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Characterization of Pulmonary Pathology in the Golden Syrian Hamster Model of COVID-19 Using Micro-Computed Tomography. 用显微计算机断层扫描表征金叙利亚仓鼠新冠肺炎模型的肺部病理。
IF 1.4 4区 医学 Q3 PATHOLOGY Pub Date : 2025-04-01 Epub Date: 2024-12-05 DOI: 10.1177/01926233241300451
Julita A Ramirez, Micah D Dunlap, Reyna Prosnitz, Anderson Watson, Mary K Montgomery, Matthew Gutman, Timothy M Coskran, Samantha L Levinson, Katharine Yang, Isis Kanevsky, Shambhunath Choudhary

The Golden Syrian hamster is a well-characterized rodent model for severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2)-associated pneumonia. We sought to characterize the pulmonary disease course during SARS-CoV-2 infection (strain USA-WA1/2020) in the hamster model using micro-computed tomography (micro-CT) and compare radiologic observations with histopathologic findings. We observed a range of radiologic abnormalities, including ground glass opacities (GGOs), consolidations, air bronchograms, and pneumomediastinum. The appearance, distribution, and progression of these abnormalities in hamsters were similar to those observed in the lungs of coronavirus disease 2019 (COVID-19) patients by clinical CT and chest X-rays, and correlated with clinical signs and weight loss during the course of disease. Histopathological analysis of infected hamsters revealed lung pathology characteristic of COVID-19 pneumonia, and we observed a strong association between CT and histopathologic scorings. We also analyzed accumulation of air in the thoracic cavity by both manual and automated threshold-based segmentation and found that automated analysis significantly decreases the time needed for data analysis. Data presented here demonstrate that micro-CT imaging can be a major tool in preclinical investigative studies using animal models by providing early and detailed assessment of disease severity and outcomes.

金色叙利亚仓鼠是严重急性呼吸综合征-冠状病毒-2 (SARS-CoV-2)相关肺炎的典型啮齿类动物模型。我们试图利用微型计算机断层扫描(micro-CT)在仓鼠模型中描述SARS-CoV-2感染(菌株USA-WA1/2020)期间的肺部疾病病程,并将放射学观察结果与组织病理学结果进行比较。我们观察到一系列影像学异常,包括磨玻璃混浊(GGOs)、实变、支气管充气征和纵隔气肿。这些异常在仓鼠中的表现、分布和进展与临床CT和胸部x射线在2019冠状病毒病(COVID-19)患者肺部观察到的相似,并与疾病期间的临床症状和体重减轻相关。感染仓鼠的组织病理学分析显示COVID-19肺炎的肺部病理特征,我们观察到CT与组织病理学评分之间有很强的相关性。我们还通过手动和自动阈值分割分析了胸腔内的空气积聚,发现自动分析显著减少了数据分析所需的时间。本文提供的数据表明,通过提供疾病严重程度和结果的早期和详细评估,微型ct成像可以成为使用动物模型进行临床前调查研究的主要工具。
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引用次数: 0
Toxicologic Pathology Forum: Opinion on Digital Primary Read and Peer Review-Diving Head-First Into the Deep Digital Pool! 毒理病理学论坛:关于数字化初读和同行评审的意见--一头扎进数字化深潭!
IF 1.4 4区 医学 Q3 PATHOLOGY Pub Date : 2025-02-01 Epub Date: 2024-12-12 DOI: 10.1177/01926233241303909
Krista M D La Perle

Before the COVID-19 pandemic, digital pathology was increasingly used in veterinary education, diagnostics, and research. The pandemic accelerated this adoption as institutions needed to maintain operations amidst lockdowns. It also enabled pharmaceutical companies to conduct peer reviews digitally, circumventing travel restrictions. At the 2023 Society of Toxicologic Pathology Annual Symposium, a Town Hall Meeting highlighted the current use of digital pathology. A majority of the respondents viewed whole slide images (WSI) favorably. Many institutions use digital pathology primarily for non-GLP and GLP conforming primary reads and peer reviews. Takeda has long utilized digital pathology, incorporating scanners and an image management repository, and recently adopted a cloud-based platform tailored for toxicologic pathology, enhancing efficiency and collaboration. Digital pathology not only saves time but also reduces travel needs and environmental impact. Technological advancements and wider adoption are expected to further enhance the field, promising significant benefits for the overall digital pathology infrastructure.

