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Association between early serum uric acid levels and diffusion tensor imaging analysis along the perivascular space with cognitive function 早期血清尿酸水平与沿血管周围空间扩散张量成像分析与认知功能的关系
Pub Date : 2025-10-25 DOI: 10.1002/brx2.70034
Tong Zhang, Han Lv, Ying Hui, Xinyu Zhao, Na Zeng, Ning Wu, Mingze Xu, Max Wintermark, Jing Sun, Shuohua Chen, Jing Li, Xiaoshuai Li, Shouling Wu, Liufu Cui, Zhenchang Wang, Yanying Liu

Serum uric acid (SUA) demonstrates dual roles as both an antioxidant and a pro-oxidant; however, its long-term effects on glymphatic function and cognitive performance remain unclear. This study included 944 participants in a longitudinal cohort to investigate the associations between the temporal progression of SUA levels and diffusion tensor imaging (DTI) analysis along the perivascular space (DTI-ALPS) with cognition. The results revealed that there were negative linear correlations between early average SUA levels and DTI-ALPS index for the left hemisphere (beta = −0.02, 95% confidence interval [CI] −0.04 to 0.00, p = 0.03), and cumulative SUA (cumSUA) levels and DTI-ALPS index for the left hemisphere (beta = −0.02, 95% CI −0.04 to −0.01, p = 0.01) and the whole brain (beta = −0.02, 95% CI −0.04 to 0.00, p = 0.03). A U-shaped relationship was observed between coefficient of variation of early SUA (CVSUA) levels and DTI-ALPS index in the left hemisphere (p = 0.01) and whole brain (p = 0.03). Higher early CVSUA levels, lower early cumSUA levels and reduced DTI-ALPS index were associated with lower MoCA scores. These findings suggest that moderately elevated SUA levels within the normal ranges, as well as stable SUA concentrations, may help mitigate future cognitive decline.

血清尿酸(SUA)具有抗氧化剂和促氧化剂的双重作用;然而,其对淋巴功能和认知能力的长期影响尚不清楚。本研究纳入944名纵向队列研究SUA水平的时间进展和沿血管周围空间(DTI- alps)扩散张量成像(DTI)分析与认知之间的关系。结果显示,早期平均SUA水平与左半球DTI-ALPS指数(β = - 0.02, 95%可信区间[CI] - 0.04 ~ 0.00, p = 0.03)、累积SUA水平与左半球DTI-ALPS指数(β = - 0.02, 95% CI - 0.04 ~ - 0.01, p = 0.01)和全脑(β = - 0.02, 95% CI - 0.04 ~ 0.00, p = 0.03)呈负线性相关。早期SUA (CVSUA)水平变异系数与左半球(p = 0.01)和全脑(p = 0.03) DTI-ALPS指数呈u型关系。较高的早期CVSUA水平、较低的早期cumSUA水平和较低的DTI-ALPS指数与较低的MoCA评分相关。这些发现表明,在正常范围内适度升高的SUA水平,以及稳定的SUA浓度,可能有助于减轻未来的认知能力下降。
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引用次数: 0
The clinical applications of brain–computer interfaces 脑机接口的临床应用
Pub Date : 2025-10-25 DOI: 10.1002/brx2.70033
Chao-Ran Jia, Jian-Wei Huang, Ying-Qing Hu, Hai-Yun Zhou, Hong-Yu Liu, Xin Liu, Hai Zhang, Zu-Cheng Shen, Wen-Sheng Li, Shuang-Qi Gao, Ying Guo

With the establishment of interdisciplinary platforms in medical engineering, the twenty-first century has witnessed rapid advancements in brain‒computer interface (BCI) technology, demonstrating significant potential in clinical applications. The fundamental framework of BCIs encompasses signal acquisition, preprocessing, feature extraction, signal translation, and control devices. This article explores the applications of BCIs across various disorders, including post-stroke motor recovery, consciousness disorders, mental health, and neurological diseases. Through technological innovations, BCI technology has assisted patients in overcoming communication and motor impairments resulting from neurological damage. By bypassing damaged neural pathways and enabling bidirectional interactions with brain signals, BCIs facilitate the gradual rehabilitation of motor functions in post-stroke patients and show promise in treating psychiatric disorders such as depression. Compared with traditional treatment methods, BCI technology has several unique advantages. Despite challenges in signal processing accuracy, hardware stability, and real-time data processing technology, technological innovation and interdisciplinary collaboration facilitate greater breakthroughs in the near future for BCIs. In summary, the clinical application of BCI technology presents unprecedented opportunities and challenges in modern healthcare, underscoring the need for continued research and development in this area.

