Nemo · IHCBuilt on Nemo

Nemo HER2

HER2 scoring on IHC

HER2 IHC scoring on the ASCO/CAP scale, from per-cell membrane completeness and intensity.

Nemo HER2 output
Nemo HER2: raw slide
IHCNemo HER2
HER2 IHC, 3+ region: every cell detected and typed · drag to compare
The ASCO/CAP ladder

0, 1+, 2+, 3+, and the low in between

0No or faint staining
1+Faint, incomplete
2+Weak to moderate, complete
3+Strong, complete

HER2-low: IHC 1+, or 2+ without amplification.

The problem

Boundary cases are inconsistent.

The 0 / 1+ / 2+ / 3+ categories rest on the fraction of cells with complete, intense membrane staining. The boundary cases go to FISH, and the boundary moves between readers.

HER2-low is now actionable. With HER2-low now actionable, the difference between 0 and 1+ is a treatment decision. A per-cell measurement makes that boundary reproducible.

What changes

For the pathologist

Membrane, cell by cell

Membrane completeness and intensity measured per tumour cell.

The boundary, called consistently

Same category for the same slide, with the fraction behind it.

HER2-low flagged

Whole-tumour assessment; heterogeneity mapped rather than averaged.

Outputs

What you get back

Output
What you get
Format
HER2 category0 / 1+ / 2+ / 3+ per ASCO/CAP [year] with the fraction behind itdata
% complete membrane stainingby intensitydata
Heterogeneity mapstaining category across the tumouroverlay
Per-cell exportmembrane score per cellCSV / JSON
Reported to standard

HER2 scored to the ASCO/CAP HER2 testing guideline, including HER2-low categories · Reference →

Evidence

Validation pilot

Epithelial cell detection in the tumour region.

0.984F1
F10.984
Precision0.968
Recall1.000
Tumour-region epithelial cells, as Nemo saw them

Every tumour cell found

158 detected0 missed5 false detections

Each dot is one cell, from the reported precision and recall. Pilot result.

All Nemo validation results →

Try Nemo HER2

Run it on a slide in the platform, or ask for the product sheet with the full output specification.