Triplet V1 Released

Triplet V1
The First Foundation Model for Pathology Multi-scale Reasoning

Triplet V1 features cross-scale reasoning as its core capability, enabling the model to perform visual planning, step-by-step verification, and conclusion convergence like a pathologist, with traceable evidence chains.

Triplet V1 — AI Pathology Reasoning
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1

Cross-scale Reasoning, Fully Explainable

Triplet features unique multi-scale explainable evidence chain training with stepwise evidence-based reasoning, enabling clinically auditable reasoning expressions.

2

Interactivity Reasoning, Explicit Traceable

Stepwise display from low-magnification tissue architecture to high-magnification cytological evidence; clinicians can modify and trace at any time, forming a closed-loop reasoning workflow.

3

Human-in-the-loop Data Flywheel

Human-in-the-loop data annotation: AI generation, clinician review, and feedback training build a data-to-AI capability flywheel for continuous improvement.

Why Multi-scale Reasoning

Pathology diagnosis is not about viewing a single image. It starts with low-mag global scanning, then mid-mag structural localization, and finally high-mag cytological confirmation. Triplet defines this cross-scale workflow as the core capability target and designs training and evaluation accordingly.

Reason

Global scan: Identify overall tissue architecture and abnormal region distribution as the starting point for multi-scale reasoning.

WSI
WSI
Caption

Whole slide image shows lung tissue specimen with large dark purple solid areas contrasting surrounding normal alveolar structures, suggesting locally high cellularity lesion.

Reason

Dark purple solid area with significantly increased cell density and locally back-to-back arrangement suggests suspicious neoplastic lesion.

10×
10×
Caption

At 10× magnification, dysplastic glands show complex distribution suggesting stromal invasion. Dense cellularity without diffuse necrosis or hemorrhage. Mild stromal inflammatory infiltration, no significant carbon deposition or pseudodense areas from alveolar collapse, excluding non-neoplastic dense shadows.

Reason

This region shows loss of normal alveolar structures with acinar and papillary growth patterns, suggesting marginal features of neoplastic proliferation with clear diagnostic value.

40×
40×
Caption

Tumor cells infiltrate in acinar and papillary patterns with irregular lumina, partially in back-to-back arrangement. Nuclei are hyperchromatic and variably sized with visible nucleoli and eosinophilic cytoplasm. Stromal fibrosis present without keratin pearl formation or perivascular cuffing. Cell adhesion preserved with some desquamation.

Reason

Significantly enlarged and hyperchromatic nuclei with increased nuclear-to-cytoplasmic ratio, irregular nuclear membranes, and nuclear crowding suggest high-grade atypia consistent with typical cancer cell cytology — a key region for tumor characterization.

200×
200×
Caption

Under high magnification, tumor cell nuclei are significantly enlarged and hyperchromatic with clearly visible nucleoli. Intracytoplasmic mucin vacuoles of varying sizes suggest adenocarcinoma features. No intercellular bridges or keratinization observed.

WSIProgressive Magnification200×

What Triplet V1 Can Do

Cross-scale Reasoning and Evidence Linking

Explicitly connects evidence across at least two magnifications, avoiding single-scale guessing.

Multi-region Heterogeneity Understanding

Learns contextual relationships among multiple ROIs along a Path to understand diagnostic significance for the whole WSI.

Structured Output (Clinical Review Ready)

Outputs Reason and Caption at each magnification, forming cross-scale reasoning chains and summaries.

Bilingual Output

Supports Chinese and English expression, with the primary focus on cross-scale reasoning and evidence chain capabilities.

Core Mechanism: Triplet Structure

Triplet organizes learning with a triplet data structure: multi-scale images + selection rationale and pathological features + diagnostic significance and findings of the path. Each path is a complete cross-scale Path (10x → 40x → 200x).

Image: Multi-scale ROI images for each Path
Caption / Reason: Structural descriptions and magnification motivations at each scale
Thinking / Summary: Cross-scale evidence chain and diagnostic conclusion convergence

Data & Platform: From Annotation to Reasoning Data Pipeline

The Triplet data review platform addresses multi-center data distribution and modality diversity, building a high-quality, multi-scale, and explainable reasoning data system.

AI Generation Phase (Automated)

Global WSI analysis to generate an overview (low-mag structure, tissue distribution, heterogeneity).

Generate candidate Paths and build cross-scale Paths for each region (10x -> 40x -> 200x).

Generate Reason / Caption / reasoning chain / summary at each level.

