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CohortFinder: an open-source tool for data-driven partitioning of digital pathology and imaging cohorts to yield robust machine-learning models CohortFinder:一种开源工具,用于对数字病理学和成像队列进行数据驱动的分区,以建立强大的机器学习模型
Pub Date : 2024-07-01 DOI: 10.1038/s44303-024-00018-2
Fan Fan, Georgia Martinez, Thomas DeSilvio, John Shin, Yijiang Chen, Jackson Jacobs, Bangchen Wang, Takaya Ozeki, Maxime W. Lafarge, Viktor H. Koelzer, Laura Barisoni, Anant Madabhushi, Satish E. Viswanath, Andrew Janowczyk
Batch effects (BEs) refer to systematic technical differences in data collection unrelated to biological variations whose noise is shown to negatively impact machine learning (ML) model generalizability. Here we release CohortFinder ( http://cohortfinder.com ), an open-source tool aimed at mitigating BEs via data-driven cohort partitioning. We demonstrate CohortFinder improves ML model performance in downstream digital pathology and medical image processing tasks. CohortFinder is freely available for download at cohortfinder.com.
批次效应(BEs)指的是数据收集中与生物变异无关的系统性技术差异,其噪声已被证明会对机器学习(ML)模型的普适性产生负面影响。在此,我们发布了 CohortFinder ( http://cohortfinder.com ),这是一款开源工具,旨在通过数据驱动的队列分区来减轻批次效应。我们展示了 CohortFinder 在下游数字病理学和医学图像处理任务中提高了 ML 模型性能。CohortFinder 可在 cohortfinder.com 上免费下载。
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引用次数: 0
Applications of artificial intelligence in the analysis of histopathology images of gliomas: a review 人工智能在胶质瘤组织病理学图像分析中的应用:综述
Pub Date : 2024-07-01 DOI: 10.1038/s44303-024-00020-8
Jan-Philipp Redlich, Friedrich Feuerhake, Joachim Weis, Nadine S. Schaadt, Sarah Teuber-Hanselmann, Christoph Buck, Sabine Luttmann, Andrea Eberle, Stefan Nikolin, Arno Appenzeller, Andreas Portmann, André Homeyer
In recent years, the diagnosis of gliomas has become increasingly complex. Analysis of glioma histopathology images using artificial intelligence (AI) offers new opportunities to support diagnosis and outcome prediction. To give an overview of the current state of research, this review examines 83 publicly available research studies that have proposed AI-based methods for whole-slide histopathology images of human gliomas, covering the diagnostic tasks of subtyping (23/83), grading (27/83), molecular marker prediction (20/83), and survival prediction (29/83). All studies were reviewed with regard to methodological aspects as well as clinical applicability. It was found that the focus of current research is the assessment of hematoxylin and eosin-stained tissue sections of adult-type diffuse gliomas. The majority of studies (52/83) are based on the publicly available glioblastoma and low-grade glioma datasets from The Cancer Genome Atlas (TCGA) and only a few studies employed other datasets in isolation (16/83) or in addition to the TCGA datasets (15/83). Current approaches mostly rely on convolutional neural networks (63/83) for analyzing tissue at 20x magnification (35/83). A new field of research is the integration of clinical data, omics data, or magnetic resonance imaging (29/83). So far, AI-based methods have achieved promising results, but are not yet used in real clinical settings. Future work should focus on the independent validation of methods on larger, multi-site datasets with high-quality and up-to-date clinical and molecular pathology annotations to demonstrate routine applicability.
