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MiroSCOPE: An AI-driven digital pathology platform for annotating functional tissue units.

Madeleine R Fenner1, Selim Sevim2, Guanming Wu3

  • 1Department of Molecular and Medical Genetics, Oregon Health and Science University, Portland, OR, USA.

Biorxiv : the Preprint Server for Biology
|August 12, 2025
PubMed
Summary
This summary is machine-generated.

MiroSCOPE is an AI-assisted platform that accelerates the annotation of functional tissue units (FTUs) in digital pathology. This tool enables efficient analysis of cancer tissue structures, crucial for accurate pathological assessment.

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Area of Science:

  • Digital Pathology
  • Computational Pathology
  • Artificial Intelligence in Medicine

Background:

  • Current digital pathology analyses often overlook functional tissue units (FTUs), vital for tissue function and cancer assessment.
  • Manual annotation of FTUs is time-consuming and costly, hindering large-scale studies.
  • Existing artificial intelligence (AI) solutions lack comprehensive workflows for building annotated cohorts for FTU analysis.

Purpose of the Study:

  • To develop an end-to-end AI-assisted platform, MiroSCOPE, for scalable annotation of FTUs in digital pathology.
  • To overcome the limitations of manual annotation and accelerate the development of interpretable AI approaches for FTU analysis.
  • To provide a high-quality, publicly available dataset for FTU-level machine learning in cancer research.

Main Methods:

  • Developed MiroSCOPE, an AI-assisted platform built on QuPath for annotating FTUs.
  • Integrated a fine-tunable multiclass segmentation model with curation-specific usability features for a human-in-the-loop system.
  • Applied MiroSCOPE to annotate over 71,900 FTUs across 184 prostate cancer hematoxylin and eosin (H&E)-stained tissue samples.

Main Results:

  • MiroSCOPE significantly accelerated AI-driven annotation of FTUs by pathologists.
  • Successfully annotated 71,900+ FTUs on 184 prostate cancer samples, demonstrating scalability and potential for breast cancer applications.
  • Publicly released the Miro-120 dataset (120 prostate cancer H&E samples with 30,568 annotations) for community use.

Conclusions:

  • MiroSCOPE provides an adaptable AI-driven platform for efficient FTU annotation in digital pathology.
  • Facilitates the incorporation of crucial structural information into digital pathology analyses.
  • The Miro-120 dataset serves as a valuable resource for advancing FTU-level machine learning in cancer research.