Exhaustive region and cell level annotations were performed by six experienced pathologists for supervised ML training models. Regional annotations involved invasive and in situ tumour areas, tumour associated stroma (TAS), and normal breast tissue (terminal duct lobular units) regions. Cell annotations included tumour cells with various morphologies and degrees of pleomorphism, stromal cells either fibroblasts or myofibroblasts, normal epithelial cells and TILs. Areas of necrosis, calcification and tissue/image artefacts were also annotated and excluded from the final image processing. The detailed process of image acquisition and annotation of this cohort was previously described [24].
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