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BACKGROUND: Artificial Intelligence(AI)-based solutions for Gleason grading hold promise for pathologists, while image quality inconsistency, continuous data integration needs, and limited generalizability hinder their adoption and scalability. METHODS: We present a comprehensive digital pathology workflow for AI-assisted Gleason grading. It incorporates A!MagQC (image quality control), A!HistoClouds (cloud-based annotation), Pathologist-AI Interaction (PAI) for continuous model improvement, Trained on Akoya-scanned images only, the model utilizes color augmentation and image appearance migration to address scanner variations. We evaluate it on Whole Slide Images (WSI) from another five scanners and conduct validations with pathologists to assess AI efficacy and PAI. RESULTS: Our model achieves an average F1 score of 0.80 on annotations and 0.71 Quadratic Weighted Kappa on WSIs for Akoya-scanned images. Applying our generalization solution increases the average F1 score for Gleason pattern detection from 0.73 to 0.88 on images from other scanners. The model accelerates Gleason scoring time by 43% while maintaining accuracy. Additionally, PAI improve annotation efficiency by 2.5 times and led to further improvements in model performance. CONCLUSIONS: This pipeline represents a notable advancement in AI-assisted Gleason grading for improved consistency, accuracy, and efficiency. Unlike previous methods limited by scanner specificity, our model achieves outstanding performance across diverse scanners. This improvement paves the way for its seamless integration into clinical workflows.

Comprehensive Summary: A Rh(III)‐catalyzed, transmetalation triggered C—H activation/annulation of 2‐biphenylboronic acids with diazo compounds from β‐keto esters or 1,3‐dicarboxylates has been developed, leading to the synthesis of two kinds of 9,10‐phenanthrenes. Notably, a rhodacyle was synthesized by treating the rhodium catalyst with stoichiometric amounts of 2‐biphenylboronic acids and pyridine, which was further verified to be active for the catalytic system. The reactions proceeded under redox‐neutral and air‐tolerant conditions to produce a series of all‐carbon six‐membered rings with high efficiency. [ABSTRACT FROM AUTHOR]

Rhodium-catalyzed diverse tandem twofold C-H bond activation reactions of para -olefin-tethered arenes have been realized, with unsaturated reagents such as internal alkynes, dioxazolones, and isocyanates being the coupling partner as well as a relay directing group which triggers cyclization of the para -olefin group under oxidative or redox-neutral conditions. The reaction proceeded via initial ortho -C-H activation assisted by a built-in directing group in the arene, and the ortho -incorporation of the unsaturated coupling partner simultaneously generated a relay directing group that allows sequential C-H activation at the meta -position and subsequent cyclization of the para -olefins. The overall reaction represents C-C or N-C difunctionalization of the arene with the generation of diverse 2,3-dihydrobenzofuran platforms. The catalytic system proceeded with good efficiency, simple reaction conditions, and broad substrate scope. The diverse transformations of the products demonstrated the synthetic utility of this tandem reaction., Competing Interests: The authors declare no competing financial interest., (This journal is © The Royal Society of Chemistry.)