Solution

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Research Collaboration · CDx Co-development Inquiry

Solution Inquiry

What is a Spatial Biomarker?

Interpreting spatial context transforms treatment.

“A next-generation biomarker that goes beyond expression levels to interpret spatial context.”

To understand the true nature of disease, it goes beyond what is expressed (Omics),

and integratively interprets where cells are located,
which cell types are present, and within what structural context they exist.

Core Value

MEDICUS integrates spatial biology technologies with digital pathology and AI,
transforming them into clinically interpretable indicators.
Through this, we establish new standards for precision diagnosis, prognosis prediction, and drug discovery research.

Quantifying Spatial Context

Enabling objective analysis through the
quantification of spatial context.

Expanding the Standards of
Precision Medicine

Introducing a new paradigm for
precision diagnosis, prognosis prediction,
and drug discovery research.

Interpreting Complex Interactions

Integrating multidimensional information,
including intercellular distance, signaling
interactions, and tissue architecture.

Why Spatial Biomarkers?

Clinical Recognition

The tumor microenvironment(TME) and spatial organization determine treatment response.

Cancer cells alone are insufficient to predict treatment response.

Interactions with surrounding immune cells and their spatial location are critical.

Hot Tumor
Active immune cell infiltration
Cold Tumor
Restricted immune cell infiltration

Core Value Proposition

Rather than simply measuring expression levels, spatial pattern analysis dramatically improves the accuracy
of treatment strategy development.

Improved Prediction of
Treatment Response

Enhances the ability to identify responders to
immunotherapy compared to conventional
approaches.

Optimized Patient Stratification

Personalized treatment strategies based
on Hot vs. Cold Tumor pattern identification.

Minimizing Unnecessary Treatment

Reduces the use of ineffective high-cost
therapies, lowering patient burden.

Limitations of Conventional Approaches and a New Alternative

The Presence of “Spatial Context” Determines the Accuracy of Precision Medicine

IHC

Immunohistochemistry

Traditional

Limited detection of protein expression

Qualitative / Semi-quantitative (Scoring)

Subjective variability between observers

Limited analysis of cell-to-cell interactions

"Spatial information exists,
but is limited in accuracy."

Bulk RNA-Seq

Bulk RNA Sequencing

Genomic

Simultaneous analysis of thousands of genes

Highly quantitative data

Loss of spatial context

Provides an “average expression value” across the entire tissue

"Quantification is possible,
but spatial information is absent."

Spatial Transcriptomics AI

Spatial Transcriptomics AI

medicus Solution

Spatial distribution of multiple genes and proteins

Continuous quantitative data with spatial coordinates

Algorithm-based, consistent quantification

Identification of cellular proximity and communication networks

"An integrated solution combining
spatial information, quantification,
and interaction analysis."

Through spatial transcriptomics validated across diverse human tissues,
the spatial distribution of cellular composition and gene expression can be precisely characterized.

Spatial transcriptomics enables disease to be understood from a spatial perspective and
facilitates the discovery of novel spatial biomarkers.

MEDICUS Spatial Transcriptomics AI Solution

Core Tech Stack #1

Data processing
10x Genomics Platform

By leveraging the Visium and Xenium platforms, morphological information (H&E) and gene expression profiles are fully integrated at single-cell resolution.

Visium HD

Xenium In Situ

Boundary Analysis
ECM Boundary Reconstruction

Using proprietary algorithms, the complex tumor–stroma interface is precisely reconstructed, enabling identification of microenvironmental changes (such as ECM remodeling and EMT) and differentially expressed genes (DEGs) in those regions.

Tumor-Stroma Interface

DEG Identification

Interaction Logic
SpaCET & SpaceMarkers

Advanced models calculate intercellular distances and interaction probabilities. In particular, spatial regulatory patterns between CAFs and TAMs are precisely characterized within the data domain.

*Spatial Cellular Estimator for Tumors

Colocalization

Cell-Cell Interaction

Cloud Computing
MediAuto Processing

Gigabyte-scale whole slide images (WSIs) are processed in real time within a cloud environment,and instance segmentation accurately identifies and quantifies individual cells.

Real-time Processing

Instance Segmentation

Core Tech Stack #2

MEDICUS, as an integration of the Deconvolution, processes spatial transcriptomics analysis solutions.
Powered with 10x Genomics' most powerful spatial transcriptomics (ST) platform, that consistently evaluates targeted
gene expression patterns across tissues and MEDICUS customers need multi-modal analytical insights.

Approved Multimodal Platform

Multimodal Platform

Data Analysis

Data Analysis Platform

Core Tech Stack #3

Spatial Output Left
Spatial Output Right

[medicus spatial digital biomarker analysis from data analysis to AI analysis]

Key Analytical Features

Tumor Microenvironment
(TME) Analysis

Quantification of key immune cell distributions and densities, including PD-L1, CAF, and M2 macrophages

Identification of Immune-
Excluded Regions

Detection of environments where T-cell infiltration is blocked through CAF–M2 interaction pattern analysis

CAF Subtype Classification &
Interaction Analysis

Visualization of myCAF/iCAF subtypes and their cellular interaction networks

AI-Based Tumor Microenvironment Analysis and Biomarker Quantification Overview

Clinical Value

Establishing a New Standard for Data-Driven Precision Medicine

Maximizing Predictive
Accuracy

High-resolution spatial analysis
dramatically improves the
identification of immunotherapy
responders.

Standardizing Diagnosis

AI-driven algorithms eliminate
inter-observer variability and
establish objective, data-based
diagnostic criteria.

Minimizing Treatment
Failure

By identifying patients lacking an
effective immune microenvironment,
it prevents unnecessary treatments
and supports alternative therapeutic
strategies.

Scalability and
Accessibility

Through a cloud-based AIaaS model,
hospital-grade analysis is available
anywhere without the need for
expensive equipment.

Future Outlook: Expanding Spatial Multi-Omics

Building an Integrated Precision Medicine Ecosystem Beyond Single-Marker Analysis

Phase 01
Integration of Spatial Multi-Omics

Dual ISH-IHC Technology

Simultaneous analysis of proteins and RNA, integration of metabolomics data and implementation of a next-generation platform.
Phase 02
Discovery of Novel Biomarkers

CAF-LCN2 Axis

Identification of new targets driving immune resistance and characterization of resistance hotspots within tissues.
Phase 03
Expansion of Therapeutic Strategies

Combination Therapy

Proposing combination treatment strategies for drug-resistant patients(e.g., immunotherapy following radiation-induced modulation).
Phase 04
Completion of the Precision Medicine Ecosystem

Next Gen Pathology

Integrating single-cell research with digital pathology diagnostics to build a global treatment prediction platform.

An AI-powered healthcare platform,
creating new value
for the future of humanity.

Solution Inquiry

IMS Platform

Biomarker AI-IVD

Biomarker Research Pipeline

Solution Inquiry