Towards next-generation diagnostic pathology: AI-empowered label-free multiphoton microscopy

IF 3.5 3区 医学 Q2 CHEMISTRY, MEDICINAL ACS Medicinal Chemistry Letters Pub Date : 2024-09-14 DOI:10.1038/s41377-024-01597-w
Shu Wang, Junlin Pan, Xiao Zhang, Yueying Li, Wenxi Liu, Ruolan Lin, Xingfu Wang, Deyong Kang, Zhijun Li, Feng Huang, Liangyi Chen, Jianxin Chen
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Abstract

Diagnostic pathology, historically dependent on visual scrutiny by experts, is essential for disease detection. Advances in digital pathology and developments in computer vision technology have led to the application of artificial intelligence (AI) in this field. Despite these advancements, the variability in pathologists’ subjective interpretations of diagnostic criteria can lead to inconsistent outcomes. To meet the need for precision in cancer therapies, there is an increasing demand for accurate pathological diagnoses. Consequently, traditional diagnostic pathology is evolving towards “next-generation diagnostic pathology”, prioritizing on the development of a multi-dimensional, intelligent diagnostic approach. Using nonlinear optical effects arising from the interaction of light with biological tissues, multiphoton microscopy (MPM) enables high-resolution label-free imaging of multiple intrinsic components across various human pathological tissues. AI-empowered MPM further improves the accuracy and efficiency of diagnosis, holding promise for providing auxiliary pathology diagnostic methods based on multiphoton diagnostic criteria. In this review, we systematically outline the applications of MPM in pathological diagnosis across various human diseases, and summarize common multiphoton diagnostic features. Moreover, we examine the significant role of AI in enhancing multiphoton pathological diagnosis, including aspects such as image preprocessing, refined differential diagnosis, and the prognostication of outcomes. We also discuss the challenges and perspectives faced by the integration of MPM and AI, encompassing equipment, datasets, analytical models, and integration into the existing clinical pathways. Finally, the review explores the synergy between AI and label-free MPM to forge novel diagnostic frameworks, aiming to accelerate the adoption and implementation of intelligent multiphoton pathology systems in clinical settings.

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迈向下一代病理诊断:人工智能赋能的无标记多光子显微技术
病理诊断历来依赖专家的肉眼观察,对疾病检测至关重要。数字病理学的进步和计算机视觉技术的发展促使人工智能(AI)应用于这一领域。尽管取得了这些进步,但病理学家对诊断标准的主观解释存在差异,可能导致结果不一致。为了满足癌症治疗的精确性需求,对准确病理诊断的要求越来越高。因此,传统的病理诊断正朝着 "下一代病理诊断 "的方向发展,优先发展多维度的智能诊断方法。利用光与生物组织相互作用产生的非线性光学效应,多光子显微镜(MPM)可对各种人体病理组织的多种内在成分进行高分辨率无标记成像。人工智能驱动的多光子显微镜进一步提高了诊断的准确性和效率,有望提供基于多光子诊断标准的辅助病理诊断方法。在这篇综述中,我们系统地概述了多光子病理诊断在各种人类疾病病理诊断中的应用,并总结了常见的多光子诊断特征。此外,我们还探讨了人工智能在增强多光子病理诊断中的重要作用,包括图像预处理、精细鉴别诊断和预后判断等方面。我们还讨论了多光子病理诊断与人工智能整合所面临的挑战和前景,包括设备、数据集、分析模型以及与现有临床路径的整合。最后,本综述探讨了人工智能与无标记多光子病理学之间的协同作用,以构建新颖的诊断框架,从而加快智能多光子病理学系统在临床环境中的采用和实施。
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来源期刊
ACS Medicinal Chemistry Letters
ACS Medicinal Chemistry Letters CHEMISTRY, MEDICINAL-
CiteScore
7.30
自引率
2.40%
发文量
328
审稿时长
1 months
期刊介绍: ACS Medicinal Chemistry Letters is interested in receiving manuscripts that discuss various aspects of medicinal chemistry. The journal will publish studies that pertain to a broad range of subject matter, including compound design and optimization, biological evaluation, drug delivery, imaging agents, and pharmacology of both small and large bioactive molecules. Specific areas include but are not limited to: Identification, synthesis, and optimization of lead biologically active molecules and drugs (small molecules and biologics) Biological characterization of new molecular entities in the context of drug discovery Computational, cheminformatics, and structural studies for the identification or SAR analysis of bioactive molecules, ligands and their targets, etc. Novel and improved methodologies, including radiation biochemistry, with broad application to medicinal chemistry Discovery technologies for biologically active molecules from both synthetic and natural (plant and other) sources Pharmacokinetic/pharmacodynamic studies that address mechanisms underlying drug disposition and response Pharmacogenetic and pharmacogenomic studies used to enhance drug design and the translation of medicinal chemistry into the clinic Mechanistic drug metabolism and regulation of metabolic enzyme gene expression Chemistry patents relevant to the medicinal chemistry field.
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