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Rapid pathology of lumpectomy margins with open-top light-sheet (OTLS) microscopy.


ABSTRACT: Open-top light-sheet microscopy is a technique that can potentially enable rapid ex vivo inspection of large tissue surfaces and volumes. Here, we have optimized an open-top light-sheet (OTLS) microscope and image-processing workflow for the comprehensive examination of surgical margin surfaces, and have also developed a novel fluorescent analog of H&E staining that is robust for staining fresh unfixed tissues. Our tissue-staining method can be achieved within 2.5 minutes followed by OTLS microscopy of lumpectomy surfaces at a rate of up to 1.5 cm2/minute. An image atlas is presented to show that OTLS image quality surpasses that of intraoperative frozen sectioning and can approximate that of gold-standard H&E histology of formalin-fixed paraffin-embedded (FFPE) tissues. Qualitative evidence indicates that these intraoperative methods do not interfere with downstream post-operative H&E histology and immunohistochemistry. These results should facilitate the translation of OTLS microscopy for intraoperative guidance of lumpectomy and other surgical oncology procedures.

SUBMITTER: Chen Y 

PROVIDER: S-EPMC6420271 | biostudies-other | 2019 Mar

REPOSITORIES: biostudies-other

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Rapid pathology of lumpectomy margins with open-top light-sheet (OTLS) microscopy.

Chen Ye Y   Xie Weisi W   Glaser Adam K AK   Reder Nicholas P NP   Mao Chenyi C   Dintzis Suzanne M SM   Vaughan Joshua C JC   Liu Jonathan T C JTC  

Biomedical optics express 20190219 3


Open-top light-sheet microscopy is a technique that can potentially enable rapid <i>ex vivo</i> inspection of large tissue surfaces and volumes. Here, we have optimized an open-top light-sheet (OTLS) microscope and image-processing workflow for the comprehensive examination of surgical margin surfaces, and have also developed a novel fluorescent analog of H&E staining that is robust for staining fresh unfixed tissues. Our tissue-staining method can be achieved within 2.5 minutes followed by OTLS  ...[more]

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