Caltech Optical Imaging Laboratory, Andrew and Peggy Cherng Department of Medical Engineering, Department of Electrical Engineering, California Institute of Technology, Pasadena, CA, USA.
Department of Pathology, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
Nat Biomed Eng. 2023 Feb;7(2):124-134. doi: 10.1038/s41551-022-00940-z. Epub 2022 Sep 19.
Obtaining frozen sections of bone tissue for intraoperative examination is challenging. To identify the bony edge of resection, orthopaedic oncologists therefore rely on pre-operative X-ray computed tomography or magnetic resonance imaging. However, these techniques do not allow for accurate diagnosis or for intraoperative confirmation of the tumour margins, and in bony sarcomas, they can lead to bone margins up to 10-fold wider (1,000-fold volumetrically) than necessary. Here, we show that real-time three-dimensional contour-scanning of tissue via ultraviolet photoacoustic microscopy in reflection mode can be used to intraoperatively evaluate undecalcified and decalcified thick bone specimens, without the need for tissue sectioning. We validate the technique with gold-standard haematoxylin-and-eosin histology images acquired via a traditional optical microscope, and also show that an unsupervised generative adversarial network can virtually stain the ultraviolet-photoacoustic-microscopy images, allowing pathologists to readily identify cancerous features. Label-free and slide-free histology via ultraviolet photoacoustic microscopy may allow for rapid diagnoses of bone-tissue pathologies and aid the intraoperative determination of tumour margins.
获取用于术中检查的骨组织冰冻切片具有挑战性。因此,矫形肿瘤学家依赖于术前 X 射线计算机断层扫描或磁共振成像来识别切除的骨缘。然而,这些技术无法进行准确的诊断或术中确认肿瘤边界,在骨肉瘤中,它们可能导致骨缘比实际需要的宽 10 倍(体积上宽 1000 倍)。在这里,我们展示了通过反射模式的紫外光声显微镜实时三维轮廓扫描可以用于术中评估未脱钙和脱钙的厚骨标本,而无需组织切片。我们通过传统光学显微镜获得的金标准苏木精-伊红组织学图像验证了该技术,还表明无监督生成对抗网络可以虚拟染色紫外光声显微镜图像,使病理学家能够轻松识别癌症特征。通过紫外光声显微镜进行无标记和无载玻片的组织学检查可能允许快速诊断骨组织病理学,并有助于术中确定肿瘤边界。