Before Markup

Lung Macrodissect AI is an AI-powered tool that quantifies tumor content and guides ROI selection to enhance macrodissection workflows and downstream molecular analysis in cases of non-small cell lung cancer.

Intended Use

Lung Macrodissect AI is not intended to be used as a diagnostic tool.

Inputs

H&E whole slide images from primary and metastatic NSCLC resections, excisions, and/or core needle biopsies

Key Outputs

  • Tumor cell density heatmap
  • Total cell count
  • Tumor cell count
  • Percent tumor content for whole slide image and dissection ROIs
Analytical Validation

Lung Macrodissect AI was validated on the Leica Aperio GT 450 (SVS format). Cellular level validation was performed on 9,374 annotations from both primary and metastatic NSCLC tissue previously unseen to the algorithm and sourced from an external site. The validation process focused on the classification of cells as either ‘tumor’ or ‘other’, with the ground truth established through the consensus of annotations provided by five independent pathologists.

Clinical Validation

Lung Macrodissect AI was validated on the Leica Aperio GT 450 (SVS format).

317 externally sourced primary and metastatic non-small cell lung cancer H&E images previously unseen by the algorithm were assessed for tumor content by five pathologists. After a four-week washout period, the five pathologists reviewed the same slides again, this time with the assistance of Lung Macrodissect AI. They had the option to agree with the algorithm’s analysis or provide their own tumor content estimations.

The intraclass correlation coefficient (ICC) was calculated using continuous tumor content data and Fleiss’ kappa was calculated after samples were dichotomized based on a 20% tumor content cut-off, a minimum requirement for most molecular tests. Both ICC and Fleiss’ kappa were measured before and after assistance from Lung Macrodissect AI.

Lung Macrodissect AI significantly increased the consistency and agreement of inter-pathologist tumor content reporting, demonstrating the algorithm’s ability to accurately quantify tumor content, standardize macrodissection workflows, and reduce the number of inadequately concentrated tests sent for downstream analysis.

Inter-Pathologist Agreement of Tumor Content Estimation With and Without Lung Macrodissect AI

File Formats:

  • Non-proprietary (JPG, TIF, OME.TIFF, DICOM [DCM*])
  • Leica (SVS, AFI, SCN, LIF)
  • Hamamatsu (NDPI, NDPIS)
  • Philips (iSyntax, i2Syntax)
  • 3DHistech (MRXS)
  • Nikon (ND2)
  • Akoya (QPTIFF, component TIFF)
  • Olympus / Evident (VSI)
  • Zeiss (CZI)
  • Ventana (BIF)
  • KFBIO (KFB, KFBF)

    *whole-slide images

Lung Macrodissect AI Brochure

Learn more about the automated workflow and benefits of Lung Macrodissect AI.

HALO Clinical AI Solutions Flyer

Check out our flyer to learn more about HALO Clinical AI Solutions.

Clinical Scoring and Validation of a Comprehensive AI-powered Tumour Content and Lung Macrodissection Algorithm​

Learn more about Lung Macrodissect AI, an AI-based tool for tumor content quantification and ROI selection guidance.

Increase Quality

Lung Macrodissect AI reliably quantifies tumor content for downstream molecular analysis, ensuring the quality of downstream test results.

Streamline Workflows and Save Resources

With automated tumor content analysis, you can streamline your ROI selection process and save time.

Auditable Process

Create an auditable macrodissection workflow, ensuring transparency and efficiency.

Lung Macrodissect AI simplifies the macrodissection process. Pathologists need only use the intuitive annotation tools provided in HALO AP® to select areas for downstream analysis by following the easy-to-read heatmap. Tumor content results for annotated ROIs are updated in real time.

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Macrodissection Reinvented

Lung Macrodissect AI enhances macrodissection workflows with precision and automation. H&E slides are scanned into HALO AP®, where Lung Macrodissect AI detects all tissue present on the slide, removing background glass and artifacts from the analysis. Benign epithelial regions are classified separately and their cell count is added to the tumor content results. Cells are then phenotyped as either ‘tumor’ or ‘other’ cells. A detailed tumor density heatmap is generated, which assists pathologists in creating precise ROI annotations for downstream macrodissection. 

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Schedule a call to see how Lung Macrodissect AI can meet your needs.

A Fully-Automated Lung Macrodissect AI Workflow

In addition to standardizing the evaluation of tumor content for traditional macrodissection workflows, Lung Macrodissect AI can be coupled with the Tissector automated macrodissection platform from our partner Xyall, creating an all-in-one solution that is auditable, precise, and more efficient than current methodologies. The result is a streamlined workflow that enhances accuracy and saves staff time and resources.

Macrodissect with Confidence

With a combined HALO Macrodissection Solutions and Xyall workflow, labs can create a detailed audit trail for improved accuracy and consistency, including pre- and post-dissection images for each case.

Benefits of an AI-Powered Workflow​

By providing accurate and reliable tumor content quantification, Lung Macrodissect AI gives labs and research institutions the ability to create a high-throughput, intuitive workflow that saves valuable lab personnel time and bridges the gap between anatomic and molecular pathology.

Manual Macrodissection

  • Auditable
  • Annotation guidance
  • Tumor content quantification
  • Highly precise macrodissection*
  • Pre- and post-dissection images*
*When combined with Tissector automated macrodissector from Xyall

Seamless Deployment in HALO AP®

Lung Macrodissect AI is deployed and fully integrated into HALO AP®, the AI-powered, pathologist-driven platform for anatomic pathology workflows from Indica Labs.

Want to Learn More?

Fill out the form below to request a live demo of Lung Macrodissect AI or to learn more about our other clinical solutions. You can also drop us an email at info@indicalab.com

Regulatory Compliance

Lung Macrodissect AI is not a medical device in the EU/UK and is not intended to be used for diagnostic purposes. Lung Macrodissect AI is accessed via the HALO AP® enterprise digital pathology platform. Lung Macrodissect AI is For Research Use Only in the USA and is not FDA cleared for clinical diagnostic use.​

HALO AP® is CE-IVDR marked for in-vitro diagnostic use in Europe, the UK, and Switzerland. HALO AP® is For Research Use Only in the USA and is not FDA cleared for clinical diagnostic use. In addition, HALO AP® provides built-in compliance with FDA 21 CFR Part 11, HIPAA, and GDPR.

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