Nemo · IHCBuilt on Nemo

Nemo Ki67

Ki67 scoring on IHC

Ki67 scoring on IHC: percentage of positive tumour nuclei, global and in the hotspot.

Nemo Ki67 output
Nemo Ki67: raw slide
IHCNemo Ki67
Ki-67 IHC: positive and negative nuclei detected · drag to compare
The problem

Ki67 varies between laboratories.

Percentages vary widely between laboratories and readers, and the cut-offs used to grade or stratify (14 %, 20 %, 30 %) sit inside that variability.

Grade and stratification depend on the index. In breast and neuroendocrine tumours, Ki67 helps set grade and treatment. A counted index with its region is a reproducible one.

What changes

Three things you stop doing by hand

  1. 01
    Every tumour nucleus

    Every tumour nucleus classified positive or negative for Ki67.

  2. 02
    Comparable across labs

    Same index for the same slide; hotspot chosen by the model and shown.

  3. 03
    Global and hotspot

    Global and hotspot indices, both reported with the count behind them.

Ki-67 IHC with every nucleus called positive or negative by NemoGlobal · every tumour nucleusHotspot · densest area
Global and hotspot

Two ways to read Ki67

The global index averages the whole tumour; the hotspot index takes the densest area. Nemo Ki67 reports both, so the report follows whichever method your guideline asks for.

Used in breast cancer adjuvant decisions and neuroendocrine tumour grading.

Outputs

What you get back

Output
What you get
Format
Ki67 index% positive tumour nuclei, globaldata
Hotspot index% in the densest region, region outlineddata + overlay
Nucleus mappositive and negative tumour nucleioverlay
Per-cell exportcoordinates and classCSV / JSON
Reported to standard

Ki67 index scored following the International Ki67 in Breast Cancer Working Group recommendations · Reference →

Evidence

Validation pilot

Epithelial cell detection in the tumour region.

0.934F1
F10.934
Precision0.987
Recall0.887
Tumour-region epithelial cells, as Nemo saw them

98.7% of detections are tumour cells

238 detected30 missed3 false detections

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

All Nemo validation results →

Try Nemo Ki67

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