随着医学工程跨学科平台的建立,21世纪脑机接口(BCI)技术发展迅速,在临床应用中显示出巨大的潜力。脑机接口的基本框架包括信号采集、预处理、特征提取、信号转换和控制装置。本文探讨脑机接口在各种疾病中的应用,包括脑卒中后运动恢复、意识障碍、心理健康和神经疾病。通过技术创新,脑机接口技术帮助患者克服了由神经损伤引起的交流和运动障碍。脑机接口通过绕过受损的神经通路,实现与大脑信号的双向交互,促进脑卒中后患者运动功能的逐渐康复,并在治疗抑郁症等精神疾病方面显示出希望。与传统的治疗方法相比,BCI技术有几个独特的优点。尽管在信号处理精度、硬件稳定性和实时数据处理技术方面存在挑战,但技术创新和跨学科协作将促进bci在不久的将来取得更大的突破。总之,脑机接口技术的临床应用为现代医疗保健带来了前所未有的机遇和挑战,强调了在该领域继续研究和开发的必要性。
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引用次数: 0
Heterogeneity in brain morphology and psychological, cognitive, and contextual factors of gender identity 性别认同的脑形态、心理、认知和背景因素的异质性
Pub Date : 2025-10-06 DOI: 10.1002/brx2.70037
Hiuying Yip, Yifei He, Yoonmi Hong, Jiaolong Qin, Fan Zhang, Ye Wu

Once understood in binary terms, gender identity is increasingly recognized as a multidimensional and continuous construct shaped by both sociocultural and neurobiological factors. Although prior studies have reported associations between gender identity and brain structure, few have adopted an integrative approach to examine how gender identity emerges. Drawing on a large, non-clinical sample of young adults from the Amsterdam Open Magnetic Resonance Imaging Collection (n = 544), this study integrated psychological assessments, socioeconomic indicators, and structural MRI to investigate the relationship between gender identity and brain morphology. For participants assigned female at birth, a feminine identity was linked to reduced cortical thickness in several brain regions, including the parahippocampal, fusiform, lingual, and pericalcarine cortices. Among these regions, two distinct pathways related to the fusiform cortex were identified: a self-referential pathway (through the parahippocampal cortex) and a visual-perceptual pathway (through the pericalcarine and lingual cortices). Besides, an additional pathway related to the fusiform cortex was also identified, which connected higher socioeconomic status to crystallized intelligence. For participants assigned male at birth, a feminine identity was associated with increased anxiety and reduced cortical thickness in visual-emotional regions. In contrast, masculine identity was linked to a larger cortical area in the supramarginal gyrus and insula. Altogether, these findings suggest that gender identity is embedded in distributed neural systems that support self-representation, and that its structural correlates emerge through distinct psychological and cognitive-contextual mechanisms. By moving beyond binary classification, this study may offer a more nuanced neurobiological model of gendered self-concept in the general population.

