Near-Infrared Fluorescent Digital Pathology for the Automation of Disease Diagnosis and Biomarker Assessment

Hematoxylin-eosin (H&E) staining of tissue has been the mainstay of pathology for more than a century. However, the learning curve for H&E tissue interpretation is long, whereas intra- and interobserver variability remain high. Computer-assisted image analysis of H&E sections holds promi...

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Main Authors: Summer L. Gibbs, Elizabeth Genega, Jeffery Salemi, Vida Kianzad, Haley L. Goodwill, Yang Xie, Rafiou Oketokoun, Parmeshwar Khurd, Ali Kamen, John V. Frangioni
Format: Article
Language:English
Published: SAGE Publishing 2015-06-01
Series:Molecular Imaging
Online Access:https://doi.org/10.2310/7290.2015.00005
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author Summer L. Gibbs
Elizabeth Genega
Jeffery Salemi
Vida Kianzad
Haley L. Goodwill
Yang Xie
Rafiou Oketokoun
Parmeshwar Khurd
Ali Kamen
John V. Frangioni
author_facet Summer L. Gibbs
Elizabeth Genega
Jeffery Salemi
Vida Kianzad
Haley L. Goodwill
Yang Xie
Rafiou Oketokoun
Parmeshwar Khurd
Ali Kamen
John V. Frangioni
author_sort Summer L. Gibbs
collection DOAJ
description Hematoxylin-eosin (H&E) staining of tissue has been the mainstay of pathology for more than a century. However, the learning curve for H&E tissue interpretation is long, whereas intra- and interobserver variability remain high. Computer-assisted image analysis of H&E sections holds promise for increased throughput and decreased variability but has yet to demonstrate significant improvement in diagnostic accuracy. Addition of biomarkers to H&E staining can improve diagnostic accuracy; however, coregistration of immunohistochemical staining with H&E is problematic as immunostaining is completed on slides that are at best 4 μm apart. Simultaneous H&E and immunostaining would alleviate coregistration problems; however, current opaque pigments used for immunostaining obscure H&E. In this study, we demonstrate that diagnostic information provided by two or more independent wavelengths of near-infrared (NIR) fluorescence leave the H&E stain unchanged while enabling computer-assisted diagnosis and assessment of human disease. Using prostate cancer as a model system, we introduce NIR digital pathology and demonstrate its utility along the spectrum from prostate biopsy to whole mount analysis of H&E-stained tissue.
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spelling doaj-art-8b4b87f2d4db444d8c6eb123926030022025-01-03T00:11:15ZengSAGE PublishingMolecular Imaging1536-01212015-06-011410.2310/7290.2015.0000510.2310_7290.2015.00005Near-Infrared Fluorescent Digital Pathology for the Automation of Disease Diagnosis and Biomarker AssessmentSummer L. GibbsElizabeth GenegaJeffery SalemiVida KianzadHaley L. GoodwillYang XieRafiou OketokounParmeshwar KhurdAli KamenJohn V. FrangioniHematoxylin-eosin (H&E) staining of tissue has been the mainstay of pathology for more than a century. However, the learning curve for H&E tissue interpretation is long, whereas intra- and interobserver variability remain high. Computer-assisted image analysis of H&E sections holds promise for increased throughput and decreased variability but has yet to demonstrate significant improvement in diagnostic accuracy. Addition of biomarkers to H&E staining can improve diagnostic accuracy; however, coregistration of immunohistochemical staining with H&E is problematic as immunostaining is completed on slides that are at best 4 μm apart. Simultaneous H&E and immunostaining would alleviate coregistration problems; however, current opaque pigments used for immunostaining obscure H&E. In this study, we demonstrate that diagnostic information provided by two or more independent wavelengths of near-infrared (NIR) fluorescence leave the H&E stain unchanged while enabling computer-assisted diagnosis and assessment of human disease. Using prostate cancer as a model system, we introduce NIR digital pathology and demonstrate its utility along the spectrum from prostate biopsy to whole mount analysis of H&E-stained tissue.https://doi.org/10.2310/7290.2015.00005
spellingShingle Summer L. Gibbs
Elizabeth Genega
Jeffery Salemi
Vida Kianzad
Haley L. Goodwill
Yang Xie
Rafiou Oketokoun
Parmeshwar Khurd
Ali Kamen
John V. Frangioni
Near-Infrared Fluorescent Digital Pathology for the Automation of Disease Diagnosis and Biomarker Assessment
Molecular Imaging
title Near-Infrared Fluorescent Digital Pathology for the Automation of Disease Diagnosis and Biomarker Assessment
title_full Near-Infrared Fluorescent Digital Pathology for the Automation of Disease Diagnosis and Biomarker Assessment
title_fullStr Near-Infrared Fluorescent Digital Pathology for the Automation of Disease Diagnosis and Biomarker Assessment
title_full_unstemmed Near-Infrared Fluorescent Digital Pathology for the Automation of Disease Diagnosis and Biomarker Assessment
title_short Near-Infrared Fluorescent Digital Pathology for the Automation of Disease Diagnosis and Biomarker Assessment
title_sort near infrared fluorescent digital pathology for the automation of disease diagnosis and biomarker assessment
url https://doi.org/10.2310/7290.2015.00005
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