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AI-Assisted High-Throughput Tissue Microarray Workflow.

Konrad Kurowski1,2,3, Sylvia Timme1, Melanie Christine Föll1

  • 1Institute for Surgical Pathology, Medical Center, Faculty of Medicine, University of Freiburg, 79106 Freiburg, Germany.

Methods and Protocols
|December 27, 2024
PubMed
Summary
This summary is machine-generated.

This study introduces an efficient, AI-assisted workflow for immunohistochemistry (IHC) biomarker research on large patient cohorts. The high-throughput method significantly reduces time and resource consumption for tumor characterization.

Keywords:
AIFFPE tissueimmunohistochemistrytissue microarraysworkflow

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Area of Science:

  • Oncology
  • Pathology
  • Biomarker Discovery

Background:

  • Immunohistochemistry (IHC) is crucial for oncology tumor characterization and biomarker identification.
  • Archived formalin-fixed paraffin-embedded (FFPE) samples are underutilized due to labor-intensive IHC processes.
  • There is a need for high-throughput methods to analyze large patient cohorts.

Purpose of the Study:

  • To develop a high-throughput workflow for IHC biomarker studies using modern technologies.
  • To facilitate efficient analysis of large patient groups and archived FFPE samples.
  • To correlate antibody expression with clinicopathological data and patient survival.

Main Methods:

  • Construction of semiautomatic tissue microarrays (TMAs) from two tumor patient cohorts.
  • Immunohistochemical staining for seven antibodies (ABs).
  • AI-supported image analysis (QuPath) for quantifying AB expression and correlation with clinicopathological data using R-script.

Main Results:

  • The workflow reduced labor time by 92.3% compared to whole-slide studies.
  • Significantly decreased human and material resource consumption.
  • Successfully correlated AB expression with overall patient survival and clinicopathological data, generating publication-ready reports.

Conclusions:

  • The AI-assisted high-throughput TMA workflow streamlines histopathological research.
  • This method offers cost and time efficiency compared to traditional whole-slide studies.
  • It is ideal for high-throughput research centers and collaborations, maintaining research quality while reducing resource use.