Peer-Reviewed Publication
NPJ Precis Oncol2025;9(1):139.May 12, 2025Journal Article

Augmented reality microscopy to bridge trust between AI and pathologists.

Sunil Badve1, George L Kumar2, Tobias Lang3, Eli Peigin4, James Pratt5, Robert Anders6, Deyali Chatterjee7, Raul S Gonzalez8, Rondell P Graham9, Alyssa M Krasinskas8, Xiuli Liu10, Alexander Quaas11, Romil Saxena8, Namrata Setia12, Laura Tang13, Hanlin L Wang14, Josef Rüschoff15, Hans-Ulrich Schildhaus15, Khalid Daifalla16, Marc Päpper16, Patrick Frey16, Felix Faber16, Maria Karasarides17
1Emory University School of Medicine, Atlanta, GA, USA. sbadve@emory.edu.
2Bristol Myers Squibb, Princeton, NJ, USA. george.kumar@astrazeneca.com.
3Mindpeak, Hamburg, Germany. tobias.lang@mindpeak.ai.
4Augmentiqs, D.N, Misgav, Israel.
5Bristol Myers Squibb, Princeton, NJ, USA.
6Johns Hopkins University Baltimore, Baltimore, MD, USA.
7MD Anderson Cancer Center, Houston, TX, USA.
8Emory University School of Medicine, Atlanta, GA, USA.
9Mayo Clinic, Rochester, MN, USA.
10Washington University School of Medicine, St Louis, MO, USA.
11Cologne University Hospital, Cologne, Germany.
12University of Chicago, Chicago, IL, USA.
13Memorial Sloan Kettering Cancer Center, New York, NY, USA.
14UCLA David Geffen School of Medicine, Los Angeles, CA, USA.
15Discovery Life Sciences Biomarker Services GmbH, Kassel, Germany.
16Mindpeak, Hamburg, Germany.
17Bristol Myers Squibb, Princeton, NJ, USA. maria@delphina.io.

Abstract

Diagnostic certainty is the cornerstone of modern medicine and critical for maximal treatment benefit. When evaluating biomarker expression by immunohistochemistry (IHC), however, pathologists are hindered by complex scoring methodologies, unique positivity cut-offs and subjective staining interpretation. Artificial intelligence (AI) can potentially eliminate diagnostic uncertainty, especially whe…

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