在2019冠状病毒病大流行之前,数字病理学越来越多地用于兽医教育、诊断和研究。大流行加速了这种做法的采用,因为各机构需要在封锁期间维持运营。它还使制药公司能够以数字方式进行同行评审,从而绕过旅行限制。在2023年毒物病理学学会年度研讨会上,一个市政厅会议强调了数字病理学的当前使用。大多数受访者认为整个幻灯片图像(WSI)是有利的。许多机构主要将数字病理学用于非GLP和符合GLP的初级阅读和同行评审。武田长期以来一直使用数字病理学,包括扫描仪和图像管理存储库,最近采用了专为毒理学病理学定制的基于云的平台,从而提高了效率和协作。数字病理学不仅节省了时间,还减少了旅行需求和对环境的影响。技术进步和更广泛的应用有望进一步加强该领域,为整个数字病理学基础设施带来重大好处。
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引用次数: 0
Toxicologic Pathology Forum: Opinion on Digital Primary Read and Peer Review-Are We There Yet? 毒理学病理学论坛:对数字化初级阅读和同行评议的看法——我们到了吗?
IF 1.4 4区 医学 Q3 PATHOLOGY Pub Date : 2025-02-01 Epub Date: 2025-01-18 DOI: 10.1177/01926233241303911
Kenneth A Schafer, Deepa B Rao

Recent trends in toxicological pathology include implementation of digital platforms that have gained rapid momentum in the field. Are we ready to fully implement this new modality? This opinion piece provides some practical perspectives on digital pathology such as its cost limitations, relative time requirements, and a few technical issues, some of which are encountered for specific lesions, that warrant caution. Although the potential for digital pathology assessment with whole slide images has made great strides, we are of the opinion that it is not yet ready for complete replacement of glass slides in toxicologic pathology safety assessments.

毒理学病理学的最新趋势包括在该领域获得快速发展势头的数字平台的实施。我们准备好全面实施这种新模式了吗?这篇观点文章提供了一些关于数字病理学的实用观点,如其成本限制、相对时间要求和一些技术问题,其中一些是针对特定病变的,需要谨慎处理。尽管利用全载玻片图像进行数字病理评估的潜力已经取得了很大的进步,但我们认为在毒理学病理安全评估中完全取代玻璃载玻片还没有准备好。
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引用次数: 0
Historical Control Data of Spontaneous Lesions of Laboratory New Zealand White and Dutch Belted Rabbits (Oryctolagus Cuniculus) Used in Toxicity Studies. 用于毒性研究的实验室新西兰白兔和荷兰带兔自发病变的历史对照数据。
IF 1.4 4区 医学 Q3 PATHOLOGY Pub Date : 2025-02-01 Epub Date: 2025-01-26 DOI: 10.1177/01926233241298567
Davide Corbetta, Kaori Isobe, Romaisa Masood, Petrina Rogerson, Alys Bradley

A retrospective study was performed to determine the incidences of spontaneous findings in control laboratory New Zealand White (NZW) and Dutch Belted (DB) rabbits. Terminal body and organ weights data were also collected. A total of 2170 NZW (526 males/1644 females), 100 DB rabbits (50 animals per sex), aged 4- to 7-month-old were obtained from 158 non-clinical studies evaluated between 2013 and 2022. The NZW rabbits had greater mean terminal body weights than DB strain. Mixed cell infiltration in the lung was the most recorded finding in both strains, followed by pulmonary inflammation/mononuclear cell infiltration. Differentiation between pulmonary "infiltration"/"inflammation" remained challenging as interpretation of guidelines for diagnostic terminology may vary amongst pathologists. Other common findings included mineralization and basophilia of the renal tubules; hepatic/renal mononuclear cell infiltration, all more common in females. Cysts were commonly recorded, with high prevalence in the oviduct, thyroid gland, ovary in NZW strain, while uterine, pituitary gland, and thyroid gland cysts were the most identified in DB rabbits. Neoplasms and infectious etiologies were absent. Most of the animals were sexually mature. To our knowledge, this is the most recent comprehensive study of spontaneous lesions and organ weights in both rabbit strains and should facilitate the differentiation of spontaneous and induced lesions in safety studies.

