E. Malamutmann , M. Platte , S. Theurer , M. Jalc , J. Rashidi-Alavijeh , K. Willuweit , J.-W. Treckmann , A. Oezcelik , F. Nensa , J. Haubold , U. Neumann , D.P. Hoyer
{"title":"Detection of macrovesicular steatosis in hematoxylin and eosin-stained histological images of human livers: A feature-based method","authors":"E. Malamutmann , M. Platte , S. Theurer , M. Jalc , J. Rashidi-Alavijeh , K. Willuweit , J.-W. Treckmann , A. Oezcelik , F. Nensa , J. Haubold , U. Neumann , D.P. Hoyer","doi":"10.1016/j.jpi.2026.100656","DOIUrl":"10.1016/j.jpi.2026.100656","url":null,"abstract":"<div><h3>Background</h3><div>Macrovesicular steatosis (MaS) affects liver transplant outcomes. Traditional visual biopsy assessment is subjective and shows inter-observer variability (weighted κ = 0.595 in our cohort), which complicates allocation and prognostication.</div></div><div><h3>Methods</h3><div>We developed a semi-automated image analysis method using HALCON Progress (evaluation license, 2019–2023) to quantify MaS in H&E whole-slide images (WSIs). The pipeline processes native SVS files at full resolution (average runtime 1.26 ± 0.53 min/WSI) without tiling, downsampling, or format conversion. Four shape features (area, roundness, circularity, and compactness) guide classification. Results were compared with three specialized pathologists using Pearson and Spearman correlations.</div></div><div><h3>Results</h3><div>Across 129 WSIs (≈52,000 lipid droplets), artificial intelligence–pathologist correlations were statistically significant (Pearson <em>r</em> = 0.526–0.642; Spearman ρ = 0.498–0.615; all <em>p</em> < 0.001; <em>n</em> = 48–95 per pathologist). Correlation with the mean pathologist assessment reached R<sup>2</sup> = 0.64 (<em>r</em> = 0.80, ρ = 0.782), within the inter-pathologist range (R<sup>2</sup> = 0.34–0.62; weighted κ = 0.595). Using four shape features, the pipeline separates vacuoles from vessels and processing artifacts during interactive review. Processing native SVS at full resolution avoids extra compute while preserving precision.</div></div><div><h3>Conclusions</h3><div>The method provides a rapid, objective readout of MaS and performs on par with inter-pathologist agreement (R<sup>2</sup> = 0.64 vs. weighted κ = 0.595). It is best used as decision-support that supplies percentages and overlays for expert review. Main limitations are underestimation in severe, confluent steatosis (>30%), limited coverage of microvesicular fat, and single-center validation. Multi-center evidence across scanners and patient groups is still needed before routine use.</div></div>","PeriodicalId":37769,"journal":{"name":"Journal of Pathology Informatics","volume":"21 ","pages":"Article 100656"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147802714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Denilson José Silva Feitosa-Junior, Carlos Augusto Moreira Silva
{"title":"Expanding diagnostic access in the Amazon through digital pathology: A real-world experience","authors":"Denilson José Silva Feitosa-Junior, Carlos Augusto Moreira Silva","doi":"10.1016/j.jpi.2026.100617","DOIUrl":"10.1016/j.jpi.2026.100617","url":null,"abstract":"","PeriodicalId":37769,"journal":{"name":"Journal of Pathology Informatics","volume":"21 ","pages":"Article 100617"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148178108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gyu Yeong Kim , Jihee Sohn , Na Yoon Ji , Taehwan Seok , Seungkyun Lee , Sungyong Jang , Hyungbin Kim , Suyeon Kim , Dajeong Park , Yeongjun Song , Chungyeul Kim
{"title":"A comprehensive cell-level Ki-67 quantification benchmark dataset for breast cancers","authors":"Gyu Yeong Kim , Jihee Sohn , Na Yoon Ji , Taehwan Seok , Seungkyun Lee , Sungyong Jang , Hyungbin Kim , Suyeon Kim , Dajeong Park , Yeongjun Song , Chungyeul Kim","doi":"10.1016/j.jpi.2026.100600","DOIUrl":"10.1016/j.jpi.2026.100600","url":null,"abstract":"","PeriodicalId":37769,"journal":{"name":"Journal of Pathology Informatics","volume":"21 ","pages":"Article 100600"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148181757","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Joel Moncur , Jessica Wang-Rodriguez , Aaron Auerbach , Mark Lyman
{"title":"Federal synergy in digital pathology: Advancing AI and readiness through VA–DoW collaboration","authors":"Joel Moncur , Jessica Wang-Rodriguez , Aaron Auerbach , Mark Lyman","doi":"10.1016/j.jpi.2026.100557","DOIUrl":"10.1016/j.jpi.2026.100557","url":null,"abstract":"","PeriodicalId":37769,"journal":{"name":"Journal of Pathology Informatics","volume":"21 ","pages":"Article 100557"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148183865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
John Groth , Jennifer Picarsic , Richard Levenson , Michele Mitchell , Bethany Williams , Linda Fildey
{"title":"Pathology in the digital age: Empowering patient engagement","authors":"John Groth , Jennifer Picarsic , Richard Levenson , Michele Mitchell , Bethany Williams , Linda Fildey","doi":"10.1016/j.jpi.2026.100552","DOIUrl":"10.1016/j.jpi.2026.100552","url":null,"abstract":"","PeriodicalId":37769,"journal":{"name":"Journal of Pathology Informatics","volume":"21 ","pages":"Article 100552"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148177881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nickolas Littlefield, Ahmad P. Tafti, T. Rinda Soong, Qiangqiang Gu
{"title":"AI-driven virtual staining: Generating CK5 IHC from H&E WSIs in vulvar carcinoma using deep learning","authors":"Nickolas Littlefield, Ahmad P. Tafti, T. Rinda Soong, Qiangqiang Gu","doi":"10.1016/j.jpi.2026.100584","DOIUrl":"10.1016/j.jpi.2026.100584","url":null,"abstract":"","PeriodicalId":37769,"journal":{"name":"Journal of Pathology Informatics","volume":"21 ","pages":"Article 100584"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148178482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}