Histopathological analysis has been transformed by serial section-based methods, advancing beyond traditional 2D histology to enable volumetric and microstructural insights in oncology and inflammatory disease diagnostics. This review outlines key developments in specimen preparation and high-throughput imaging that support these innovations. Computational workflows are categorized into multimodal image co-registration, 3D histoarchitecture reconstruction, multiplexed immunohistochemical correlation, and cross-scale data fusion. These approaches exploit serial section-derived spatial concordance to enhance resolution in microenvironmental and molecular profiling. Despite progress, challenges remain in harmonizing heterogeneous datasets, optimizing large-scale registration, and ensuring interpretability. Future directions include spatial transcriptomics, and applications in developmental biology and neuroscience in AI integration, establishing serial section analytics as central to precision histopathology.
@article{arxiv.2508.02423,
title = {Evolutionary Paradigms in Histopathology Serial Sections technology},
author = {Zhenfeng Zhuang and Min Cen and Lei Jiang and Qiong Peng and Yihuang Hu and Hong-Yu Zhou and Liansheng Wang},
journal= {arXiv preprint arXiv:2508.02423},
year = {2025}
}