近年来,胶质瘤的诊断变得越来越复杂。利用人工智能(AI)分析胶质瘤组织病理学图像为支持诊断和结果预测提供了新的机遇。为了概述目前的研究状况,本综述对 83 项公开发表的研究进行了审查,这些研究提出了基于人工智能的人类胶质瘤全切片组织病理学图像分析方法,涵盖了亚型分类(23/83)、分级(27/83)、分子标记预测(20/83)和生存预测(29/83)等诊断任务。对所有研究的方法学方面和临床适用性进行了审查。研究发现,目前研究的重点是对成人型弥漫性胶质瘤苏木精和伊红染色的组织切片进行评估。大多数研究(52/83)都是基于癌症基因组图谱(TCGA)中公开的胶质母细胞瘤和低级别胶质瘤数据集,只有少数研究单独(16/83)或在TCGA数据集之外(15/83)使用了其他数据集。目前的方法大多依赖卷积神经网络(63/83)来分析放大 20 倍的组织(35/83)。一个新的研究领域是整合临床数据、omics 数据或磁共振成像(29/83)。迄今为止,基于人工智能的方法已经取得了可喜的成果,但尚未用于实际临床环境。未来的工作应侧重于在具有高质量和最新临床及分子病理学注释的大型多站点数据集上对方法进行独立验证,以证明其常规适用性。
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引用次数: 0
Deep learning-based virtual H& E staining from label-free autofluorescence lifetime images 基于深度学习的无标记自发荧光寿命图像虚拟 H&E 染色。
Pub Date : 2024-06-28 DOI: 10.1038/s44303-024-00021-7
Qiang Wang, Ahsan R. Akram, David A. Dorward, Sophie Talas, Basil Monks, Chee Thum, James R. Hopgood, Malihe Javidi, Marta Vallejo
Label-free autofluorescence lifetime is a unique feature of the inherent fluorescence signals emitted by natural fluorophores in biological samples. Fluorescence lifetime imaging microscopy (FLIM) can capture these signals enabling comprehensive analyses of biological samples. Despite the fundamental importance and wide application of FLIM in biomedical and clinical sciences, existing methods for analysing FLIM images often struggle to provide rapid and precise interpretations without reliable references, such as histology images, which are usually unavailable alongside FLIM images. To address this issue, we propose a deep learning (DL)-based approach for generating virtual Hematoxylin and Eosin (H&E) staining. By combining an advanced DL model with a contemporary image quality metric, we can generate clinical-grade virtual H&E-stained images from label-free FLIM images acquired on unstained tissue samples. Our experiments also show that the inclusion of lifetime information, an extra dimension beyond intensity, results in more accurate reconstructions of virtual staining when compared to using intensity-only images. This advancement allows for the instant and accurate interpretation of FLIM images at the cellular level without the complexities associated with co-registering FLIM and histology images. Consequently, we are able to identify distinct lifetime signatures of seven different cell types commonly found in the tumour microenvironment, opening up new opportunities towards biomarker-free tissue histology using FLIM across multiple cancer types.
无标记自发荧光寿命是生物样品中天然荧光团发出的固有荧光信号的一个独特特征。荧光寿命成像显微镜(FLIM)可以捕捉这些信号,从而对生物样本进行全面分析。尽管荧光寿命成像显微镜在生物医学和临床科学中具有根本性的重要意义和广泛应用,但现有的荧光寿命成像显微镜图像分析方法往往难以在没有可靠参照物(如组织学图像)的情况下提供快速、精确的解释,因为组织学图像通常无法与荧光寿命成像显微镜图像一起提供。为了解决这个问题,我们提出了一种基于深度学习(DL)的方法,用于生成虚拟的血红素和伊红(H&E)染色。通过将先进的深度学习模型与当代图像质量度量相结合,我们可以从在未染色组织样本上获取的无标记 FLIM 图像生成临床级虚拟 H&E 染色图像。我们的实验还表明,与仅使用强度图像相比,加入生命周期信息(强度之外的额外维度)能更准确地重建虚拟染色。这一进步使我们能够在细胞层面即时准确地解读 FLIM 图像,而无需处理 FLIM 和组织学图像的复杂性。因此,我们能够识别肿瘤微环境中常见的七种不同细胞类型的不同寿命特征,为在多种癌症类型中使用 FLIM 实现无生物标记组织组学开辟了新的机遇。
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引用次数: 0
In vivo organoid growth monitoring by stimulated Raman histology 通过受激拉曼组织学监测体内类器官生长。
Pub Date : 2024-06-28 DOI: 10.1038/s44303-024-00019-1
Barbara Sarri, Véronique Chevrier, Flora Poizat, Sandro Heuke, Florence Franchi, Louis De Franqueville, Eddy Traversari, Jean-Philippe Ratone, Fabrice Caillol, Yanis Dahel, Solène Hoibian, Marc Giovannini, Cécile de Chaisemartin, Romain Appay, Géraldine Guasch, Hervé Rigneault
Patient-derived tumor organoids have emerged as a crucial tool for assessing the efficacy of chemotherapy and conducting preclinical drug screenings. However, the conventional histological investigation of these organoids necessitates their devitalization through fixation and slicing, limiting their utility to a single-time analysis. Here, we use stimulated Raman histology (SRH) to demonstrate non-destructive, label-free virtual staining of 3D organoids, while preserving their viability and growth. This novel approach provides contrast similar to conventional staining methods, allowing for the continuous monitoring of organoids over time. Our results demonstrate that SRH transforms organoids from one-time use products into repeatable models, facilitating the efficient selection of effective drug combinations. This advancement holds promise for personalized cancer treatment, allowing for the dynamic assessment and optimization of chemotherapy treatments in patient-specific contexts.
