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基于深度学习的紫外光声远程感测显微镜下逼真的虚拟组织学。

Deep learning-enabled realistic virtual histology with ultraviolet photoacoustic remote sensing microscopy.

机构信息

Department of Electrical and Computer Engineering, University of Alberta, 116 Street & 85 Avenue, Edmonton, AB, T6G 2R3, Canada.

Department of Laboratory Medicine and Pathology, University of Alberta, 11405 87 Avenue NW, Edmonton, AB, T6G 1C9, Canada.

出版信息

Nat Commun. 2023 Sep 25;14(1):5967. doi: 10.1038/s41467-023-41574-2.

Abstract

The goal of oncologic surgeries is complete tumor resection, yet positive margins are frequently found postoperatively using gold standard H&E-stained histology methods. Frozen section analysis is sometimes performed for rapid intraoperative margin evaluation, albeit with known inaccuracies. Here, we introduce a label-free histological imaging method based on an ultraviolet photoacoustic remote sensing and scattering microscope, combined with unsupervised deep learning using a cycle-consistent generative adversarial network for realistic virtual staining. Unstained tissues are scanned at rates of up to 7 mins/cm, at resolution equivalent to 400x digital histopathology. Quantitative validation suggests strong concordance with conventional histology in benign and malignant prostate and breast tissues. In diagnostic utility studies we demonstrate a mean sensitivity and specificity of 0.96 and 0.91 in breast specimens, and respectively 0.87 and 0.94 in prostate specimens. We also find virtual stain quality is preferred (P = 0.03) compared to frozen section analysis in a blinded survey of pathologists.

摘要

肿瘤外科的目标是完全切除肿瘤,但使用金标准 H&E 染色组织学方法术后常发现阳性边缘。有时会进行冷冻切片分析以快速进行术中边缘评估,但存在已知的不准确性。在这里,我们介绍了一种无标记的组织学成像方法,该方法基于紫外光声远程传感和散射显微镜,并结合使用无监督深度学习的循环一致生成对抗网络进行逼真的虚拟染色。未染色的组织以高达 7 分钟/厘米的速度进行扫描,分辨率相当于 400x 数字组织病理学。定量验证表明,在良性和恶性前列腺和乳腺组织中与传统组织学具有很强的一致性。在诊断效用研究中,我们在对病理学家的盲法调查中,在乳腺标本中分别证明了 0.96 和 0.91 的平均敏感性和特异性,在前列腺标本中分别为 0.87 和 0.94。我们还发现,与冷冻切片分析相比,虚拟染色质量更受青睐(P=0.03)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c500/10519961/d09d3de099f6/41467_2023_41574_Fig1_HTML.jpg

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