Evidence map›Paper›PMID 39584096›Full record

ArticleHeliyon2024

Improving the accuracy of reporting Ki-67 IHC by using an AI tool.

Sahil Ajit Saraf, Aahan Singh, Wai Po Kevin Teng, Sencer Karakaya, M Logaswari, Kaveh Taghipour, Rajasa Jialdasani, Li Yan Khor, Kiat Hon Lim, Sathiyamoorthy Selvarajan and 4 more

Abstract read
In one paragraph

Article in Heliyon, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Sahil Ajit SarafQritive Pte. Ltd, Medical Dept, Singapore, 139951, Singapore.
Aahan SinghQritive Pte. Ltd, Artificial Intelligence Unit, Singapore, 139951, Singapore.
Wai Po Kevin TengQritive Pte. Ltd, Artificial Intelligence Unit, Singapore, 139951, Singapore.
Sencer KarakayaQritive Pte. Ltd, Artificial Intelligence Unit, Singapore, 139951, Singapore.
M LogaswariAnatomical Pathology, Singapore General Hospital, Singapore, 169856, Singapore.
Kaveh TaghipourQritive Pte. Ltd, Artificial Intelligence Unit, Singapore, 139951, Singapore.
Rajasa JialdasaniQritive Pte. Ltd, Medical Dept, Singapore, 139951, Singapore.
Li Yan KhorAnatomical Pathology, Singapore General Hospital, Singapore, 169856, Singapore.
Kiat Hon LimAnatomical Pathology, Singapore General Hospital, Singapore, 169856, Singapore.
Sathiyamoorthy SelvarajanAnatomical Pathology, Singapore General Hospital, Singapore, 169856, Singapore.
Vani RavikumarDept of Histopathology, RV Metropolis Diagnostic & Healthcare Center Pvt Ltd, Bengaluru, Karnataka, 560003, India.
Md Ali OsamaDepartment of Pathology, Lady Hardinge Medical College, New Delhi, 110001, India.
Priti ChatterjeeDepartment of Pathology, Lady Hardinge Medical College, New Delhi, 110001, India.
Santosh KvDept of Histopathology, RV Metropolis Diagnostic & Healthcare Center Pvt Ltd, Bengaluru, Karnataka, 560003, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ki-67 proliferative index (PI) scoring is measured by estimating the proportion of the number of active cell nuclei in hotspot regions within immunohistochemical (IHC) stained slides. It provides valuable information about the rate of proliferation in a tumour. Manual scoring of Ki-67 PI is laborious, time-consuming and often the victim of interobserver variability between pathologists. This motivated us to develop an AI-based method to automate Ki-67 PI scoring with the aim to improve the concordance of pathologists' inter-observability through aided diagnosis. We sourced 88 sequential cases of sarcomas for our study. We applied watershed algorithm to perform nuclear segmentation on 440 regions of interest (ROI). A study was conducted where three pathologists scored the Ki-67 PI on the ROIs with and without AI-assistance. Our study demonstrated great concordance between the pathologists scoring with AI-assistance. After AI assistance, inter-pathologist discordance was significantly reduced by 82.1.

Indexed as

Artificial intelligenceConcordanceImmunohistochemistryInter-observer variabilityKi-67Machine learningNuclear stainPrognosisSarcoma

Identifiers

PMID39584096
PMCPMC11585751

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.