源自患者的肿瘤器官组织已成为评估化疗疗效和进行临床前药物筛选的重要工具。然而,对这些器官组织进行传统的组织学研究必须通过固定和切片使其失去活力,从而限制了其单次分析的效用。在这里,我们使用受激拉曼组织学(SRH)对三维有机体进行无损、无标记的虚拟染色,同时保持其活力和生长。这种新方法可提供与传统染色方法类似的对比度,从而实现对器官组织的长期连续监测。我们的研究结果表明,SRH 将有机体从一次性使用的产品转变为可重复使用的模型,有助于高效选择有效的药物组合。这一进步为个性化癌症治疗带来了希望,可以根据患者的具体情况对化疗进行动态评估和优化。
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引用次数: 0
Increased [18F]FDG uptake of radiation-induced giant cells: a single-cell study in lung cancer models 辐射诱导的巨细胞[18F]FDG 摄取增加:肺癌模型中的单细胞研究
Pub Date : 2024-06-19 DOI: 10.1038/s44303-024-00017-3
Neeladrisingha Das, Hieu T. M. Nguyen, Wan-Jin Lu, Arutselvan Natarajan, Syamantak Khan, Guillem Pratx
Positron emission tomography (PET), a cornerstone in cancer diagnosis and treatment monitoring, relies on the enhanced uptake of fluorodeoxyglucose ([18F]FDG) by cancer cells to highlight tumors and other malignancies. While instrumental in the clinical setting, the accuracy of [18F]FDG-PET is susceptible to metabolic changes introduced by radiation therapy. Specifically, radiation induces the formation of giant cells, whose metabolic characteristics and [18F]FDG uptake patterns are not fully understood. Through a novel single-cell gamma counting methodology, we characterized the [18F]FDG uptake of giant A549 and H1299 lung cancer cells that were induced by radiation, and found it to be considerably higher than that of their non-giant counterparts. This observation was further validated in tumor-bearing mice, which similarly demonstrated increased [18F]FDG uptake in radiation-induced giant cells. These findings underscore the metabolic implications of radiation-induced giant cells, as their enhanced [18F]FDG uptake could potentially obfuscate the interpretation of [18F]FDG-PET scans in patients who have recently undergone radiation therapy.