一旦以二元术语理解,性别认同越来越被认为是一个由社会文化和神经生物学因素塑造的多维和连续的结构。虽然先前的研究报告了性别认同和大脑结构之间的联系,但很少有人采用综合的方法来研究性别认同是如何产生的。从阿姆斯特丹开放磁共振成像收集的大量非临床年轻人样本(n = 544)中,本研究综合了心理评估、社会经济指标和结构MRI来调查性别认同与大脑形态之间的关系。对于出生时被指定为女性的参与者,女性身份与几个大脑区域的皮质厚度减少有关,包括海马体旁皮层、梭状回皮层、舌皮层和乳突外皮层。在这些区域中,确定了与梭状皮层相关的两个不同通路:自我参照通路(通过海马旁皮层)和视觉感知通路(通过牙周和舌皮层)。此外,还发现了与梭状皮层相关的另一条通路,该通路将较高的社会经济地位与结晶智力联系起来。对于出生时被指定为男性的参与者,女性身份与焦虑增加和视觉情感区域皮质厚度减少有关。相比之下,男性身份与边缘上回和脑岛的更大皮质区域有关。总之,这些发现表明,性别认同嵌入在支持自我表征的分布式神经系统中,其结构相关性通过不同的心理和认知-上下文机制出现。通过超越二元分类,这项研究可能提供一个更细致入微的一般人群性别自我概念的神经生物学模型。
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引用次数: 0
Robust carbon-doped black phosphorus multi-perception memristor for a hazardous information detection system 用于危险信息检测系统的鲁棒掺碳黑磷多感知忆阻器
Pub Date : 2025-10-04 DOI: 10.1002/brx2.70026
Shuai Yuan, Zhe Feng, Guodong Wei, Liyan Dong, Pan Wang, Yong Niu, Ying Su, Peifen Zhu, Bingshe Xu, Bocang Qiu, Zuheng Wu

The perception of hazardous information is a crucial factor in ensuring safety in production. In recent years, multi-mode sensing has been proven to be an effective approach for developing efficient perception systems. However, these systems still rely on various combinations of single-function sensors within traditional von Neumann architecture, which increases the system's overall complexity. In this study, carbon-doped black phosphorus (C–BP)-based multi-perception memristors were successfully developed for hazardous information perception. The C–BP multi-perception memristor exhibits remarkable stability and high surface activity due to the coupling and synergistic effects of C doping. Its high surface activity enables the reliable perception of hazardous visual (ultraviolet light) and olfactory (ethanol, acetone, and human expirations) information in an open environment. Consequently, a hazardous detection system based on the C–BP multi-perception memristor was simulated. The results indicate that the developed system outperforms traditional detection systems with an enhanced performance rate (97.6% vs. 90.5%) in perceiving hazardous information. This work may provide new insights into developing enhanced-performance hazardous information perception systems.

对危险信息的感知是确保安全生产的关键因素。近年来,多模式感知已被证明是开发高效感知系统的有效途径。然而,这些系统仍然依赖于传统冯·诺依曼体系结构中单一功能传感器的各种组合,这增加了系统的整体复杂性。本研究成功开发了基于碳掺杂黑磷(C-BP)的多感知忆阻器,用于危险信息感知。由于C掺杂的耦合和协同作用,C - bp多感知忆阻器具有良好的稳定性和高的表面活性。它的高表面活性使其能够在开放环境中可靠地感知有害的视觉(紫外线)和嗅觉(乙醇、丙酮和人类呼气)信息。在此基础上,对基于C-BP多感知忆阻器的危险检测系统进行了仿真。结果表明,开发的系统在感知危险信息方面优于传统的检测系统,其识别率(97.6%对90.5%)有所提高。这项工作可能为开发高性能危险信息感知系统提供新的见解。
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引用次数: 0
The application and challenges of brain-computer interfaces in the medical industry 脑机接口在医疗工业中的应用与挑战
Pub Date : 2025-07-01 DOI: 10.1002/brx2.70036
Qi Chen, Sha Zhao, Wei Wei, Tianyu Zhao, Rui He, Sishu Zhou, Zhenhang Yu

Brain-computer interface (BCI) technology aims to create a connection pathway for exchanging information between the brain and devices with computing capabilities. This technology has become a global research focus, and many countries and regions are working to establish a BCI industry. BCIs have many potential applications, especially in the medical field. However, the complexities of non-invasive BCIs and the implantation risks associated with invasive BCIs have limited these technologies to laboratory settings. The main challenges for the practical implementation of BCIs include the lack of foundational technologies for non-invasive and invasive BCIs, the signal processing challenges associated with BCIs, the key components of BCIs, and the compatibility of BCI software and hardware. These shortcomings should be addressed to enhance the competitiveness of BCI products and promote the application of BCIs in medicine. In the future, if novel methods for acquiring or decoding neural signals are developed that enable non-invasive BCIs to achieve signal quality comparable to that of invasive techniques, it will propel BCI technology to leapfrog in development. Technological breakthroughs will enable BCIs to enhance medical technology and improve people's quality of life.

