Different approaches of automated ROI detection are feasible and should be selected according to the individual needs of biomarker research. Additionally, detected ROIs could be used as a basis for quantification of immune infiltration in lobular structures.

In recent years, new optical microscopes have been developed, providing very high spatial resolution images called Whole Slide Images (WSI). The fast and accurate display of such images for visual analysis by pathologists and the conventional automated analysis remain challenging, mainly due to the image size (sometimes billions of pixels) and the need to analyze certain image features at high resolution. To propose a decision support tool to help the pathologist interpret the information contained by the WSI, we present a new approach to establish an automatic cartography of WSI in reasonable time. The method is based on an original segmentation algorithm and on a supervised multiclass classification using a textural characterization of the regions computed by the segmentation. Application to breast cancer WSI shows promising results in terms of speed and quality.

The increasing availability of digital whole slide images opens new perspectives for computer-assisted image analysis complementing modern histopathology, assuming we can implement reliable and efficient image analysis algorithms to extract the biologically relevant information. Both validation and supervised learning techniques typically rely on ground truths manually made by human experts. However, this task is difficult, subjective and usually not exhaustive. This is a well-known issue in the field of biomedical imaging, and a common solution is the use of artificial "phantoms". Following this trend, we study the feasibility of synthesizing artificial histological images to create perfect ground truths. In this paper, we show that it is possible to generate a synthetic whole slide image with reasonable computing resources, and we propose a way to evaluate its quality.

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