我们进行了一项回顾性研究,以确定在对照实验室新西兰白兔(NZW)和荷兰带兔(DB)中自发发现的发生率。还收集了终末体重和器官重量数据。从2013年至2022年间评估的158项非临床研究中,共获得了2170只NZW(526只雄性/1644只雌性),100只DB兔(每性别50只),年龄在4至7个月。NZW家兔终末平均体重高于DB家兔。两种菌株中肺内混合细胞浸润最多,其次是肺部炎症/单核细胞浸润。区分肺“浸润”/“炎症”仍然具有挑战性,因为病理学家对诊断术语指南的解释可能不同。其他常见表现包括矿化和肾小管嗜碱性;肝/肾单核细胞浸润,多见于女性。囊肿常见,NZW品系以输卵管、甲状腺、卵巢居多,而子宫、垂体、甲状腺囊肿在DB家兔中最多。没有肿瘤和感染性病因。大多数动物性成熟。据我们所知,这是对两种兔系自发病变和器官重量的最新综合研究,应该有助于在安全性研究中区分自发病变和诱导病变。
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引用次数: 0
Opinion on the Importance of Sharing Toxicologic Pathology Data for Educational and/or Scientific Purposes. 关于为教育和/或科学目的共享毒理病理学数据的重要性的意见。
IF 1.4 4区 医学 Q3 PATHOLOGY Pub Date : 2025-02-01 Epub Date: 2024-11-18 DOI: 10.1177/01926233241296122
Eveline de Rijk, Phaedra Cole, Anna-Lena Frisk, Frederic Gervais, Joost Lensen, Barbara Lenz, Lars Mecklenburg, Flavia Pasello Dos Santos, Annette Romeike, Catherine Ross

Sharing pathology data is critical for educational and scientific purposes. Since most pharmaceutical or (agro)chemical companies outsource nonclinical safety assessment studies to contract research organizations (CROs), the pathology data of those studies are not owned by the investigator but is the legal property of the respective company sponsoring the work. Although some companies have installed policies that govern sharing of pathology data, many companies generally do not allow the external use of data by either the CRO-based study pathologist or the sponsor pathologist. Policies for governing the external use of data vary significantly. In this article, we present an overview of the different approaches taken across different companies (CROs, pharmaceutical/chemical companies, or other institutes) for sharing pathology material for educational and/or scientific purposes. The results of a survey and interviews with legal departments of different companies will be presented (anonymously) and discussed. In addition, the importance of sharing pathology data is addressed, as well as the challenges and opportunities this presents. Suggestions will be provided regarding what material should be made available and what will be needed to achieve agreement for this to happen.

共享病理数据对于教育和科学目的至关重要。由于大多数制药或(农)化学公司都将非临床安全性评估研究外包给合同研究组织 (CRO),因此这些研究的病理数据不归研究者所有,而是赞助这项工作的各公司的合法财产。尽管有些公司制定了管理病理数据共享的政策,但许多公司通常不允许基于合同研究组织的研究病理学家或赞助商病理学家将数据用于外部用途。管理外部使用数据的政策差异很大。本文概述了不同公司(CRO、制药/化学公司或其他机构)为教育和/或科研目的共享病理资料所采取的不同方法。我们将介绍(匿名)一项调查的结果,并与不同公司的法律部门进行访谈和讨论。此外,还将讨论共享病理资料的重要性以及由此带来的挑战和机遇。还将就哪些资料应予以提供以及为此达成一致所需的条件提出建议。
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引用次数: 0
Virtual Control Groups in Non-clinical Toxicity Studies: Impacts on Toxicologic Clinical Pathology Data Interpretation. 非临床毒性研究中的虚拟对照组:对毒理学临床病理数据解释的影响。
IF 1.4 4区 医学 Q3 PATHOLOGY Pub Date : 2025-02-01 Epub Date: 2024-11-30 DOI: 10.1177/01926233241300310
Adeyemi O Adedeji, Adi Wasserkrug Naor

