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Updated: Aug 11, 2025

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Introduction of an Integrated Pathology Image Management, Artificial Intelligence, and Reporting System
Published on: July 11, 2025
149
Deep-learning based breast cancer detection for cross-staining histopathology images
Pei-Wen Huang1,2, Hsu Ouyang3, Bang-Yi Hsu3
1Institute of Molecular and Cellular Biology, National Tsing Hua University, Hsinchu, Taiwan.
Heliyon
|February 9, 2023
Summary
Hematoxylin and eosin (H&E) staining and fluorescent staining present challenges for AI analysis due to color variations. This study developed a workflow enabling AI models trained on H&E images to accurately analyze fluorescent images for breast cancer tumor recognition.
Area of Science:
- Pathology
- Computational Biology
- Biomedical Imaging
Background:
- Hematoxylin and eosin (H&E) staining is standard in pathology but lacks specific nuclear and cytoplasmic labeling, hindering AI segmentation.
- Fluorescent staining offers advantages like multiplexing and 3D imaging but differs in color from H&E, complicating cross-analysis with AI.
- Variations in staining technologies impede the consistent application of artificial intelligence (AI) algorithms in digital pathology.
Purpose of the Study:
- To develop a computational workflow for harmonizing H&E and fluorescent staining data for AI analysis.
- To enable AI models trained on H&E images to accurately analyze fluorescently stained tissue samples.
- To improve breast cancer tumor recognition by overcoming staining-related variations.
Main Methods:
- Applied color normalization and nucleus extraction techniques to address staining variations.
- Developed a workflow to adapt an H&E-trained AI segmentation model for fluorescently stained images.
- Utilized the workflow for breast cancer tumor recognition tasks.
Main Results:
- Achieved 89.6% accuracy for H&E-stained images and 80.5% accuracy for fluorescently stained images in recognizing specific tumor features.
- Demonstrated that cross-staining inference using the developed workflow maintained high precision.
- Validated the feasibility of applying existing pathology AI models to different staining techniques.
Conclusions:
- The developed workflow effectively bridges the gap between H&E and fluorescent staining for AI-driven pathological analysis.
- This approach expands the utility of current AI models in digital pathology, enhancing their applicability across diverse staining methods.
- The study provides a foundation for more robust and versatile AI applications in cancer diagnostics.

