“…With the advent of whole slide images (WSI) and the increase in computational power available to investigators, digital image analysis on a WSI is possible and within reach [10]. However, even when digital image analysis based on colour identification is applied to immunohistochemically stained slides, two main challenges remain: Firstly, the presence of false positive areas arising from possible background staining or similarly coloured structures (e.g., melanin, hemosiderin, bile pigments) necessitates manual removal to avoid overestimation of protein expression [11,12]. Secondly, in scenarios where the protein expression of interest is confined to a specific tissue compartment or region of interest (ROI), analysing the entire tissue as a whole, introduces bias, particularly when other regions express the protein at baseline levels under normal conditions.…”