One of the emerging concepts on the reduction of animal use in non-clinical studies is the use of virtual control group (VCG) to replace concurrent control group (CCG). The VCG involves the generation of a control data from historical control data to match a specific study design. This review focuses on two recently published proof-of-concept (POC) studies conducted in rats. One major issue that was consistently seen across these POC studies was the non-reproducibility of some quantitative endpoints between the CCG and the VCG, with clinical pathology parameters being the most affected. The inconsistencies observed with the clinical pathology parameters when using VCGs may lead to: (1) misconception about the accuracy and sensitivity of traditional clinical pathology biomarkers and its implications on safety monitoring in the clinic; (2) inability to correctly identify and characterize organ dysfunctions; (3) interference with the weight-of-evidence approach used in identifying hazards in toxicologic clinical pathology and toxicology studies at large; and (4) wrong interpretations and data reproducibility issues. Other alternatives to reduce animal use in toxicology studies are also discussed including blood microsampling for toxicokinetics, scientifically justified use of recovery animals, and appropriate use and continuous investments in new alternative methods.

在非临床研究中减少动物使用的新兴概念之一是使用虚拟对照组(VCG)来代替并发对照组(CCG)。VCG包括从历史对照数据中生成对照数据,以匹配特定的研究设计。本文综述了最近发表的两项在大鼠中进行的概念验证(POC)研究。在这些POC研究中一致发现的一个主要问题是CCG和VCG之间的一些定量终点的不可重复性,其中临床病理参数受到的影响最大。使用vcg时观察到的与临床病理参数的不一致可能导致:(1)对传统临床病理生物标志物的准确性和敏感性及其对临床安全监测的影响的误解;(2)不能正确识别和描述器官功能障碍;(3)干扰用于确定毒理学临床病理学和毒理学研究中危害的证据权重法;(4)错误解释和数据可重复性问题。还讨论了减少毒理学研究中动物使用的其他替代方法,包括用于毒性动力学的血液微采样,科学合理地使用恢复动物,以及适当使用和持续投资新的替代方法。
{"title":"Virtual Control Groups in Non-clinical Toxicity Studies: Impacts on Toxicologic Clinical Pathology Data Interpretation.","authors":"Adeyemi O Adedeji, Adi Wasserkrug Naor","doi":"10.1177/01926233241300310","DOIUrl":"10.1177/01926233241300310","url":null,"abstract":"<p><p>One of the emerging concepts on the reduction of animal use in non-clinical studies is the use of virtual control group (VCG) to replace concurrent control group (CCG). The VCG involves the generation of a control data from historical control data to match a specific study design. This review focuses on two recently published proof-of-concept (POC) studies conducted in rats. One major issue that was consistently seen across these POC studies was the non-reproducibility of some quantitative endpoints between the CCG and the VCG, with clinical pathology parameters being the most affected. The inconsistencies observed with the clinical pathology parameters when using VCGs may lead to: (1) misconception about the accuracy and sensitivity of traditional clinical pathology biomarkers and its implications on safety monitoring in the clinic; (2) inability to correctly identify and characterize organ dysfunctions; (3) interference with the weight-of-evidence approach used in identifying hazards in toxicologic clinical pathology and toxicology studies at large; and (4) wrong interpretations and data reproducibility issues. Other alternatives to reduce animal use in toxicology studies are also discussed including blood microsampling for toxicokinetics, scientifically justified use of recovery animals, and appropriate use and continuous investments in new alternative methods.</p>","PeriodicalId":23113,"journal":{"name":"Toxicologic Pathology","volume":" ","pages":"164-172"},"PeriodicalIF":1.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11909775/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142755453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
IHI VICT3R: Developing and Implementing Virtual Control Groups to Reduce Animal Use in Toxicology Research. 开发和实施虚拟控制组以减少毒理学研究中动物的使用。
IF 1.4 4区 医学 Q3 PATHOLOGY Pub Date : 2025-02-01 Epub Date: 2024-12-12 DOI: 10.1177/01926233241303906
Thomas Steger-Hartmann, Ferran Sanz, Frank Bringezu, Inari Soininen

