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Table 2 The compatibility of ImmunoRatio with variable staining and image acquisition settings

From: ImmunoRatio: a publicly available web application for quantitative image analysis of estrogen receptor (ER), progesterone receptor (PR), and Ki-67

Immunostaining/image acquisition feature

Compatibility with ImmunoRatio

Comments

Primary antibody dilution

(defined for MIB-1 Ki-67)

  

   too dilute (1:400)

+

too low labeling index (Figure 6a)

   optimal (1:100)

+ + +

best match with visual counting (Figure 6b)

   too strong (1:25)

+

cytoplasmic background causing overly high labeling indexes (Figure 6c)

Hematoxylin counterstaining

  

   weak

-

insufficient nuclear segmentation (Figure 6d)

   optimal

+ + +

best match with visual counting (Figure 6e)

   strong

+

false segmentation of cytoplasmic structures (Figure 6f)

Microscope objective magnification

(using 1× phototube)

  

   10×

+

non-carcinomatous cells often included*

   20×

+ + +

for accurate result, an average of three images per sample is recommended

   40×

+ +

for accurate result, averaging several images per sample is recommended

Image brightness

  

   underexposed (too dim)

+

mean gray intensity of the blankfield image <200

   in optimal range

+ + +

as guided by the Camera Adjustment Wizard of ImmunoRatio

   overexposed (too bright)

-

mean gray intensity of the blankfield image >250

Image contrast

  

   too low

-

foreground mean gray intensity over 85% of the background mean gray intensity

   in optimal range

+ + +

as guided by the Camera Adjustment Wizard of ImmunoRatio

   too high

+

foreground mean gray intensity under 50% of the background mean gray intensity

Image compression

  

   uncompressed (lossless)

+ +

slow network transmission (slower overall analysis time)

   JPEG, quality factor 50 to 100 (lossy)

+ + +

optimal for ImmunoRatio

   JPEG, quality factor <50 (lossy)

-

visible image artifacts

  1. + + + = optimally compatible, + + = compatible, + = compatible with possible chance of analytical errors, - = not compatible with ImmunoRatio.
  2. * Region of interest function can be used to exclude unwanted tissue areas.