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Finding Balance through Innovation

2013 Medical Innovation Summit

October 14-16, 2013


Top 10 Innovations for 2009

#4 Multi-Spectral Imaging Systems

Look closely at a black and white photograph taken long ago at a family gathering and you will see shades of gray in everything from furniture to clothing. Is your mother's outfit gray? Might it be blue? Or is it actually a yellow suit that happens to appear dark in the photo? In the same way that color photographs provide more information about a scene than black and white photographs, multispectral imaging can provide more information about the "color" properties of a tissue sample than a simple RGB color camera.

For many decades, pathologists have used immunohistochemical staining for protein distributions to examine tumor sections on a microscope, often one equipped with a color camera. These color cameras detect only three visible wavelengths that mimic the human eye: red, green, and blue. The human eye and color cameras work very well for looking at the single stains (typically a brown DAB stain for the protein distribution and a blue hematoxylin counterstain to visualize the tissue architecture). However, in order to look at the distributions of multiple proteins, pathologists currently must look at one microscope slide for each protein, which adds time and can only give a reading on the overall protein expression in the tumor, and not on the protein expressions in individual cells.

"And that means more 'seat time' for the pathologist," explains James R. Mansfield, a leading spectral imaging scientist. "The pathologist may now have to examine as many as four or five different tissue slices under a microscope to detect and quantify multiple clinically important proteins in a single tumor sample."

The introduction of multispectral imaging technology and new multispectral imaging systems has erased this problem by enabling researchers to spectrally resolve up to five or six chromogens (colors) in a single tissue section, even if those chromogens are spatially overlapping and co-localized.

"Multicolor labeling is common in many clinical methods such as flow cytometry, which analyzes homogenized samples," says Mr. Mansfield, "but multicolor methods that maintain the morphology and pattern of distribution of the protein are changing the way researchers can view their samples."

Once the sophisticated imaging system is attached to a standard microscope, researchers can stain up to four proteins using different colors and look at tissue samples with 10 to 30 different wavelengths, allowing for the accumulation of more information than is currently available. This helps researchers to better understand the complicated signaling pathways in cancer cells, and to develop more targeted therapies, which might allow physicians to better personalize treatment for individual patients. "By combining multispectral imaging technology with sophisticated automated morphologic segmentation and image analysis methodologies," says Mr. Mansfield, "we now have a new toolbox for the exploration of cellular phenotypes and events in solid tissues."

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