正电子发射断层扫描(PET)是癌症诊断和治疗监测的基石,它依靠癌细胞对氟脱氧葡萄糖([18F]FDG)的增强吸收来突出显示肿瘤和其他恶性肿瘤。虽然[18F]FDG-PET 在临床环境中非常重要,但其准确性容易受到放射治疗引起的代谢变化的影响。具体来说,辐射会诱导巨细胞的形成,而巨细胞的代谢特征和[18F]FDG摄取模式尚不完全清楚。通过一种新颖的单细胞伽马计数法,我们对辐射诱导的 A549 和 H1299 巨型肺癌细胞的[18F]FDG 摄取进行了表征,发现其[18F]FDG 摄取大大高于非巨型细胞。这一观察结果在肿瘤小鼠身上得到了进一步验证,同样证明了辐射诱导的巨细胞对[18F]FDG的摄取增加。这些发现强调了辐射诱导巨细胞对新陈代谢的影响,因为它们增强的[18F]FDG摄取量有可能会混淆近期接受过放射治疗的患者对[18F]FDG-PET扫描结果的解读。
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引用次数: 0
Emerging paradigms in microwave imaging technology for biomedical applications: unleashing the power of artificial intelligence 微波成像技术在生物医学应用中的新兴模式:释放人工智能的力量
Pub Date : 2024-06-03 DOI: 10.1038/s44303-024-00012-8
Nazish Khalid, Muhammad Zubair, Muhammad Qasim Mehmood, Yehia Massoud
In recent years, microwave imaging (MWI) has emerged as a non-ionizing and cost-effective modality in healthcare, specifically within medical imaging. Concurrently, advances in artificial intelligence (AI) have significantly augmented the capabilities of medical imaging tools. This paper explores the intersection of these two domains, focusing on the integration of AI algorithms into MWI techniques to elevate accuracy and overall performance. Within the scope of existing literature, representative prior works are compared concerning the application of AI in both the “MWI for Healthcare Applications" and “Artificial Intelligence Assistance In MWI" sections. This comparative analysis sheds light on the diverse approaches employed to enhance the synergy between AI and MWI. While highlighting the state-of-the-art technology in MWI and its historical context, this paper delves into the historical taxonomy of AI-assisted MWI, elucidating the evolution of intelligent systems within this domain. Moreover, it critically examines prominent works, providing a nuanced understanding of the advancements and challenges encountered. Addressing the limitations and challenges inherent in developing AI-assisted MWI systems like Generalization to different conditions, Generalization to different conditions, etc the paper offers a brief synopsis of these obstacles, emphasizing the importance of overcoming them for robust and reliable results in actual clinical environments. Finally, the paper not only underscores the current advancements but also anticipates future innovations and developments in utilizing AI for MWI applications in healthcare.
近年来,微波成像(MWI)已成为医疗保健领域,特别是医学成像领域的一种非电离、经济高效的模式。与此同时,人工智能(AI)的进步极大地增强了医学成像工具的能力。本文探讨了这两个领域的交叉点,重点是将人工智能算法整合到 MWI 技术中,以提高准确性和整体性能。在现有文献的范围内,对 "医疗保健应用中的 MWI "和 "人工智能在 MWI 中的辅助 "两个部分中有关人工智能应用的代表性先前作品进行了比较。这种比较分析揭示了为增强人工智能与移动医疗创新之间的协同作用而采用的各种方法。在重点介绍最先进的人工智能技术及其历史背景的同时,本文还深入研究了人工智能辅助人工智能的历史分类法,阐明了智能系统在这一领域的演变。此外,本文还对杰出的作品进行了批判性研究,提供了对所取得的进步和遇到的挑战的细致理解。针对人工智能辅助人工智能系统开发过程中固有的局限性和挑战,如对不同情况的泛化、对不同情况的泛化等,论文简要概述了这些障碍,强调了克服这些障碍对于在实际临床环境中获得稳健可靠的结果的重要性。最后,本文不仅强调了当前的进展,还预测了未来在医疗保健领域利用人工智能进行移动医疗智能应用的创新和发展。
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引用次数: 0
Macrophage PET imaging in mouse models of cardiovascular disease and cancer with an apolipoprotein-inspired radiotracer 在心血管疾病和癌症小鼠模型中使用脂蛋白放射性示踪剂进行巨噬细胞 PET 成像研究
Pub Date : 2024-05-15 DOI: 10.1038/s44303-024-00009-3
