H&E-based MSI/MMR testing with AI in colorectal cancer: a multi-centred blinded evaluation - Takeaways - MDSpire

H&E-based MSI/MMR testing with AI in colorectal cancer: a multi-centred blinded evaluation

  • By

  • Cher Bass

  • Foivos Ntelemis

  • Julian Schmidt

  • Steffen Wolf

  • André Geraldes

  • Debapriya Mehrotra

  • Shikha Singhal

  • Narender Kumar

  • Angelica Marcia

  • Nicholas Bennett

  • Oscar Maiques

  • Mitchell Hyde

  • Bejal Mistry

  • Grace Rogerson

  • Michele Cummings

  • Clare Freer

  • Elizabeth Walsh

  • Manuel Salto-Tellez

  • Maurice Loughrey

  • In Hwa Um

  • David J. Harrison

  • Richard Clarkson

  • James Blackwood

  • J. Carl Barrett

  • Jakob Nikolas Kather

  • Nicolas M. Orsi

  • Pahini Pandya

  • Salim Arslan

  • December 15, 2025

  • 0 min

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  • 1

    Mismatch repair deficiency occurs in 10-20% of colorectal cancer cases, leading to microsatellite instability, which is critical for patient management.

  • 2

    The PANProfiler Colorectal (PPC) test uses AI to determine MSI/MMR status from H&E-stained slides, offering a cost-effective alternative to traditional methods.

  • 3

    In a blinded multi-center study, PPC achieved an overall agreement of 93.83% in determining MSI/MMR status from 3,576 whole slide images.

  • 4

    PPC produced definitive results for 86.55% of slides, demonstrating high positive and negative agreement rates of 92.54% and 94.02%, respectively.

  • 5

    The study supports PPC's potential to streamline CRC diagnostics, improving turnaround times and accessibility for MSI/MMR testing.

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