论文标题

反射模式虚拟组织学使用光声遥感显微镜

Reflection-mode virtual histology using photoacoustic remote sensing microscopy

论文作者

Bell, Kevan, Abbasi, Saad, Dinakaran, Deepak, Taher, Muba, Bigras, Gilbert, van Landeghem, Frank K. H., Mackey, John R., Reza, Parsin Haji

论文摘要

组织学可视化对临床疾病管理至关重要,并且是生物学理解的基础。然而,当前依靠明亮场显微镜的方法需要在成像之前进行广泛的组织制备。这些过程是劳动密集型的,有助于临床反馈的延迟,这些反馈可以扩展到两到三周的标准石蜡包含的组织制备和解释。在这里,我们提出了一种无标签的反射模式成像方式,该模式通过检测内在的内源性对比度来揭示细胞尺度的形态。我们使用新型的光声遥感(PAR)检测系统来完成此操作,该检测系统允许从具有光学分辨率的厚和不透明的生物学靶标中提取非接触光吸收对比度。将PARS视为一种快速评估工具,能够在10分钟内管理大型样品(> 1 cm2),也可以作为能够提取特定生物学对比的高对比度成像方式,以模拟传统的组织学染色,例如苏木精和eosin(H&E)。该方法的能力在各种人体组织制剂中得到了证明,包括福尔马林固定的石蜡包裹的组织块和从这些块中分离的未染色的幻灯片,包括正常和肿瘤的人脑,以及与乳腺癌有关的乳腺上皮。同样,由冷冻片段制备的人类皮肤的图像清楚地表明了基底细胞癌和正常的人体皮肤组织。最后,我们成像未经处理的鼠肾脏,并在新鲜组织中实现了与组织学相关的亚细胞形态。这代表了有效的实时临床显微镜迈出的至关重要的一步,该显微镜克服了标准组织病理组织制剂的局限性并实现了实时病理评估。

Histological visualizations are critical to clinical disease management and are fundamental to biological understanding. However, current approaches that rely on bright-field microscopy require extensive tissue preparation prior to imaging. These processes are labor intensive and contribute to delays in clinical feedback that can extend to two to three weeks for standard paraffin-embedded tissue preparation and interpretation. Here, we present a label-free reflection-mode imaging modality that reveals cellular-scale morphology by detecting intrinsic endogenous contrast. We accomplish this with the novel photoacoustic remote sensing (PARS) detection system that permits non-contact optical absorption contrast to be extracted from thick and opaque biological targets with optical resolution. PARS was examined both as a rapid assessment tool that is capable of managing large samples (>1 cm2) in under 10 minutes, and as a high contrast imaging modality capable of extracting specific biological contrast to simulate conventional histological stains such as hematoxylin and eosin (H&E). The capabilities of the proposed method are demonstrated in a variety of human tissue preparations including formalin-fixed paraffin-embedded tissue blocks and unstained slides sectioned from these blocks, including normal and neoplastic human brain, and breast epithelium involved with breast cancer. Similarly, PARS images of human skin prepared by frozen section clearly demonstrated basal cell carcinoma and normal human skin tissue. Finally, we imaged unprocessed murine kidney and achieved histologically relevant subcellular morphology in fresh tissue. This represents a vital step towards an effective real-time clinical microscope that overcomes the limitations of standard histopathologic tissue preparations and enables real-time pathology assessment.

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