Octo · H&EBuilt on Kraken

Octo Duct

Duct detection and grading in pancreatic adenocarcinoma

Every neoplastic duct in a pancreatic ductal adenocarcinoma outlined and classified by how well it is formed, so the WHO grade follows from the section rather than from an impression of it.

Octo Duct output
Octo Duct: raw slide
H&EOcto Duct
Neoplastic ducts outlined in pancreatic ductal adenocarcinoma · drag to compare
The problem

Grade is judged by eye

The WHO grade of pancreatic ductal adenocarcinoma rests on how much of the tumour forms glands. The pathologist estimates it across a heterogeneous tumour, and the call between moderately and poorly differentiated varies between readers.

Why it matters

Grade is a required item

Tumour grade is part of the WHO classification and the pancreas reporting standards, and it carries prognostic weight. A measured proportion of well-formed and poorly formed ducts makes it reproducible.

Pancreatic ductal adenocarcinoma

From duct shapes to WHO grade

Octo Duct outlines every neoplastic duct in the pancreatic adenocarcinoma, from the epithelial cells Kraken finds. The same contours give the grade, and they carry prognostic information of their own.

Gland spacingnearest-neighbour distance, high vs low
  • OSHR 0.56p = 0.006
  • DSSHR 0.56p = 0.013
  • PFSHR 0.57p = 0.005
Gland orientation disorderhigh vs low
  • OSHR 1.85p = 0.003
  • DSSHR 1.99p = 0.003
  • PFSHR 1.72p = 0.006

172 patients (TCGA-PAAD), split at the median; Kaplan–Meier, log-rank test. OS overall, DSS disease-specific, PFS progression-free survival.

Pancreatic ductal adenocarcinoma on H&E with every duct contour drawn by Octo Duct
Every duct contour, drawn by Octo Duct on H&E
What changes

Three things you stop doing by hand

  1. 01
    Every duct outlined

    Each neoplastic duct detected and its boundary drawn across the whole section.

  2. 02
    Classified the same way

    Well formed or poorly formed, by the same criteria on every slide, for every reader.

  3. 03
    Across the whole section

    The grade reflects the whole tumour, with the areas that drive it shown on the map.

Outputs

What you get back

WHO gradewell, moderately or poorly differentiated, from the measured proportionsdata
Duct proportionsshare of well-formed and poorly formed ductsdata
Duct mapevery duct outlined and coloured by classoverlay
Per-duct exportboundary, class and area for each ductGeoJSON / CSV
Reported to standard

Tumour grade reported to the WHO Classification of Tumours (digestive system) and the ICCR pancreas reporting standard · Reference →

Evidence

Evidence

128
resections in validation
HR 0.56
overall survival, gland spacing high vs low
HR 1.85
overall survival, gland orientation disorder
< 2 min
per slide

Regulatory status: research use only.

Try Octo Duct

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