Table 5 Comparison of 3 AI models from 3 cross-validation splits in 1STL algorithm against gynecological pathologists’ diagnoses.

From: Deep learning-based histotype diagnosis of ovarian carcinoma whole-slide pathology images

Case

AI predicted diagnosis

Reference diagnosis

Independent study review diagnosis

Cancer Registry diagnosis

COSPv3 histotype prediction

Immunophenotype

Model 1

Model 2

Model 3

Overall Majority of models

A

HGSC

HGSC

HGSC

HGSC

ENOC

HGSC with transitional differentiation

Endometrioid

ENOC

WT1-;p53wt; PR−

B

HGSC

HGSC

ENOC

HGSC

ENOC

HGSC

NOS carcinoma

HGSC

WT1-;p53abn;PR−

C

MUC

MUC

CCOC

MUC

ENOC

CCOC; IHC needed for diagnosis

Endometrioid

ENOC

WT1-;p53wt;PR-;NapsinA−

D

ENOC

ENOC

ENOC

ENOC

HGSC

HGSC with transitional differentiation

Serous

HGSC

WT1+;p53abn;PR+

E

HGSC

HGSC

ENOC

HGSC

ENOC

ENOC

Endometrioid

ENOC

WT1-;p53wt; PR+

F

CCOC

CCOC

CCOC

CCOC

HGSC

CCOC; IHC needed for diagnosis

Clear cell

HGSC

WT1-;p53abn;PR-;NapsinA−

G

ENOC

ENOC

ENOC

ENOC

MUC

ENOC

Mucinous

MUC

PR−

H

MUC

MUC

MUC

MUC

ENOC

ENOC

Endometrioid

ENOC

PR−

  1. The eight discrepant cases were independently reviewed by 2 of the authors (CBG, NS) blinded to the reference and AI diagnoses. COSPv3 Calculator of ovarian carcinoma subtype/histotype probability version 3, p53wt wild type immunostaining pattern for p53, p53abn mutant pattern immunostaining pattern for p53.