论文标题
基于显微镜的HER2评分系统
Microscope Based HER2 Scoring System
论文作者
论文摘要
人表皮生长因子受体2(HER2)的过表达已被确定为多种类型的癌症(例如乳腺癌和胃癌)的治疗靶标。免疫组织化学(IHC)被用作基本的HER2测试,以识别HER2阳性,边界和HER2阴性患者。但是,HER2评分的可靠性和准确性受到许多因素的影响,例如病理学家的经验。最近,人工智能(AI)已用于各种疾病诊断中,以提高诊断准确性和可靠性,但是诊断结果的解释仍然是一个开放的问题。在本文中,我们提出了一个实时的HER2评分系统,该系统遵循HER2评分指南以完成诊断,因此每个步骤都是可以解释的。与以前基于全段影像成像的评分系统不同,我们的HER2评分系统被整合到增强现实(AR)显微镜中,在阅读幻灯片时可以将AI反馈给病理学家。病理学家可以帮助选择视图丰富的视野(FOV),避免使用混杂区域(例如DCIS)。重要的是,我们以膜染色条件和细胞分类结果说明了中间结果,从而可以评估诊断结果的可靠性。另外,我们支持选择利益区域的交互式修改,从而使我们的系统在临床实践中更加灵活。人工智能和病理学家的合作可以显着改善我们系统的鲁棒性。我们使用285个乳房IHC HER2幻灯片评估系统,而95 \%的分类精度显示了我们的HER2评分系统的有效性。
The overexpression of human epidermal growth factor receptor 2 (HER2) has been established as a therapeutic target in multiple types of cancers, such as breast and gastric cancers. Immunohistochemistry (IHC) is employed as a basic HER2 test to identify the HER2-positive, borderline, and HER2-negative patients. However, the reliability and accuracy of HER2 scoring are affected by many factors, such as pathologists' experience. Recently, artificial intelligence (AI) has been used in various disease diagnosis to improve diagnostic accuracy and reliability, but the interpretation of diagnosis results is still an open problem. In this paper, we propose a real-time HER2 scoring system, which follows the HER2 scoring guidelines to complete the diagnosis, and thus each step is explainable. Unlike the previous scoring systems based on whole-slide imaging, our HER2 scoring system is integrated into an augmented reality (AR) microscope that can feedback AI results to the pathologists while reading the slide. The pathologists can help select informative fields of view (FOVs), avoiding the confounding regions, such as DCIS. Importantly, we illustrate the intermediate results with membrane staining condition and cell classification results, making it possible to evaluate the reliability of the diagnostic results. Also, we support the interactive modification of selecting regions-of-interest, making our system more flexible in clinical practice. The collaboration of AI and pathologists can significantly improve the robustness of our system. We evaluate our system with 285 breast IHC HER2 slides, and the classification accuracy of 95\% shows the effectiveness of our HER2 scoring system.