脑机接口(BCI)技术旨在为大脑和具有计算能力的设备之间的信息交换创造一种连接途径。该技术已成为全球研究热点,许多国家和地区正在努力建立脑机接口产业。脑机接口有许多潜在的应用,特别是在医疗领域。然而,非侵入性脑机接口的复杂性以及与侵入性脑机接口相关的植入风险限制了这些技术在实验室环境中的应用。实际实现脑机接口的主要挑战包括缺乏无创和有创脑机接口的基础技术、与脑机接口相关的信号处理挑战、脑机接口的关键组件以及脑机接口软硬件的兼容性。为了提高脑机接口产品的竞争力,促进脑机接口在医学上的应用,需要解决这些不足。未来,如果能够开发出新的神经信号采集或解码方法,使无创脑机接口达到与有创技术相当的信号质量,将推动脑机接口技术实现跨越式发展。技术突破将使脑机接口提升医疗技术,提高人们的生活质量。
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引用次数: 0
Synergizing DeepSeek's artificial intelligence innovations with brain–computer interfaces 将DeepSeek的人工智能创新与脑机接口协同起来
Pub Date : 2025-06-28 DOI: 10.1002/brx2.70035
Canbiao Wu, Nayu Chen, Tuo Sun, Ping Tan, Peng Wang, Guangli Li

The integration of artificial intelligence (AI) and brain–computer interfaces (BCIs) represents a significant advancement in neurotechnology, with broad potential applications in healthcare, communication, and human augmentation. This study examines the synergy between DeepSeek, a leader in efficient, open-source AI models, and next-generation BCI technologies. We analyze DeepSeek's contributions to model training efficiency, adaptive reasoning, and open-source accessibility, and propose a framework for BCI development that incorporates these innovations. Additionally, we explore how AI-driven neural signal processing, hardware optimization, and ethical AI–BCI systems can address the critical limitations of current BCI technologies, including signal fidelity, scalability, and real-world applicability. Finally, we offer recommendations for interdisciplinary collaboration, regulatory improvements, and equitable technology dissemination to foster the sustainable development of AI–BCI technology.

人工智能(AI)和脑机接口(bci)的集成代表了神经技术的重大进步,在医疗保健、通信和人类增强方面具有广泛的潜在应用。该研究考察了高效、开源人工智能模型的领导者DeepSeek与下一代脑机接口技术之间的协同作用。我们分析了DeepSeek在模型训练效率、自适应推理和开源可访问性方面的贡献,并提出了一个包含这些创新的BCI开发框架。此外,我们还探讨了人工智能驱动的神经信号处理、硬件优化和道德AI-BCI系统如何解决当前BCI技术的关键限制,包括信号保真度、可扩展性和现实世界的适用性。最后,我们提出了跨学科合作、监管改进和公平技术传播的建议,以促进AI-BCI技术的可持续发展。
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引用次数: 0
Licochalcone A selectively modulates mTORC1-TFEB to enhance autophagy and demonstrates neuroprotective effects in a mouse model of Parkinson's disease 在帕金森病小鼠模型中,甘草查尔酮A选择性调节mTORC1-TFEB增强自噬并显示神经保护作用
Pub Date : 2025-06-27 DOI: 10.1002/brx2.70031
Sisi Wang, Ziyang Ding, Zhou Zhu, Xiaoru Zhong, Ashok Iyaswamy, Yaping Niu, Wei Zhang, Jichao Sun, Yulin Feng, Chuanbin Yang, Jigang Wang

