Color standardization and stain intensity calibration for whole slide image-based immunohistochemistry assessment Journal Article


Authors: Ohnishi, C.; Ohnishi, T.; Ibrahim, K.; Ntiamoah, P.; Ross, D.; Yamaguchi, M.; Yagi, Y.
Article Title: Color standardization and stain intensity calibration for whole slide image-based immunohistochemistry assessment
Abstract: Automated quantification of human epidermal growth factor receptor 2 (HER2) immunohistochemistry (IHC) using whole slide imaging (WSI) is expected to eliminate subjectivity in visual assessment. However, the color intensity in WSI varies depending on the staining process and scanner device. Such variations affect the image analysis results. This paper presents methods to diminish the influence of color variation produced in the staining process using a calibrator slide consisting of peptide-coated microbeads. The calibrator slide is stained along with tissue sample slides, and the 3,3'-diaminobenzidine (DAB) color intensities of the microbeads are used for calibrating the color variation of the sample slides. An off-the-shelf image analysis tool is employed for the automated assessment, in which cells are classified by the thresholds for the membrane staining. We have adopted two methods for calibrating the color variation based on the DAB color intensities obtained from the calibrator slide: (1) thresholds for classifying the DAB membranous intensity are adjusted, and (2) the color intensity of WSI is corrected. In the experiment, the calibrator slides and tissue of breast cancer slides were stained together on different days and used to test our protocol. With the proposed protocol, the discordance in the HER2 evaluation was reduced to one slide out of 120 slides. © The Author(s) 2023.
Keywords: immunohistochemistry; breast cancer; calibration; breast neoplasms; breast tumor; image processing, computer-assisted; image processing; her2; procedures; coloring agents; coloring agent; humans; human; female; immunohistochemistry (ihc); whole slide image (wsi); color standardization; stain intensity calibration
Journal Title: Microscopy and Microanalysis
Volume: 30
Issue: 1
ISSN: 1431-9276
Publisher: Cambridge University Press  
Date Published: 2024-02-01
Start Page: 118
End Page: 132
Language: English
DOI: 10.1093/micmic/ozad136
PUBMED: 38156737
PROVIDER: scopus
PMCID: PMC11090401
DOI/URL:
Notes: The MSK Cancer Center Support Grant (P30 CA008748) is acknowledged in the PDF -- Corresponding author is MSK authors: Chie Ohnishi -- Source: Scopus
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MSK Authors
  1. Dara Stacy Ross
    144 Ross
  2. Yukako Yagi
    74 Yagi
  3. Kareem Salah Ibrahim
    21 Ibrahim
  4. Takashi Ohnishi
    22 Ohnishi