA velocity paper.

In addition, colocalized mRNA species in the cytoplasm can be identified with high resolution by using direct proximity labeling of RNA using the peroxidase enzyme APEX2, a method called APEX-seq. Analysis of the resulting data identifies a remarkable correspondence between colocalized RNA with known protein colocalization patterns, suggesting RNA colocalization may facilitate local protein translation and complex formation (Fig. 6C). Also, mRNAs enriched in nuclear locations tend to code for proteins enriched in nuclear speckles and nucleoplasm. Alternatively, subcellular RNA colocalization can also be detected by ATLAS-seq, which uses sucrose density gradient ultracentrifugation followed by RNA sequencing. In this study, it was also found that RNAs tended to colocalize with other RNAs in similar protein complexes, in cellular compartments, or with similar biological functions.

Understanding how cells communicate with the tissue environment

An important goal of ST analysis is to study how cells communicate with the tissue environment (Fig. 7). Cellular behavior can be significantly affected by the tissue environment through direct physical interactions, secreted molecules, or interactions with the extracellular matrix (Fig. 7A). For example, the development of tumor vasculature can significantly promote tumor growth, whereas enriched immune cells in tumor microenvironments could significantly control its proliferation. Cell–cell communications are often spatially coordinated and can be highly cell type–specific. Thus, the variation of cell type compositions could lead to significant changes of gene expression even within the same cell type (Fig. 7B,C).

Giotto introduces a two-way comparison method to identify interaction changed genes by comparing the gene expression pattern between subsets of cells within the same cell type but surrounded by different neighboring cells. Of note, using the spatial information can significantly reduce the number of false-positive ligand–receptor activity predictions compared with using gene expression information alone. A similar approach is used in CellPhoneDB v3.0. In this study, the ST data do not have single-cell resolution. To overcome this challenge, the investigators applied Cell2location to infer the location of different cell types before comparing gene expression patterns associated with different cell neighborhoods. Alternative approaches have been used to quantify the effect of neighboring cell types, including convolutional neural networks, optimal transport, and multioutput regression. Another approach is to explicitly decompose a gene expression profile into spatial and nonspatial components and then use the cell type composition in the neighborhood to estimate the spatial components. The analysis of ligand–receptor interactions has also been extended to include the effect of cofactors in the multiunit protein complexes to enhance prediction accuracy. Of note, algorithms have also been developed to reconstruct spatial locations from cell–cell interaction patterns.

Integrative exploratory tools for spatial data analysis and visualization

To effectively use and disseminate new methods that are being developed to achieve a specific spatial data analysis task, it becomes increasingly important to develop the necessary data structures and tools to work with them at a larger scale. Biologists will benefit from having integrative and interactive pipelines that allow them to conduct various analysis steps, from importing raw data (Fig. 8A) to image analysis (Fig. 8B), followed by the production of final analysis results and figures ready for publication (Fig. 8C), ideally on their personal computer. Method developers can build on previous spatial structures or make their new methods easily available to a larger audience. Currently, there are a number of comprehensive toolboxes available, as described below. Here we will not discuss the specific steps necessary to process raw data, such as images or sequence reads, because they are typically specific for each technology, but we limit the survey to tools that are designed for downstream exploratory data analysis. Most of the code for these tools is written in the popular programming languages R or Python or with a combination of both by making use of recently developed interfaces such as reticulate (https://github.com/rstudio/reticulate) or basilisk (http://basilisk.fr), which allow developers to fully benefit from the strengths of both worlds.

Giotto is an R package that implements this latter strategy and has been shown to work on a large variety of ST technologies. It can also be applied to antibody-based protein multiplexed imaging technologies, although the latter is beyond the scope of this review. At its core, Giotto consists of an object specifically designed for spatial data. At minimum, this object stores both the count matrix and the accompanying 2D or 3D coordinates of the spatial units, either individual cells or spatial aggregates as explained earlier. It provides routine analyses such as filtering, clustering, and cell type annotation and presents spatial relationships as a network graph or through a spatial grid. This network forms the starting point for many new specific spatial analyses and facilitates the integration of other established algorithms through the creation of simple wrappers. For visualization purposes, raw images of the profiled tissue can be stored and used to overlay the obtained spatial results. In parallel, Giotto offers a browser-based visualization tool, Giotto Viewer, that allows users to export their obtained results and explore the spatial data set in an interactive manner.