The virtual control group (VCG) concept was originally developed in the IMI2 project eTRANSAFE, using data of control animals which pharmaceutical companies have accrued over decades from animal toxicity studies. This control data could be repurposed to create virtual control animals to reduce or replace concurrent controls in animal studies. Initial work demonstrated the general feasibility of the VCG concept, but implementation requires significant further collaborative efforts. The new Innovative Health Initiative (IHI) project VICT3R aims to address these challenges and to obtain regulatory acceptance for the VCG concept. To achieve these goals, VICT3R will build a database comprising high-quality, standardized, and duly annotated control animal data from past and forthcoming toxicity studies. The VICT3R project will create workflows and computational tools to generate adequate VCGs based on statistical and artificial intelligence (AI) approaches. The validity, reproducibility, and robustness of the resulting VCGs will be assessed by comparing the performance of their use with that of real control groups.

虚拟对照组(VCG)概念最初是在IMI2项目eTRANSAFE中开发的,使用了制药公司几十年来从动物毒性研究中积累的对照动物数据。这些对照数据可以重新用于创建虚拟对照动物,以减少或取代动物研究中的并发对照。最初的工作证明了VCG概念的总体可行性,但实施需要进一步的大量合作努力。新的创新健康倡议(IHI)项目VICT3R旨在应对这些挑战,并获得VCG概念的监管认可。为了实现这些目标,VICT3R将建立一个数据库,包括来自过去和即将进行的毒性研究的高质量、标准化和适当注释的对照动物数据。VICT3R项目将创建工作流程和计算工具,以基于统计和人工智能(AI)方法生成足够的vcg。所得到的vcg的有效性、可重复性和稳健性将通过将其与真实对照组的使用性能进行比较来评估。
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引用次数: 0
Historical Control Background Incidence of Spontaneous Nonneoplastic Lesions of Sprague Dawley Rats in 104-Week Carcinogenicity Studies. 在为期 104 周的致癌性研究中,Sprague Dawley 大鼠自发性非肿瘤性病变的历史控制背景发生率。
IF 1.4 4区 医学 Q3 PATHOLOGY Pub Date : 2025-02-01 Epub Date: 2024-10-29 DOI: 10.1177/01926233241289116
Marie Bockenstedt, Amit Kumar, Victoria Laast, Alok Sharma

Microscopic observation data collected from approximately 1800 male and female Sprague Dawley (SD) control rats used on 104-week carcinogenicity studies performed at North American Labcorp Early Development, Inc, Madison, WI, were retrospectively evaluated for spontaneous nonneoplastic findings. This study provides incidence of the most common spontaneous nonneoplastic microscopic findings in each organ system of SD rats encountered during 104-week carcinogenicity studies. Some of the most common spontaneous background findings were cardiomyopathy; chronic progressive nephropathy; uterine cystic endometrial hyperplasia; prostate inflammation; pulmonary alveolar macrophage infiltrates; hepatocyte vacuolation, bile duct hyperplasia, and basophilic foci in the liver; pancreatic fibrosis; splenic extramedullary hematopoiesis and pigment; decreased lymphocytes and epithelial hyperplasia in the thymus; ventral brain compression; cystic degeneration and hyperplasia of the adrenal cortex; and mammary gland hyperplasia. The most common nonneoplastic findings in male SD rats were chronic progressive nephropathy (80.9%) and rodent progressive cardiomyopathy (73.2%). The most common nonnenoplastic findings in female SD rats were cystic degeneration of the adrenal cortex (64.7%) and ventral compression of the brain due to pituitary neoplasms (62.7%).