Activation of transcription factor EB (TFEB), a key regulator of autophagy induction and lysosomal biogenesis, is considered a promising therapeutic strategy for treating the currently incurable Parkinson's disease (PD). However, most TFEB activators also inhibit mTORC1, which regulates several other cellular pathways. Therefore, small molecules that selectively modulate the mTORC1-TFEB pathway represent a novel and promising approach for treating PD. This study reveals that licochalcone A (LA), a flavonoid derived from the widely used Chinese herbal medicine licorice, selectively activates TFEB-mediated autophagy and exerts neuroprotective effects in a mouse model of PD. Specifically, we found that LA promoted the displacement of TFEB to the nucleus and enhanced autophagic flux. Knockout of the TFEB gene effectively inhibited LA-induced autophagy, suggesting that LA induced autophagy through TFEB activation. Mechanistic investigations revealed that LA activates TFEB through the Rag C-mediated non-canonical mTORC1 pathway, rather than through the canonical mTOR signaling or the PPP3/calcineurin pathway. Moreover, in a mouse model of MPTP-induced PD, oral administration of LA reduced the depletion of dopaminergic cells in the striatum and substantia nigra and alleviated motor symptoms. In conclusion, LA selectively modulates the mTORC1-TFEB pathway to induce autophagy, and reduces dopaminergic neuron loss and alleviates motor dysfunction in a mouse model of PD. These findings suggest that LA could serve as a novel TFEB activator and a potential therapeutic agent for treating PD.

转录因子EB (TFEB)是自噬诱导和溶酶体生物发生的关键调节因子,被认为是治疗目前无法治愈的帕金森病(PD)的一种有希望的治疗策略。然而,大多数TFEB激活剂也抑制mTORC1, mTORC1调节其他几种细胞通路。因此,选择性调节mTORC1-TFEB途径的小分子代表了治疗PD的一种新的和有前途的方法。本研究发现,甘草查尔酮A (licochalcone A, LA)是一种从广泛使用的中草药甘草中提取的类黄酮,可选择性地激活tfeb介导的自噬,并在PD小鼠模型中发挥神经保护作用。具体来说,我们发现LA促进了TFEB向细胞核的位移,增强了自噬通量。敲除TFEB基因可有效抑制LA诱导的自噬,提示LA通过TFEB激活诱导自噬。机制研究表明,LA通过Rag c介导的非规范mTORC1途径激活TFEB,而不是通过规范mTOR信号或PPP3/钙调磷酸酶途径。此外,在mptp诱导的PD小鼠模型中,口服LA可减少纹状体和黑质中多巴胺能细胞的消耗,减轻运动症状。综上所述,LA可选择性调节mTORC1-TFEB通路诱导PD小鼠自噬,减少多巴胺能神经元损失,减轻运动功能障碍。这些发现提示LA可以作为一种新的TFEB激活剂和潜在的治疗PD的药物。
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引用次数: 0
Non-human primate models of Parkinson's disease: Decoding pathogenesis and advancing therapies 帕金森病的非人类灵长类动物模型:解码发病机制和推进治疗
Pub Date : 2025-06-24 DOI: 10.1002/brx2.70032
Sihui Zhang, Lin Yuan, Zihan Wu, Xuguang Du, Jacek Z. Kubiak, Feng Yue, Xuejing Yan, Gaolin Jiang, Yongye Huang

Parkinson's disease (PD) is a neurodegenerative disorder in which the clinical manifestations include resting tremor, bradykinesia, akinesia, rigidity, and postural instability. The disease can be accompanied by non-motor symptoms such as depression and insomnia. The leading factors in the initiation of this disease include genetic alteration, exposure to toxins, and age. However, the exact mechanisms underlying the pathogenesis of PD remain elusive. Animal models play a critical role in the research on the pathogenesis and treatment of PD. Non-human primates share similar characteristics with humans, particularly in motor and cognitive abilities and the complexity of the neural structure. Non-human primate models for PD can be roughly classified into spontaneous, neurotoxin-based, and gene-editing models. Although having several current limitations, non-human primate models can play an increasingly important role in the research on PD, especially given the rapid development of novel methods in neuroscience.

