(A) Representative images of dual-color tissue RNA-ISH of primary human PDACs stained for PRO marker MKI67 (Ki67) and EMT marker FN1. Representative image analysis of tumor glands using quantitative digital pathology software to score single cancer cells in distinct cell phenotypes: DP (Ki67+/FN1+), EMT (−/FN1+), PRO (Ki67+/−) and DN (−/−). Image Bar = 20 μm, Inset Bar = 3 μm. (B-C) Kaplan-Meier survival curves for high vs low DP (Ki67+/FN1+), EMT (Ki67−/FN1+), and PRO (Ki67+/FN1−) cells. (B) Single cell scoring by the total number of cancer cells per tumor (left column) compared to (C) single cell scoring normalized per gland basis (right column). A uniform cutoff of 15% was applied to divide low- vs high-risk patients in each Kaplan-Meier curve.