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Peer-Reviewed Publication
Esophagus2026;23(1):239-250.January 1, 2026Journal Article

AI-driven spatial mapping of myxoid stroma and tumor-infiltrating lymphocytes in esophageal squamous cell carcinoma.

Keita Kouzu1, Hironori Tsujimoto2, Ines P Nearchou3, Takahiro Einama1, Yoshiki Kajiwara1, Takanori Watanabe4, Makiko Koga1,4, Tomohiro Tsuru1, Hiroyuki Horiguchi1, Yoshihisa Yaguchi1, Yoji Kishi1, Hitoshi Tsuda5, Hideki Ueno1
1Department of Surgery, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama, 359-0042, Japan.
2Department of Surgery, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama, 359-0042, Japan. tsujihi@ndmc.ac.jp.
3Indica Labs, LCC., 8700 Education Pl NW, Bldg. B, Albuquerque, NM, 87114, USA.
4Department of Basic Pathology, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama, Japan.
5Pathology Center and Department of Pathology, Chiba Medical Center, 1-7-1 Minami-cho, Chuo-ku, Chiba, 260-0842, Japan.

Abstract

BACKGROUND: Myxoid stroma in the tumor stroma has been suggested to play a key role in cancer progression; however, its underlying mechanisms remain unclear. This study aimed to examine the relationship between myxoid stroma, identified in hematoxylin and eosin (HE)-stained tissue, and tumor-infiltrating lymphocytes (TILs), assessed through immunohistochemical staining. Automated image analysis wa…

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