帕金森病(PD)是一种神经退行性疾病,其临床表现包括静息性震颤、运动迟缓、运动障碍、僵硬和姿势不稳定。该病可伴有非运动性症状,如抑郁和失眠。该病发病的主要因素包括基因改变、接触毒素和年龄。然而,帕金森病发病机制的确切机制仍然难以捉摸。动物模型在帕金森病的发病机制和治疗研究中起着至关重要的作用。非人类灵长类动物与人类有着相似的特征,尤其是在运动和认知能力以及神经结构的复杂性方面。非人灵长类动物PD模型大致可分为自发模型、基于神经毒素的模型和基因编辑模型。尽管目前存在一些局限性,但非人类灵长类动物模型在帕金森病的研究中发挥着越来越重要的作用,特别是考虑到神经科学新方法的快速发展。
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引用次数: 0
Development of a plasma biomarker diagnostic model as a screening strategy for Alzheimer's disease in older inpatients 血浆生物标志物诊断模型在老年住院患者阿尔茨海默病筛查中的应用
Pub Date : 2025-05-28 DOI: 10.1002/brx2.70029
Xiaoxia Fang, Zhengke Liu, Xiaojun Kuang, Xiushi Ni, Xu Han, Xuejun Wen, Hong Xu

Neural proteins in the bloodstream have emerged as promising biomarkers for diagnosing Alzheimer's disease (AD). However, their applicability in older individuals and those with multiple co-existing health conditions remains under-investigated. This study evaluated the diagnostic potential of blood-based neuro-markers in participants over 75 years old using an ultra-sensitive single molecule array. We recruited 108 Chinese inpatients with an average age of 92 years, including 30 diagnosed with AD, 46 diagnosed with dementia not caused by AD, and 32 without dementia. Plasma concentrations of amyloid β-40 (Aβ40), amyloid β-42 (Aβ42), tau phosphorylated at threonine 181 (p-tau181), neurofilament light chain (NfL), and glial fibrillary acidic protein (GFAP) in plasma were quantified along with the Aβ42/Aβ40 ratio. Associations between these biomarkers and clinical characteristics (comorbidities and physiological indicators) were examined. Diagnostic models were developed using binary logistic regression based on these neuro-markers. Among the six neuro-markers, p-tau181 exhibited the highest discriminatory power for AD identification, with an area under the curve (AUC) of 0.7731 (95% CI: 0.6493–0.8969). A model combining p-tau181, GFAP, and age achieved an AUC of 0.8654 (95% CI: 0.7762–0.9546), with 75.9% sensitivity and 80.6% specificity in distinguishing AD from individuals without dementia. These findings suggest that plasma biomarkers of neurodegeneration, particularly p-tau181, may hold significant promise as diagnostic tools for AD, even among older patients. The simplified diagnostic model based on plasma neuro-markers offers a feasible approach for AD screening in both clinical and community settings.

