Advancing Ki67 hotspot detection in breast cancer: a comparative analysis of automated digital image analysis algorithms.
Mieke C ZwagerShibo YuHenk J BuikemaGeertruida H de BockThomas W RamsingJeppe ThagaardTimco KoopmanBert Van der VegtPublished in: Histopathology (2024)
Automated Ki67 hotspot detection and analysis correlated strongly with manual Ki67 assessment and provided higher PIs compared to manual assessment. The DL-based algorithm outperformed the VDS-based algorithm in clinical applicability, because it did not depend on virtual alignment of slides and correlated stronger with manual scores. Use of a DL-based algorithm may allow clearer Ki67 PI cutoff values, thereby improving the clinical usability of Ki67.