School of Physics and Optoelectronic Engineering, Shandong University of Technology, Zibo, China.
State Key Laboratory of Pathogenesis, Prevention, Treatment of Central Asian High Incidence Diseases, First Affiliated Hospital of Xinjiang Medical University, Urumqi, China.
Cancer Med. 2021 Apr;10(7):2319-2331. doi: 10.1002/cam4.3796. Epub 2021 Mar 7.
Tissue micro-morphological abnormalities and interrelated quantitative data can provide immediate evidences for tumorigenesis and metastasis in microenvironment. However, the multiscale three-dimensional nondestructive pathological visualization, measurement, and quantitative analysis are still a challenging for the medical imaging and diagnosis. In this work, we employed the synchrotron-based X-ray phase-contrast tomography (SR-PCT) combined with phase-and-attenuation duality phase retrieval to reconstruct and extract the volumetric inner-structural characteristics of tumors in digesting system, helpful for tumor typing and statistic calculation of different tumor specimens. On the basis of the feature set including eight types of tumor micro-lesions presented by our SR-PCT reconstruction with high density resolution, the AlexNet-based deep convolutional neural network model was trained and obtained the 94.21% of average accuracy of auto-classification for the eight types of tumors in digesting system. The micro-pathomophological relationship of liver tumor angiogenesis and progression were revealed by quantitatively analyzing the microscopic changes of texture and grayscale features screened by a machine learning method of area under curve and principal component analysis. The results showed the specific path and clinical manifestations of tumor evolution and indicated that these progressions of tumor lesions rely on its inflammation microenvironment. Hence, this high phase-contrast 3D pathological characteristics and automatic analysis methods exhibited excellent recognizable and classifiable for micro tumor lesions.
组织微观形态异常及相关定量数据可为肿瘤发生和微环境转移提供直接证据。然而,多尺度三维无损病理可视化、测量和定量分析仍然是医学成像和诊断的一个挑战。在这项工作中,我们采用基于同步辐射的 X 射线相衬断层扫描(SR-PCT)结合相衬和衰减双重相位恢复来重建和提取消化系统肿瘤的体积内部结构特征,有助于肿瘤分型和不同肿瘤标本的统计计算。基于我们的 SR-PCT 重建具有高密度分辨率的 8 种肿瘤微损伤的特征集,利用基于 AlexNet 的深度卷积神经网络模型进行训练,得到了消化系统 8 种肿瘤的平均自动分类准确率为 94.21%。通过对曲线下面积和主成分分析等机器学习方法筛选出的纹理和灰度特征的微观变化进行定量分析,揭示了肝肿瘤血管生成和进展的微观病理关系。结果表明了肿瘤进化的特定途径和临床表现,并表明肿瘤病变的这些进展依赖于其炎症微环境。因此,这种高相衬 3D 病理特征和自动分析方法对微小肿瘤病变具有出色的识别和分类能力。