论文标题
使用深度学习和空间光干扰显微镜(Slim)的无标记结直肠癌筛查(Slim)
Label-free colorectal cancer screening using deep learning and spatial light interference microscopy (SLIM)
论文作者
论文摘要
当前的病理工作流程涉及对薄组织切片的染色,否则该切片将是透明的,然后由训练有素的病理学家在显微镜下进行手动研究。虽然苏木精和曙红(H&E)的染色是完善的,并且是一种可视化组织学幻灯片的成本效益方法,但其跨临床医生跨临床医生的颜色变异性仍然是未解决的挑战。为了缓解这些挑战,最近我们证明了空间光干扰显微镜(Slim)可以为固有的,客观标记物提供独立于制备和人类偏见的途径。此外,纤毛对胶原蛋白纤维的敏感性可产生与患者预后相关的信息,这在H&E中不可用。在这里,我们表明,深度学习和苗条可以形成筛查应用的强大组合:对1,660张结肠腺的纤细图像进行训练,并在144个腺体上进行验证,我们获得了良性的良性与癌症分类精度为99%。我们设想,这里呈现的整个幻灯片扫描仪与人工智能算法搭配使用可能被证明是有价值的,可以作为一种预筛选方法,可以节省临床医生的时间和精力。
Current pathology workflow involves staining of thin tissue slices, which otherwise would be transparent, followed by manual investigation under the microscope by a trained pathologist. While the hematoxylin and eosin (H&E) stain is well-established and a cost-effective method for visualizing histology slides, its color variability across preparations and subjectivity across clinicians remain unaddressed challenges. To mitigate these challenges, recently we have demonstrated that spatial light interference microscopy (SLIM) can provide a path to intrinsic, objective markers, that are independent of preparation and human bias. Additionally, the sensitivity of SLIM to collagen fibers yields information relevant to patient outcome, which is not available in H&E. Here, we show that deep learning and SLIM can form a powerful combination for screening applications: training on 1,660 SLIM images of colon glands and validating on 144 glands, we obtained a benign vs. cancer classification accuracy of 99%. We envision that the SLIM whole slide scanner presented here paired with artificial intelligence algorithms may prove valuable as a pre-screening method, economizing the clinician's time and effort.