AI & digital pathology

AI Companion Diagnostic for Colorectal Cancer

An AI that reads both the immune cells and the tissue scaffold to match colorectal-cancer patients to the right treatment.

Active Partners: La Trobe · ONJCRI · AlleSense · Anthropic AI for Science
  • companion diagnostic
  • artificial intelligence
  • digital pathology
  • patient stratification
  • colorectal cancer
  • TILs
  • ECM
Graphical abstract — an AI engine reads tumour-infiltrating lymphocytes and the collagen ECM scaffold via NanoMslide imaging to stratify colorectal-cancer patients toward better survival.

Two patients with the same diagnosis can need very different treatments, yet today’s tools rarely tell them apart well enough. This project builds an AI-powered companion diagnostic for colorectal cancer that learns from two signals at once: the tumour-infiltrating lymphocytes (immune cells inside the tumor) and the extracellular matrix (the collagen scaffold around it), read through NanoMslide imaging.

The results are striking: patients with the optimal combination of immune infiltration and tissue architecture show dramatically better survival outcomes than those stratified by standard staging alone — a finding that points to a level of precision currently unavailable in routine clinical practice.

Developed through a La Trobe / ONJCRI / AlleSense partnership, the platform has attracted support from patient advocacy organisations, a competitive selection at the Protoaxiom national healthtech competition (judged by leading medtech investors), and the Anthropic AI for Science program. A critical design principle: the platform is built to run on equipment every pathology lab already owns, at a fraction of the cost of existing gold-standard tests — making precision stratification accessible beyond specialist centres.

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