Generalizing AI-driven Assessment of Immunohistochemistry across Immunostains and Cancer Types: A Universal Immunohistochemistry Analyzer

Despite advancements in methodologies, immunohistochemistry (IHC) remains the most utilized ancillary test for histopathologic and companion diagnostics in targeted therapies. However, objective IHC assessment poses challenges. Artificial intelligence (AI) has emerged as a potential solution, yet its development requires extensive training for each cancer and IHC type, limiting versatility. We developed a Universal IHC (UIHC) analyzer, an AI model for interpreting IHC images regardless of tumor or IHC types, using training datasets from various cancers stained for PD-L1 and/or HER2. This multi-cohort trained model outperforms conventional single-cohort models in interpreting unseen IHCs (Kappa score 0.578 vs. up to 0.509) and consistently shows superior performance across different positive staining cutoff values. Qualitative analysis reveals that UIHC effectively clusters patches based on expression levels. The UIHC model also quantitatively assesses c-MET expression with MET mutations, representing a significant advancement in AI application in the era of personalized medicine and accumulating novel biomarkers.

MRI brain tumor segmentation using informative feature vectors and kernel dictionary learning

This paper presents a method based on a kernel dictionary learning algorithm for segmenting brain tumor regions in magnetic resonance images (MRI). A set of first-order and second-order statistical feature vectors are extracted from patches of size 3 * 3 around pixels in the brain MRI scans. These feature vectors are utilized to train two kernel dictionaries separately for healthy and tumorous tissues. To enhance the efficiency of the dictionaries and reduce training time, a correlation-based sample selection technique is developed to identify the most informative and discriminative subset of feature vectors. This technique aims to improve the performance of the dictionaries by selecting a subset of feature vectors that provide valuable information for the segmentation task. Subsequently, a linear classifier is utilized to distinguish between healthy and unhealthy pixels based on the learned dictionaries. The results demonstrate that the proposed method outperforms other existing methods in terms of segmentation accuracy and significantly reduces both the time and memory required, resulting in a remarkably fast training process.