Seurat is better known as a popular R package for scRNA-seq analysis, but it commenced to offer some advanced functionalities through its spatial branch. The functions are specific to spatial data visualization and the identification of spatial expression patterns through the usage of established methods. Furthermore, other tools such as STUtility and SPATA (a) have built on top of the rich and performant data structure of Seurat to create more comprehensive pipelines that are currently specific for the ST technology. STUtility was developed specifically for the ST technology and offers a wide variety of imaging and data analysis methods that are targeted for this approach. Similarly, SPATA focuses on ST data and was developed to facilitate integration with the popular R packages Seurat and Monocle. Besides visualization and common data analysis functions, SPATA also has a rich repertoire of interactive methods to identify or delineate spatial trajectories.

Squidpy is the spatial counterpart of SCANPY, the popular Python library for scRNA-seq analysis, and was created by the same laboratory. Similar to Giotto, it starts by representing the spatial information through a spatial network and offers a large variety of downstream spatial analysis. In contrast to other toolboxes, it also provides analysis at the image level, which ranges from typical tasks such as segmentation or registration to more advanced ways of extracting and using morphology information in downstream analysis. Stlearn is another Python library for ST data analysis with a specific focus on integrating both gene expression and image information through a joint representation.

Most of these packages or toolboxes are developed in independent laboratories, which results in multiple different data structures that do not necessarily share the same data format. To overcome some of these challenges, the R/Bioconductor community is engaged in the careful design of generally applicable data structures and has recently published the first version of the spatialExperiment class. This is a new S4 class that extends the popular singleCellExperiment class and is designed to operate with several types of ST data sets, including at both multi- and subcellular resolution. Several spatial R packages already exist that use this data structure, such as SpatialLIBD and Spaniel, which both excel in the creation of interactive R/Shiny apps to visualize ST data sets. All together, these efforts could contribute to the promotion of interoperability between these different toolboxes in the future.

Discussion

The rapid development of ST technologies has provided new opportunities and challenges for data analysis. As summarized above, there has been a lot of progress in this domain in recent years. Novel methods have been developed for attacking various ST-specific challenges. Integrative software packages have enabled biologists to easily analyze their own data from beginning to the end and to interactively explore the data via interactive visualization. Together, these tools play important roles for making the ST technologies broadly applicable.

Since the pioneering work by Ramón y Cajal, it has been standard practice to classify different cell types based on morphological changes. In recent years, there has been a paradigm shift by classifying cell types based on transcriptomic profiles, sometimes complemented by additional molecular modalities. Owing to the rapid development of ST technologies, it is now possible to perform both transcriptomic profiling and morphology analyses for the same cells, thereby providing a great opportunity to systematically investigate the relationship between these two fundamentally different approaches. A few methods have recently been developed that focus on integration of both modalities. Although not directly related to spatial transcriptomics, an interesting finding from living imaging analysis indicates that changes in morphology might even predict cell fate or state before this can be observed in the transcriptomic output. Future work, including the reconstruction of complete 3D tissues using CODA, in this direction will help in bridging the gap between communities.

An exciting new direction that is not covered here is spatial multiomics. New technology development has made it possible to profile multiple modality information in the same cells while preserving information, such as protein and RNA, intron and mature mRNA, DNA, and RNA. These technologies have made it possible to analyze the correlation between different molecular modalities and offer mechanistic insights. Analyzing such data requires development of novel computational methods and toolboxes. In fact, a number of multiomic analysis methods have already been developed for sequencing-based assays. The readers are referred to published reviews to learn more about this topic. However, further development is needed to incorporate the spatial context.

In sum, spatial technologies have brought many new challenges and opportunities. We believe that computational method development will continue to play a critical role in translating the promise of spatial technologies to reality by providing important tools for the analysis, visualization, and interpretation of new data.

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