用自发光成像实现肺心移植活检的无标签虚拟染色,替代传统耗时染色。
Label-free evaluation of lung and heart transplant biopsies using tissue autofluorescence-based virtual staining
- 通过神经网络将组织自发光图像转为H&E、MT、EVG等虚拟染色图像。
- 肺与心脏样本诊断一致性分别达82.4%和91.7%,接近传统染色效果。
- 可一次生成多类染色,节省组织与人力成本,避免切片错位问题。
器官移植是终末期器官衰竭的主要治疗手段,但移植物排斥是常见并发症。组织学评估对及时发现和诊断排斥反应至关重要,仍是金标准。然而传统组织化学染色过程耗时、昂贵且费力。本文提出用于肺与心脏移植活检的虚拟染色神经网络,可将无标记组织切片的自发光显微图像数字化转换为明场染色图像,跳过传统染色流程。具体实现了肺组织的H&E、Masson's Trichrome(MT)、Elastic Verhoeff-Van Gieson(EVG)虚拟染色,以及心脏组织的H&E与MT染色。三位认证病理科医生盲评结果显示,虚拟染色图像在颜色均匀性与组织特征呈现上均高度接近真实染色图像。使用虚拟染色图像评估移植活检的诊断结果与传统染色相当,肺样本一致性为82.4%,心脏样本为91.7%。此外,同一自发光输入可生成多种染色,消除传统流程中相邻切片间的结构错位问题,同时节省组织、专家时间与染色成本。
原文摘要 · Abstract (English)
Organ transplantation serves as the primary therapeutic strategy for end-stage organ failures. However, allograft rejection is a common complication of organ transplantation. Histological assessment is essential for the timely detection and diagnosis of transplant rejection and remains the gold standard. Nevertheless, the traditional histochemical staining process is time-consuming, costly, and labor-intensive. Here, we present a panel of virtual staining neural networks for lung and heart transplant biopsies, which digitally convert autofluorescence microscopic images of label-free tissue sections into their brightfield histologically stained counterparts, bypassing the traditional histochemical staining process. Specifically, we virtually generated Hematoxylin and Eosin (H&E), Masson's Trichrome (MT), and Elastic Verhoeff-Van Gieson (EVG) stains for label-free transplant lung tissue, along with H&E and MT stains for label-free transplant heart tissue. Subsequent blind evaluations conducted by three board-certified pathologists have confirmed that the virtual staining networks consistently produce high-quality histology images with high color uniformity, closely resembling their well-stained histochemical counterparts across various tissue features. The use of virtually stained images for the evaluation of transplant biopsies achieved comparable diagnostic outcomes to those obtained via traditional histochemical staining, with a concordance rate of 82.4% for lung samples and 91.7% for heart samples. Moreover, virtual staining models create multiple stains from the same autofluorescence input, eliminating structural mismatches observed between adjacent sections stained in the traditional workflow, while also saving tissue, expert time, and staining costs.
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