Crowdsourcing scoring of immunohistochemistry images: Evaluating Performance of the Crowd and an Automated Computational Method

TL;DR

This study evaluates crowdsourcing for scoring immunohistochemistry images, finding it more concordant with pathologist assessments than automated methods, thus offering a scalable alternative for large-scale cancer pathology analysis.

Contribution

It demonstrates that crowdsourcing can effectively quantify IHC images, outperforming automated methods in concordance with expert pathologists.

Findings

Crowdsourcing scores showed 83-87% concordance with pathologists.

Automated methods achieved 81% concordance.

Crowdsourcing is promising for large-scale cancer studies.

Abstract

The assessment of protein expression in immunohistochemistry (IHC) images provides important diagnostic, prognostic and predictive information for guiding cancer diagnosis and therapy. Manual scoring of IHC images represents a logistical challenge, as the process is labor intensive and time consuming. Since the last decade, computational methods have been developed to enable the application of quantitative methods for the analysis and interpretation of protein expression in IHC images. These methods have not yet replaced manual scoring for the assessment of IHC in the majority of diagnostic laboratories and in many large-scale research studies. An alternative approach is crowdsourcing the quantification of IHC images to an undefined crowd. The aim of this study is to quantify IHC images for labeling of ER status with two different crowdsourcing approaches, image labeling and nuclei labeling, and compare their performance with automated methods. Crowdsourcing-derived scores obtained greater concordance with the pathologist interpretations for both image labeling and nuclei labeling tasks (83% and 87%), as compared to the pathologist concordance achieved by the automated method (81%) on 5,483 TMA images from 1,909 breast cancer patients. This analysis shows that crowdsourcing the scoring of protein expression in IHC images is a promising new approach for large scale cancer molecular pathology studies.