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Winetraub Y, Van Vleck A, Yuan E, Terem I, Zhao J, Yu C, Chan W, Do H, Shevidi S, Mao M, Yu J, Hong M, Blankenberg E, Rieger KE, Chu S, Aasi S, Sarin KY, de la Zerda A. Noninvasive virtual biopsy using micro-registered optical coherence tomography (OCT) in human subjects. Sci Adv 2024; 10:eadi5794. [PMID: 38598626 PMCID: PMC11006228 DOI: 10.1126/sciadv.adi5794] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/17/2023] [Accepted: 03/07/2024] [Indexed: 04/12/2024]
Abstract
Histological hematoxylin and eosin-stained (H&E) tissue sections are used as the gold standard for pathologic detection of cancer, tumor margin detection, and disease diagnosis. Producing H&E sections, however, is invasive and time-consuming. While deep learning has shown promise in virtual staining of unstained tissue slides, true virtual biopsy requires staining of images taken from intact tissue. In this work, we developed a micron-accuracy coregistration method [micro-registered optical coherence tomography (OCT)] that can take a two-dimensional (2D) H&E slide and find the exact corresponding section in a 3D OCT image taken from the original fresh tissue. We trained a conditional generative adversarial network using the paired dataset and showed high-fidelity conversion of noninvasive OCT images to virtually stained H&E slices in both 2D and 3D. Applying these trained neural networks to in vivo OCT images should enable physicians to readily incorporate OCT imaging into their clinical practice, reducing the number of unnecessary biopsy procedures.
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Affiliation(s)
- Yonatan Winetraub
- Department of Structural Biology, Stanford University, Stanford, CA 94305, USA
- Molecular Imaging Program at Stanford, Stanford, CA 94305, USA
- The Bio-X Program, Stanford, CA 94305, USA
- Biophysics Program at Stanford, Stanford, CA 94305, USA
| | - Aidan Van Vleck
- Department of Structural Biology, Stanford University, Stanford, CA 94305, USA
| | - Edwin Yuan
- Department of Structural Biology, Stanford University, Stanford, CA 94305, USA
- Molecular Imaging Program at Stanford, Stanford, CA 94305, USA
- Department of Applied Physics, Stanford University, Stanford, CA 94305, USA
| | - Itamar Terem
- Department of Structural Biology, Stanford University, Stanford, CA 94305, USA
- Molecular Imaging Program at Stanford, Stanford, CA 94305, USA
- Department of Electrical Engineering, Stanford University, Stanford, CA 94305, USA
| | - Jinjing Zhao
- Department of Structural Biology, Stanford University, Stanford, CA 94305, USA
| | - Caroline Yu
- Department of Structural Biology, Stanford University, Stanford, CA 94305, USA
- Molecular Imaging Program at Stanford, Stanford, CA 94305, USA
| | - Warren Chan
- Department of Dermatology, Stanford University School of Medicine, Stanford, CA 94305, USA
| | - Hanh Do
- Department of Dermatology, Stanford University School of Medicine, Stanford, CA 94305, USA
| | - Saba Shevidi
- Department of Structural Biology, Stanford University, Stanford, CA 94305, USA
- Molecular Imaging Program at Stanford, Stanford, CA 94305, USA
| | - Maiya Mao
- Department of Structural Biology, Stanford University, Stanford, CA 94305, USA
- Molecular Imaging Program at Stanford, Stanford, CA 94305, USA
| | - Jacqueline Yu
- Department of Structural Biology, Stanford University, Stanford, CA 94305, USA
- Molecular Imaging Program at Stanford, Stanford, CA 94305, USA
| | - Megan Hong
- Department of Structural Biology, Stanford University, Stanford, CA 94305, USA
- Molecular Imaging Program at Stanford, Stanford, CA 94305, USA
| | - Erick Blankenberg
- Department of Structural Biology, Stanford University, Stanford, CA 94305, USA
- Molecular Imaging Program at Stanford, Stanford, CA 94305, USA
| | - Kerri E. Rieger
- Department of Pathology, Stanford University School of Medicine and Stanford Cancer Institute, Stanford, CA 94305, USA
| | - Steven Chu
- The Bio-X Program, Stanford, CA 94305, USA
- Biophysics Program at Stanford, Stanford, CA 94305, USA
- Departments of Physics and Molecular and Cellular Physiology, Energy, Science and Engineering Stanford University, Stanford, CA 94305, USA
| | - Sumaira Aasi
- Department of Dermatology, Stanford University School of Medicine, Stanford, CA 94305, USA
| | - Kavita Y. Sarin
- Department of Dermatology, Stanford University School of Medicine, Stanford, CA 94305, USA
| | - Adam de la Zerda
- Department of Structural Biology, Stanford University, Stanford, CA 94305, USA
- Molecular Imaging Program at Stanford, Stanford, CA 94305, USA
- The Bio-X Program, Stanford, CA 94305, USA
- Biophysics Program at Stanford, Stanford, CA 94305, USA
- Department of Electrical Engineering, Stanford University, Stanford, CA 94305, USA
- The Chan Zuckerberg Biohub, San Francisco, CA 94158, USA
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