血液中的神经蛋白已成为诊断阿尔茨海默病(AD)的有希望的生物标志物。然而,它们在老年人和有多种共存健康状况的人中的适用性仍有待调查。本研究使用超灵敏单分子阵列评估了75岁以上参与者血液神经标记物的诊断潜力。我们招募了108名平均年龄为92岁的中国住院患者,其中30名诊断为AD, 46名诊断为非AD引起的痴呆,32名无痴呆。测定血浆中淀粉样蛋白β-40 (Aβ40)、淀粉样蛋白β-42 (Aβ42)、苏氨酸181位点磷酸化的tau蛋白(p-tau181)、神经丝轻链(NfL)和胶质纤维酸性蛋白(GFAP)的浓度,并测定Aβ42/Aβ40比值。研究了这些生物标志物与临床特征(合并症和生理指标)之间的关系。基于这些神经标志物,采用二元逻辑回归建立诊断模型。在6个神经标志物中,p-tau181对AD的鉴别能力最高,曲线下面积(AUC)为0.7731 (95% CI: 0.6493 ~ 0.8969)。结合p-tau181、GFAP和年龄的模型的AUC为0.8654 (95% CI: 0.7762-0.9546),在区分AD和非痴呆个体方面具有75.9%的敏感性和80.6%的特异性。这些发现表明,神经退行性变的血浆生物标志物,特别是p-tau181,可能作为阿尔茨海默病的诊断工具具有重要的前景,即使在老年患者中也是如此。基于血浆神经标志物的简化诊断模型为临床和社区的AD筛查提供了一种可行的方法。
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引用次数: 0
From digitized whole-slide histology images to biomarker discovery: A protocol for handcrafted feature analysis in brain cancer pathology 从数字化全切片组织学图像到生物标志物发现:脑癌病理中手工特征分析的协议
Pub Date : 2025-05-28 DOI: 10.1002/brx2.70030
Xuanjun Lu, Yawen Ying, Jing Chen, Zhiyang Chen, Yuxin Wu, Prateek Prasanna, Xin Chen, Mingli Jing, Zaiyi Liu, Cheng Lu

Hematoxylin and eosin (H&E)-stained histopathological slides contain abundant information about cellular and tissue morphology and have been the cornerstone of tumor diagnosis for decades. In recent years, advancements in digital pathology have made whole-slide images (WSIs) widely applicable for diagnosis, prognosis, and prediction in brain cancer. However, there remains a lack of systematic tools and standardized protocols for using handcrafted features in brain cancer histological analysis. In this study, we present a protocol for handcrafted feature analysis in brain cancer pathology (PHBCP) to systematically extract, analyze, model, and visualize handcrafted features from WSIs. The protocol enabled the discovery of biomarkers from WSIs through a series of well-defined steps. The PHBCP comprises seven main steps: (1) problem definition, (2) data quality control, (3) image preprocessing, (4) feature extraction, (5) feature filtering, (6) modeling, and (7) performance analysis. As an exemplary application, we collected pathological data of 589 patients from two cohorts and applied the PHBCP to predict the 2-year survival of glioblastoma multiforme (GBM) patients. Among the 72 models combining nine feature selection methods and eight machine learning classifiers, the optimal model combination achieved discriminative performance with an average area under the curve (AUC) of 0.615 over 100 iterations under five-fold cross-validation. In the external validation cohort, the optimal model combination achieved a generalization performance with an AUC of 0.594. We provide an open-source code repository (GitHub website: https://github.com/XuanjunLu/PHBCP) to facilitate effective collaboration between medical and technical experts, thereby advancing the field of computational pathology in brain cancer.

苏木精和伊红(H&;E)染色的组织病理学切片包含丰富的细胞和组织形态信息,几十年来一直是肿瘤诊断的基石。近年来,数字病理学的进步使全幻灯片图像(wsi)广泛应用于脑癌的诊断、预后和预测。然而,在脑癌组织学分析中,仍然缺乏系统的工具和标准化的方案来使用手工制作的特征。在这项研究中,我们提出了一种脑癌病理(PHBCP)的手工特征分析方案,以系统地提取、分析、建模和可视化来自wsi的手工特征。该方案通过一系列明确定义的步骤,从wsi中发现生物标志物。PHBCP包括七个主要步骤:(1)问题定义,(2)数据质量控制,(3)图像预处理,(4)特征提取,(5)特征滤波,(6)建模,(7)性能分析。作为一个示例性应用,我们收集了来自两个队列的589例患者的病理数据,并应用PHBCP预测多形性胶质母细胞瘤(GBM)患者的2年生存率。在结合9种特征选择方法和8种机器学习分类器的72个模型中,最优模型组合在5次交叉验证下,100次迭代的平均曲线下面积(AUC)为0.615。在外部验证队列中,最优模型组合的泛化性能达到了0.594的AUC。我们提供了一个开源代码存储库(GitHub网站:https://github.com/XuanjunLu/PHBCP),以促进医学和技术专家之间的有效合作,从而推进脑癌计算病理学领域。
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引用次数: 0
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