Kontextual: Reframing analysis of spatial omics data reveals consistent cell relationships across images

State-of-the-art spatial proteomic and transcriptomic technologies can deeply pheno-type cells in their native tissue environment, providing a high throughput means to effectively quantify spatial relationships between diverse cell populations. However, the experimental design choice of which regions of a tissue will be imaged can greatly impact the interpretation of spatial quantifications. That is, spatial relationships identified in one region of interest may not be interpreted consistently across other regions. To address this challenge, we introduce Kontextual, a method which considers alternative frames of reference for contextualising spatial relationships. These contexts may represent landmarks, spatial domains, or groups of functionally similar cells which are consistent across regions. By modelling spatial relationships between cells relative to these contexts, Kontextual produces robust spatial quantifications that are not confounded by the region selected. We demonstrate in spatial proteomics and spatial transcriptomics datasets that modelling spatial relationships this way is biologically meaningful. We also demonstrate how this approach can be used in a classification setting to improve prediction of patient prognosis.