ArticleBreast cancer research : BCR2026
AI-enhanced precision: boosting pathologist confidence in HER2 ultra-low diagnosis through intelligent re-screening.
Article in Breast cancer research : BCR, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Accurate assessment of Human Epidermal Growth Factor Receptor 2 (HER2) immunohistochemistry (IHC) expression, particularly the precise identification of "HER2 ultra-low" status, is critical for guiding antibody-drug conjugate (ADC) therapies, such as trastuzumab deruxtecan (T-DXd) in breast cancer. Given the difficulty and poor consistency in interpreting HER2 ultra-low expression, this study evaluated an artificial intelligence (AI) tool for assisting pathologists in diagnosing HER2 ultra-low expression in breast cancer. The analysis included 188 breast cancer cases (376 whole-slide images), consisting of 136 matched core needle biopsy (CNB)-surgical excision (SE) pairs from patients without neoadjuvant therapy (NAT) and a separate cohort of 52 matched CNB-post-NAT SE pairs with HER2 IHC scores of 0 or 1+. All slides were scanned using the Roche VENTANA DP 600 scanner. The resulting whole-slide images (WSIs) were subsequently analyzed and scored for HER2 IHC expression using AI assistance via the Roche Navify
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