# An Automated Pipeline for Tumour-Infiltrating Lymphocyte Scoring in Breast Cancer

arXiv: https://arxiv.org/abs/2311.06185 · HTML: https://mlsanity.com/paper/2311.06185/

## Key facts

- Cited by 1 papers in the map (data through 14 Oct 2026).
- Builds on 12 of its 21 references that are in the map.
- First posted on arXiv 10 Nov 2023.

## Builds on (most cited first, 12 of 12)

- [U-Net: Convolutional Networks for Biomedical Image Segmentation](https://mlsanity.com/paper/1505.04597/) (2015)
- [EfficientNet: Rethinking Model Scaling for Convolutional Neural Networks](https://mlsanity.com/paper/1905.11946/) (2019)
- [Rethinking Atrous Convolution for Semantic Image Segmentation](https://mlsanity.com/paper/1706.05587/) (2017)
- [TransUNet: Transformers Make Strong Encoders for Medical Image Segmentation](https://mlsanity.com/paper/2102.04306/) (2021)
- [Swin-Unet: Unet-like Pure Transformer for Medical Image Segmentation](https://mlsanity.com/paper/2105.05537/) (2021)
- [A Survey on Deep Learning in Medical Image Analysis](https://mlsanity.com/paper/1702.05747/) (2017)
- [Mitosis domain generalization in histopathology images -- The MIDOG challenge](https://mlsanity.com/paper/2204.03742/) (2022)
- [CoNIC Challenge: Pushing the Frontiers of Nuclear Detection, Segmentation, Classification and Counting](https://mlsanity.com/paper/2303.06274/) (2023)
- [Stain-Robust Mitotic Figure Detection for the Mitosis Domain Generalization Challenge](https://mlsanity.com/paper/2109.00853/) (2021)
- [ALBRT: Cellular Composition Prediction in Routine Histology Images](https://mlsanity.com/paper/2108.08306/) (2021)
- [Simultaneous Nuclear Instance and Layer Segmentation in Oral Epithelial Dysplasia](https://mlsanity.com/paper/2108.13904/) (2021)
- [A Fully Automated and Explainable Algorithm for the Prediction of Malignant Transformation in Oral Epithelial Dysplasia](https://mlsanity.com/paper/2307.03757/) (2023)

## Built on by (most cited first, 1 of 1)

- [Explainable Artificial Intelligence (XAI) in Computational Pathology: Definitions, Taxonomy, and Recommendations](https://mlsanity.com/paper/2608.28820/) (2026)

## Abstract (arXiv)

Tumour-infiltrating lymphocytes (TILs) are considered as a valuable prognostic markers in both triple-negative and human epidermal growth factor receptor 2 (HER2) positive breast cancer. In this study, we introduce an innovative deep learning pipeline based on the Efficient-UNet architecture to predict the TILs score for breast cancer whole-slide images (WSIs). We first segment tumour and stromal regions in order to compute a tumour bulk mask. We then detect TILs within the tumour-associated stroma, generating a TILs score by closely mirroring the pathologist's workflow. Our method exhibits state-of-the-art performance in segmenting tumour/stroma areas and TILs detection, as demonstrated by internal cross-validation on the TiGER Challenge training dataset and evaluation on the final leaderboards. Additionally, our TILs score proves competitive in predicting survival outcomes within the same challenge, underscoring the clinical relevance and potential of our automated TILs scoring pipeline as a breast cancer prognostic tool.