Yohana C. Toner, Geoffrey Prévot, Mandy M. T. van Leent, Jazz Munitz, Roderick Oosterwijk, Anna Vera D. Verschuur, Yuri van Elsas, Vedran Peric, Rianne J. F. Maas, Anna Ranzenigo, Judit Morla-Folch, William Wang, Martin Umali, Anne de Dreu, Jessica Chimene Fernandes, Nathaniel A. T. Sullivan, Alexander Maier, Christian Mason, Thomas Reiner, Zahi A. Fayad, Willem J. M. Mulder, Abraham J. P. Teunissen, Carlos Pérez-Medina
Macrophages are key inflammatory mediators in many pathological conditions, including cardiovascular disease (CVD) and cancer, the leading causes of morbidity and mortality worldwide. This makes macrophage burden a valuable diagnostic marker and several strategies to monitor these cells have been reported. However, such strategies are often high-priced, non-specific, invasive, and/or not quantitative. Here, we developed a positron emission tomography (PET) radiotracer based on apolipoprotein A1 (ApoA1), the main protein component of high-density lipoprotein (HDL), which has an inherent affinity for macrophages. We radiolabeled an ApoA1-mimetic peptide (mA1) with zirconium-89 (89Zr) to generate a lipoprotein-avid PET probe (89Zr-mA1). We first characterized 89Zr-mA1’s affinity for lipoproteins in vitro by size exclusion chromatography. To study 89Zr-mA1’s in vivo behavior and interaction with endogenous lipoproteins, we performed extensive studies in wildtype C57BL/6 and Apoe-/- hypercholesterolemic mice. Subsequently, we used in vivo PET imaging to study macrophages in melanoma and myocardial infarction using mouse models. The tracer’s cell specificity was assessed by histology and mass cytometry (CyTOF). Our data show that 89Zr-mA1 associates with lipoproteins in vitro. This is in line with our in vivo experiments, in which we observed longer 89Zr-mA1 circulation times in hypercholesterolemic mice compared to C57BL/6 controls. 89Zr-mA1 displayed a tissue distribution profile similar to ApoA1 and HDL, with high kidney and liver uptake as well as substantial signal in the bone marrow and spleen. The tracer also accumulated in tumors of melanoma-bearing mice and in the ischemic myocardium of infarcted animals. In these sites, CyTOF analyses revealed that natZr-mA1 was predominantly taken up by macrophages. Our results demonstrate that 89Zr-mA1 associates with lipoproteins and hence accumulates in macrophages in vivo. 89Zr-mA1’s high uptake in these cells makes it a promising radiotracer for non-invasively and quantitatively studying conditions characterized by marked changes in macrophage burden.
巨噬细胞是许多病理情况下的关键炎症介质,包括心血管疾病(CVD)和癌症,它们是全球发病率和死亡率的主要原因。因此,巨噬细胞负担是一种有价值的诊断标志物,目前已报道了几种监测这些细胞的方法。然而,这些方法往往价格昂贵、非特异性、侵入性和/或不能定量。在这里,我们开发了一种基于载脂蛋白 A1(ApoA1)的正电子发射断层扫描(PET)放射性示踪剂,载脂蛋白 A1 是高密度脂蛋白(HDL)的主要蛋白质成分,对巨噬细胞有内在的亲和力。我们用锆-89(89Zr)对载脂蛋白 A1 拟态肽(mA1)进行放射性标记,生成了一种脂蛋白亲和 PET 探针(89Zr-mA1)。我们首先通过尺寸排阻色谱法在体外鉴定了 89Zr-mA1 对脂蛋白的亲和力。为了研究 89Zr-mA1 在体内的行为以及与内源性脂蛋白的相互作用,我们在野生型 C57BL/6 和载脂蛋白/-高胆固醇血症小鼠体内进行了大量研究。随后,我们利用体内 PET 成像,使用小鼠模型研究了黑色素瘤和心肌梗塞中的巨噬细胞。示踪剂的细胞特异性通过组织学和质谱细胞计数法(CyTOF)进行了评估。我们的数据显示,89Zr-mA1 在体外与脂蛋白结合。这与我们的体内实验结果一致,我们观察到与 C57BL/6 对照组相比,高胆固醇血症小鼠体内 89Zr-mA1 的循环时间更长。89Zr-mA1 的组织分布与载脂蛋白 A1 和高密度脂蛋白相似,肾脏和肝脏摄取量高,骨髓和脾脏也有大量信号。该示踪剂还在黑色素瘤小鼠的肿瘤和梗死动物的缺血性心肌中积累。在这些部位,CyTOF分析显示,natZr-mA1主要被巨噬细胞吸收。我们的研究结果表明,89Zr-mA1 能与脂蛋白结合,从而在体内的巨噬细胞中蓄积。89Zr-mA1 在这些细胞中的高摄取率使其成为一种很有前途的放射性示踪剂,可用于无创定量研究巨噬细胞负担发生明显变化的情况。