Doctor Review Phase (Human-in-the-loop)

Correct unreasonable magnification motivations and inaccurate descriptions.

Revise cross-scale reasoning chain logic and final summaries.

After review approval, feed back into training for the next data iteration cycle.

Triplet Data Review and Annotation System

Training & Evaluation

SFT teaches the model evidence pathways; RL makes "reasoning ability" reliably measurable.

SFT: Teaching Evidence Pathways

Cross-scale Paths (10x → 40x → 200x) are built for each region at multiple scales, learning Reason / Caption / reasoning chain / summary at each level, teaching the model "why to magnify, what is seen, and how to summarize".

RL: Making Reasoning Reliably Measurable

A leakage-aware mechanism suppresses text shortcuts: text-only adversarial inference is performed first, and if the correct answer can be obtained without viewing the image, it is flagged as leakage and iteratively corrected. GRPO alignment then rewards answer correctness and cross-scale reasoning consistency while constraining output format stability.

Triplet Iterative Training Overview
Cross-scale VQA Data Curation Pipeline
GRPO Reinforcement Learning Mechanism

Experimental Results

Triplet V1 achieves significant leading performance on two core evaluation tasks.

Accuracy on cross-scale multi-image TripletVQA-Test

Task: Accuracy on cross-scale multi-image TripletVQA-Test

DomainModelCorrespondenceConfirmationLocalizationExplanationDiagnosisAverage
GeneralQwen2.5VL-7B0.4180.4730.7110.4430.6370.536
MedicalLLaVA-Med-7B0.2590.1690.2840.2090.2490.234
HuatuoGPT-V-7B0.3780.4580.6570.4680.5570.503
Lingshu-7B0.4730.6370.6270.4830.6120.566
PathologyQuilt-LLaVA0.3230.1440.4530.3030.2940.303
CLOVER0.3730.6170.7310.4630.6570.568
Patho-R10.3180.4030.5970.5620.6870.513
Triplet V10.8060.8910.8460.7610.8410.829
PathMMU Single-image Benchmark · PubMed-Test SubsetGroundtruth: (A)
Pathology Image
Pathology Image

Question

Based on the cellular morphology, which layer of stratified squamous epithelium is most prevalent on the left side of the image?

ASpinous layer
BBasal layer
CGranular layer
DKeratin layer

Model Response Comparison

Qwen2.5-VL-7B
(B)
<think> The image shows a section of stratified squamous epithelium. On the left side, there appears to be a layer with large, round nuclei and a re… </think>
PathoR1-7B
(B)
<think> The image shows stratified squamous epithelium with distinct layers. The left side displays cells that are smaller, tightly packed, and alig… </think>
Gemini 3-Thinking
(B)
<think> The provided images display a stratified squamous epithelium characterized by a distinct layer of cells at the base. In the image, the blue … </think>
Triplet V1
(A)
<think> The image shows stratified squamous epithelium with a predominance of spinous layer cells. Stratified squamous epithelium typically has mult… </think>

Case data from the Triplet-V1 paper, showing response comparisons across models on cross-scale reasoning tasks.

Online Trial

Upload or select a sample image to experience Triplet cross-scale reasoning output.

Note: Online trial coming soon. Stay tuned.

Image Input

Upload or use preset images

Upload limits: single image, max 10MB, dimensions up to 2000px.
You can also click a preset image below to try.

Analysis Result

Click "Analyze" to see the model output here.

Online trial results are for demonstration only, not for medical diagnosis.

Product Offerings

Three forms for system integration, workflow collaboration, and research-grade reinforced reasoning.

Triplet API

Integrate cross-scale reasoning into your system: VQA, structured descriptions, evidence chain output, and QC interfaces.

Triplet Agents (Collaborative)

Workflow-oriented: region selection -> evidence aggregation -> report drafting -> human doctor supervision loop.

Triplet Reasoning Edition (Research/Advanced)

Built on leakage-aware data curation + GRPO reinforcement learning for improved cross-scale consistency and controllable output.

FAQ

What makes Triplet V1 fundamentally different?

Cross-scale reasoning is the primary capability. Training, data, and evaluation are all designed around closed-loop evidence chains, avoiding single-scale black-box judgments.

How do you ensure data reliability?

Iterative human-in-the-loop: AI generates first, then doctors review and correct, feeding back into training to continuously improve data quality and traceability.

Apply for Triplet V1 Partnership

If you want to validate cross-scale reasoning in real pathology scenarios, contact our team for early access, API integration, and Agents collaboration plans.