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Main Authors: Gu, Hongyan, Onstott, Ellie, Yan, Wenzhong, Xu, Tengyou, Wang, Ruolin, Wu, Zida, Chen, Xiang 'Anthony', Haeri, Mohammad
Format: Preprint
Published: 2025
Subjects:
Online Access:https://arxiv.org/abs/2501.15743
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author Gu, Hongyan
Onstott, Ellie
Yan, Wenzhong
Xu, Tengyou
Wang, Ruolin
Wu, Zida
Chen, Xiang 'Anthony'
Haeri, Mohammad
author_facet Gu, Hongyan
Onstott, Ellie
Yan, Wenzhong
Xu, Tengyou
Wang, Ruolin
Wu, Zida
Chen, Xiang 'Anthony'
Haeri, Mohammad
contents Z-stack scanning is an emerging whole slide imaging technology that captures multiple focal planes alongside the z-axis of a glass slide. Because z-stacking can offer enhanced depth information compared to the single-layer whole slide imaging, this technology can be particularly useful in analyzing small-scaled histopathological patterns. However, its actual clinical impact remains debated with mixed results. To clarify this, we investigate the effect of z-stack scanning on artificial intelligence (AI) mitosis detection of meningiomas. With the same set of 22 Hematoxylin and Eosin meningioma glass slides scanned by three different digital pathology scanners, we tested the performance of three AI pipelines on both single-layer and z-stacked whole slide images (WSIs). Results showed that in all scanner-AI combinations, z-stacked WSIs significantly increased AI's sensitivity (+17.14%) on the mitosis detection with only a marginal impact on precision. Our findings provide quantitative evidence that highlights z-stack scanning as a promising technique for AI mitosis detection, paving the way for more reliable AI-assisted pathology workflows, which can ultimately benefit patient management.
format Preprint
id arxiv_https___arxiv_org_abs_2501_15743
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Z-Stack Scanning can Improve AI Detection of Mitosis: A Case Study of Meningiomas
Gu, Hongyan
Onstott, Ellie
Yan, Wenzhong
Xu, Tengyou
Wang, Ruolin
Wu, Zida
Chen, Xiang 'Anthony'
Haeri, Mohammad
Image and Video Processing
Computer Vision and Pattern Recognition
Z-stack scanning is an emerging whole slide imaging technology that captures multiple focal planes alongside the z-axis of a glass slide. Because z-stacking can offer enhanced depth information compared to the single-layer whole slide imaging, this technology can be particularly useful in analyzing small-scaled histopathological patterns. However, its actual clinical impact remains debated with mixed results. To clarify this, we investigate the effect of z-stack scanning on artificial intelligence (AI) mitosis detection of meningiomas. With the same set of 22 Hematoxylin and Eosin meningioma glass slides scanned by three different digital pathology scanners, we tested the performance of three AI pipelines on both single-layer and z-stacked whole slide images (WSIs). Results showed that in all scanner-AI combinations, z-stacked WSIs significantly increased AI's sensitivity (+17.14%) on the mitosis detection with only a marginal impact on precision. Our findings provide quantitative evidence that highlights z-stack scanning as a promising technique for AI mitosis detection, paving the way for more reliable AI-assisted pathology workflows, which can ultimately benefit patient management.
title Z-Stack Scanning can Improve AI Detection of Mitosis: A Case Study of Meningiomas
topic Image and Video Processing
Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2501.15743