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引用次数: 0
Personalized coronary and myocardial blood flow models incorporating CT perfusion imaging and synthetic vascular trees 结合 CT 灌注成像和合成血管树的个性化冠状动脉和心肌血流模型
Pub Date : 2024-05-01 DOI: 10.1038/s44303-024-00014-6
Karthik Menon, Muhammed Owais Khan, Zachary A. Sexton, Jakob Richter, Patricia K. Nguyen, Sachin B. Malik, Jack Boyd, Koen Nieman, Alison L. Marsden
Computational simulations of coronary artery blood flow, using anatomical models based on clinical imaging, are an emerging non-invasive tool for personalized treatment planning. However, current simulations contend with two related challenges – incomplete anatomies in image-based models due to the exclusion of arteries smaller than the imaging resolution, and the lack of personalized flow distributions informed by patient-specific imaging. We introduce a data-enabled, personalized and multi-scale flow simulation framework spanning large coronary arteries to myocardial microvasculature. It includes image-based coronary anatomies combined with synthetic vasculature for arteries below the imaging resolution, myocardial blood flow simulated using Darcy models, and systemic circulation represented as lumped-parameter networks. We propose an optimization-based method to personalize multiscale coronary flow simulations by assimilating clinical CT myocardial perfusion imaging and cardiac function measurements to yield patient-specific flow distributions and model parameters. Using this proof-of-concept study on a cohort of six patients, we reveal substantial differences in flow distributions and clinical diagnosis metrics between the proposed personalized framework and empirical methods based purely on anatomy; these errors cannot be predicted a priori. This suggests virtual treatment planning tools would benefit from increased personalization informed by emerging imaging methods.
利用基于临床成像的解剖模型对冠状动脉血流进行计算模拟,是个性化治疗计划的新兴非侵入性工具。然而,目前的模拟面临着两个相关的挑战--由于排除了小于成像分辨率的动脉,基于图像的模型中的解剖结构不完整,以及缺乏由患者特定成像提供的个性化血流分布。我们引入了一个数据化、个性化和多尺度的血流模拟框架,涵盖大冠状动脉到心肌微血管。该框架包括基于图像的冠状动脉解剖,结合成像分辨率以下动脉的合成血管、使用达西模型模拟的心肌血流,以及以块参数网络表示的系统循环。我们提出了一种基于优化的方法,通过同化临床 CT 心肌灌注成像和心功能测量结果来生成特定患者的血流分布和模型参数,从而实现多尺度冠状动脉血流模拟的个性化。通过这项对六名患者进行的概念验证研究,我们发现所提出的个性化框架与纯粹基于解剖学的经验方法在血流分布和临床诊断指标方面存在巨大差异;这些误差无法事先预测。这表明虚拟治疗规划工具将受益于新兴成像方法带来的更多个性化信息。
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引用次数: 0
Author Correction: Nondestructive, longitudinal, 3D oxygen imaging of cells in a multi-well plate using pulse electron paramagnetic resonance imaging 作者更正:利用脉冲电子顺磁共振成像技术对多孔板中的细胞进行无损、纵向、三维氧成像
Pub Date : 2024-04-10 DOI: 10.1038/s44303-024-00016-4
Safa Hameed, Navin Viswakarma, Greta Babakhanova, Carl G. Simon Jr., Boris Epel, Mrignayani Kotecha
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引用次数: 0
Introducing npj Imaging: a new journal to serve the bio- and medical imaging communities npj Imaging 简介:为生物和医学成像界服务的新期刊
Pub Date : 2024-04-08 DOI: 10.1038/s44303-024-00015-5
Timothy H. Witney
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引用次数: 0
期刊
npj Imaging
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