Beyond benchmarking

an expert-guided consensus approach to spatially aware clustering

Journal Article (2026)
Author(s)

Jieran Sun (Centre Hospitalier Universitaire Vaudois)

K. Biharie (TU Delft - Electrical Engineering, Mathematics and Computer Science, Leiden University Medical Center)

Peiying Cai (Universitat Zurich)

Niklas Müller-Bötticher (Universitätsmedizin Berlin)

Paul Kiessling  (University Hospital RWTH Aachen)

Meghan A. Turner (Allen Institute for Brain Science)

M.J.T. Reinders (TU Delft - Electrical Engineering, Mathematics and Computer Science)

A.M.E.T.A. Mahfouz (Leiden University Medical Center, TU Delft - Electrical Engineering, Mathematics and Computer Science)

More Authors (External organisation)

Søren Helweg Dam (Technical University of Denmark (DTU), University of Copenhagen)

Research Group
Pattern Recognition and Bioinformatics
DOI related publication
https://doi.org/10.1038/s41592-026-03194-8 Final published version
More Info
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Publication Year
2026
Language
English
Research Group
Pattern Recognition and Bioinformatics
Journal title
Nature Methods (online)
Issue number
9
Volume number
23
Pages (from-to)
1814–1826
Page Views
28
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Abstract

Spatial omics technologies have revolutionized the study of tissue architecture and cellular heterogeneity by integrating molecular profiles with spatial localization. In spatially resolved transcriptomics, delineating higher-order anatomical structures is critical for understanding how cellular organization affects function. However, the reliability of current benchmarks of spatially aware clustering (SAC) methods is undermined by their narrow focus on Visium and brain tissue datasets and the incorrect interpretation of manual annotation as ground truth. Here we present SACCELERATOR, a community-driven, extensible framework that standardizes data formatting, method integration and metric evaluation, enabling rapid inclusion of new methods and datasets. Our analysis revealed substantial limitations in the generalizability and reproducibility of SAC methods and shows that anatomical labels commonly used as ground truths are often biased, error prone and unsuitable for benchmarking. Rather than ranking methods, we propose a consensus-guided workflow where descriptive spatial metrics highlight high-entropy regions of method disagreement, enabling targeted feedback for tissue experts. Applied to brain and cancer datasets, this approach uncovered biologically meaningful patterns overlooked by individual SAC methods and manual annotations, highlighting the need for iterative, expert-in-the-loop evaluation.