Astronomical algorithms for automated analysis of tissue protein expression in breast cancer
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Abstract
Background:
High-throughput
evaluation of tissue biomarkers in oncology has been greatly
accelerated by the widespread use of tissue microarrays (TMAs) and
immunohistochemistry. Although TMAs have the potential to facilitate
protein expression profiling on a scale to rival experiments of tumour
transcriptomes, the bottleneck and imprecision of manually scoring TMAs
has impeded progress.
Methods:
We
report image analysis algorithms adapted from astronomy for the precise
automated analysis of IHC in all subcellular compartments. The power of
this technique is demonstrated using over 2000 breast tumours and
comparing quantitative automated scores against manual assessment by
pathologists.
Results:
All
continuous automated scores showed good correlation with their
corresponding ordinal manual scores. For oestrogen receptor (ER), the
correlation was 0.82, P<0.0001, for BCL2 0.72, P<0.0001 and for
HER2 0.62, P<0.0001. Automated scores showed excellent concordance
with manual scores for the unsupervised assignment of cases to
‘positive’ or ‘negative’ categories with agreement rates of up to 96%.
Conclusion:
The
adaptation of astronomical algorithms coupled with their application to
large annotated study cohorts, constitutes a powerful tool for the
realisation of the enormous potential of digital pathology.
Source: British Journal of Cancer 108, 602-612 (19 February 2013)
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