在威斯康星州麦迪逊市的北美实验室早期开发公司(North American Labcorp Early Development, Inc)进行的为期 104 周的致癌性研究中,从约 1800 只雌雄 Sprague Dawley (SD) 对照组大鼠身上收集了显微镜观察数据,并对这些数据进行了回顾性评估,以确定是否存在自发性非肿瘤性结果。本研究提供了在 104 周致癌性研究期间 SD 大鼠各器官系统中最常见的自发性非肿瘤性显微镜检查结果的发生率。一些最常见的自发性背景发现包括心肌病、慢性进行性肾病、子宫囊性内膜增生、前列腺炎症、肺泡巨噬细胞浸润、肝细胞空泡化、胆管增生和肝脏嗜碱性病灶;胰腺纤维化;脾髓外造血和色素沉着;淋巴细胞减少和胸腺上皮增生;大脑腹侧受压;肾上腺皮质囊性变性和增生;乳腺增生。雄性 SD 大鼠最常见的非肿瘤性病变是慢性进行性肾病(80.9%)和啮齿动物进行性心肌病(73.2%)。雌性SD大鼠最常见的非肿瘤性病变是肾上腺皮质囊性变性(64.7%)和垂体肿瘤导致的大脑腹侧压迫(62.7%)。
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引用次数: 0
Thank You to Reviewers. 感谢审稿人。
IF 1.4 4区 医学 Q3 PATHOLOGY Pub Date : 2025-01-30 DOI: 10.1177/01926233251315826
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引用次数: 0
Immunohistochemistry-Free Enhanced Histopathology of the Rat Spleen Using Deep Learning. 基于深度学习的无免疫组织化学增强大鼠脾脏组织病理学研究。
IF 1.4 4区 医学 Q3 PATHOLOGY Pub Date : 2025-01-01 Epub Date: 2024-12-26 DOI: 10.1177/01926233241303907
Shima Mehrvar, Kevin Maisonave, Wayne Buck, Magali Guffroy, Bhupinder Bawa, Lauren Himmel

Enhanced histopathology of the immune system uses a precise, compartment-specific, and semi-quantitative evaluation of lymphoid organs in toxicology studies. The assessment of lymphocyte populations in tissues is subject to sampling variability and limited distinctive cytologic features of lymphocyte subpopulations as seen with hematoxylin and eosin (H&E) staining. Although immunohistochemistry is necessary for definitive characterization of T- and B-cell compartments, routine toxicologic assessments are based solely on H&E slides. Here, a deep learning (DL) model was developed using normal rats to quantify relevant compartments of the spleen, including periarteriolar lymphoid sheaths, follicles, germinal centers, and marginal zones from H&E slides. Slides were scanned, destained, dual labeled with CD3 and CD79a chromogenic immunohistochemistry, and rescanned to generate exact co-registered images that served as the ground truth for training and validation. The DL model identified individual splenic compartments with high accuracy (97.8% Dice similarity coefficient) directly from H&E-stained tissue. The DL model was utilized to study the normal range of lymphoid compartment area and cellularity. Future implementation of our DL model and expanding this approach to other lymphoid tissues have the potential to improve accuracy and precision in enhanced histopathology evaluation of the immune system with concurrent gains in time efficiency for the pathologist.

免疫系统强化组织病理学在毒理学研究中对淋巴器官进行精确的、特定区域的半定量评估。组织中淋巴细胞群的评估受取样变化和淋巴细胞亚群细胞学特征的限制,如苏木精和伊红(H&E)染色。虽然免疫组化是确定 T 细胞和 B 细胞区系特征的必要条件,但常规毒理学评估仅基于 H&E 切片。在此,我们利用正常大鼠开发了一种深度学习(DL)模型,以量化脾脏的相关区段,包括H&E切片中的小动脉周围淋巴鞘、滤泡、生发中心和边缘区。对切片进行扫描、去染色、CD3 和 CD79a 色原免疫组化双重标记并重新扫描,以生成精确的共混图像,作为训练和验证的基本真相。DL 模型能直接从 H&E 染色组织中高精度(97.8% Dice 相似系数)地识别出单个脾脏分区。我们利用 DL 模型研究了淋巴区面积和细胞度的正常范围。未来实施我们的 DL 模型并将这种方法扩展到其他淋巴组织,有可能提高免疫系统组织病理学评估的准确性和精确性,同时提高病理学家的时间效率。
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引用次数: 0
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Toxicologic Pathology
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