Physical Color Calibration of Digital Pathology Scanners for Robust Artificial Intelligence Assisted Cancer Diagnosis
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Abstract (arXiv)
The potential of artificial intelligence (AI) in digital pathology is limited by technical inconsistencies in the production of whole slide images (WSIs), leading to degraded AI performance and posing a challenge for widespread clinical application as fine-tuning algorithms for each new site is impractical. Changes in the imaging workflow can also lead to compromised diagnoses and patient safety risks. We evaluated whether physical color calibration of scanners can standardize WSI appearance and enable robust AI performance. We employed a color calibration slide in four different laboratories and evaluated its impact on the performance of an AI system for prostate cancer diagnosis on 1,161 WSIs. Color standardization resulted in consistently improved AI model calibration and significant improvements in Gleason grading performance. The study demonstrates that physical color calibration provides a potential solution to the variation introduced by different scanners, making AI-based cancer diagnostics more reliable and applicable in clinical settings.
Key facts. Cited by 4 papers in the map (data through 7 Oct 2026). Builds on 16 of its 64 references that are in the map. First posted on arXiv 7 Jul 2023.
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16 of 64 references.
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4 more
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Citing papers per year: 2025: 4.
4 papers.
- 2025The PAR dataset: Prostate biopsy whole slide images from an underrepresented Middle Eastern populationcited by 2
- 2025Validation of Diagnostic Artificial Intelligence Models for Prostate Pathology in a Middle Eastern Cohortcited by 1
- 2025Artificial Intelligence-Assisted Prostate Cancer Diagnosis for Reduced Use of Immunohistochemistrycited by 0
- 2025Staining normalization in histopathology: Method benchmarking using multicenter datasetcited by 0
- 2025Validation of Diagnostic Artificial Intelligence Models for Prostate Pathology in a Middle Eastern Cohort19 Dec 2025
- 2025The PAR dataset: Prostate biopsy whole slide images from an underrepresented Middle Eastern population3 Dec 2025
- 2025Staining normalization in histopathology: Method benchmarking using multicenter dataset23 Jun 2025
- 2025Artificial Intelligence-Assisted Prostate Cancer Diagnosis for Reduced Use of Immunohistochemistry31 Mar 2025