Single Shot AI-assisted quantification of KI-67 proliferation index in breast cancer

Fuente: arXiv
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Main Authors: Muthu, Deepti Madurai, S, Priyanka, N, Lalitha Rani, Amos, P. G. Kubendran
Format: Preprint
Published: 2025
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author Muthu, Deepti Madurai
S, Priyanka
N, Lalitha Rani
Amos, P. G. Kubendran
author_facet Muthu, Deepti Madurai
S, Priyanka
N, Lalitha Rani
Amos, P. G. Kubendran
contents Reliable quantification of Ki-67, a key proliferation marker in breast cancer, is essential for molecular subtyping and informed treatment planning. Conventional approaches, including visual estimation and manual counting, suffer from interobserver variability and limited reproducibility. This study introduces an AI-assisted method using the YOLOv8 object detection framework for automated Ki-67 scoring. High-resolution digital images (40x magnification) of immunohistochemically stained tumor sections were captured from Ki-67 hotspot regions and manually annotated by a domain expert to distinguish Ki-67-positive and negative tumor cells. The dataset was augmented and divided into training (80%), validation (10%), and testing (10%) subsets. Among the YOLOv8 variants tested, the Medium model achieved the highest performance, with a mean Average Precision at 50% Intersection over Union (mAP50) exceeding 85% for Ki-67-positive cells. The proposed approach offers an efficient, scalable, and objective alternative to conventional scoring methods, supporting greater consistency in Ki-67 evaluation. Future directions include developing user-friendly clinical interfaces and expanding to multi-institutional datasets to enhance generalizability and facilitate broader adoption in diagnostic practice.
format Preprint
id arxiv_https___arxiv_org_abs_2503_19606
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Single Shot AI-assisted quantification of KI-67 proliferation index in breast cancer
Muthu, Deepti Madurai
S, Priyanka
N, Lalitha Rani
Amos, P. G. Kubendran
Image and Video Processing
Computer Vision and Pattern Recognition
Quantitative Methods
Tissues and Organs
Reliable quantification of Ki-67, a key proliferation marker in breast cancer, is essential for molecular subtyping and informed treatment planning. Conventional approaches, including visual estimation and manual counting, suffer from interobserver variability and limited reproducibility. This study introduces an AI-assisted method using the YOLOv8 object detection framework for automated Ki-67 scoring. High-resolution digital images (40x magnification) of immunohistochemically stained tumor sections were captured from Ki-67 hotspot regions and manually annotated by a domain expert to distinguish Ki-67-positive and negative tumor cells. The dataset was augmented and divided into training (80%), validation (10%), and testing (10%) subsets. Among the YOLOv8 variants tested, the Medium model achieved the highest performance, with a mean Average Precision at 50% Intersection over Union (mAP50) exceeding 85% for Ki-67-positive cells. The proposed approach offers an efficient, scalable, and objective alternative to conventional scoring methods, supporting greater consistency in Ki-67 evaluation. Future directions include developing user-friendly clinical interfaces and expanding to multi-institutional datasets to enhance generalizability and facilitate broader adoption in diagnostic practice.
title Single Shot AI-assisted quantification of KI-67 proliferation index in breast cancer
topic Image and Video Processing
Computer Vision and Pattern Recognition
Quantitative Methods
Tissues and Organs
url https://arxiv.org/abs/2503.19606