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World J Clin Oncol. May 24, 2026; 17(5): 119864
Published online May 24, 2026. doi: 10.5306/wjco.v17.i5.119864
Table 1 Types of quality defects and detection methods
Defect type
Causes
Impact on analysis
Detection and evaluation methods
Out-of-focus blurAutofocus failure or uneven tissue section thicknessLoss of cell boundaries and nuclear details, distortion of texture featuresTraditional methods: Feature-based. Quantify blurriness by calculating image edge sharpness (e.g., Sobel gradient magnitude, Laplacian variance). Frequency-domain analysis. Detect the attenuation of high-frequency components using Fourier transform or wavelet transform[28]; deep learning methods: Train a binary convolutional neural network (e.g., ResNet, Inception) to intelligently classify the sharpness of image patches[29]
Tissue folding/tissue tearingImproper sectioning or mountingIntroduces artificial textures and edges, interfering with segmentationTraditional methods: Edge and morphological analysis. Perform edge detection on low-resolution overview images to identify abnormal edges (e.g., excessively long, overly straight, or sharply curved). Morphological operations are then applied to locate elongated “ridges” (folds) or “gaps” (tears). Texture consistency analysis: Calculate texture features of local image patches (e.g., gray-level co-occurrence matrix contrast, energy) and identify regions that significantly deviate from normal tissue through statistical testing; deep learning methods (mainstream): Segmentation models (e.g., U-Net): Input image patches and directly output pixel-level masks of defect areas[30]. Classification or anomaly detection models: Perform classification or detect anomalous regions[31,32]
Hyper-staining/hypo-stainingImproper staining time or concentrationLoss of contrast, bias in feature extractionStaining quality assessment methods: Color distribution analysis. Calculate intensity histograms in specific color channels of hematoxylin and eosin-stained images (e.g., the blue channel corresponding to hematoxylin) to detect abnormal distributions that are excessively concentrated near extremes[32]. Contrast measurement. Evaluate the clarity of staining layers by calculating local or global contrast metrics (e.g., root mean square contrast, Weber contrast)
Air bubbles/blade marksMounting or sectioning defectsMisidentified as tissue structuresTraditional methods: Morphological and texture analysis can be combined for preliminary screening (similar to fold detection). Deep learning methods (mainstream): Segmentation or classification models. Identify defect regions through segmentation or classification[31,33]. Anomaly detection models: Detect defects as unseen anomalous structures[32]
Uneven illuminationScanner light source issuesIntensity gradients within the same tissueTraditional methods: Background analysis. Fit a brightness plane over pure background areas and detect significant brightness gradients by evaluating the fitting residuals. Tissue region analysis. Calculate the spatial distribution of brightness within uniform tissue regions to detect systematic gradients; deep learning methods: Classification or segmentation models can be used to directly learn and identify regions with abnormal brightness distribution[31]


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