2017
DOI: 10.1038/s41598-017-09117-0
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CUBIC pathology: three-dimensional imaging for pathological diagnosis

Abstract: The examination of hematoxylin and eosin (H&E)-stained tissues on glass slides by conventional light microscopy is the foundation for histopathological diagnosis. However, this conventional method has some limitations in x-y axes due to its relatively narrow range of observation area and in z-axis due to its two-dimensionality. In this study, we applied a CUBIC pipeline, which is the most powerful tissue-clearing and three-dimensional (3D)-imaging technique, to clinical pathology. CUBIC was applicable to 3D im… Show more

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Cited by 122 publications
(154 citation statements)
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References 55 publications
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“…Serial sectioning or optical‐ablative methods, in combination with 3D image reconstruction, are labor‐ and computation‐intensive, requiring acquisition times of days to obtain single‐cell resolution,5 and still hinder continuous observations 6. Technically demanding protocols for rendering tissue optically transparent, for example, CLARITY,5, 7 PACT,8 or CUBIC,6 remain time‐consuming and, subsequently to tissue clearing, powerful histology can only partially be applied, due to stain or antibody binding reduction or tissue degradation.…”
Section: Introductionmentioning
confidence: 99%
“…Serial sectioning or optical‐ablative methods, in combination with 3D image reconstruction, are labor‐ and computation‐intensive, requiring acquisition times of days to obtain single‐cell resolution,5 and still hinder continuous observations 6. Technically demanding protocols for rendering tissue optically transparent, for example, CLARITY,5, 7 PACT,8 or CUBIC,6 remain time‐consuming and, subsequently to tissue clearing, powerful histology can only partially be applied, due to stain or antibody binding reduction or tissue degradation.…”
Section: Introductionmentioning
confidence: 99%
“…One major impediment is that tissues can undergo multiple rounds of expansion and/or shrinkage during the clearing process. However, change in size does not result in tissue disruption in the final cleared product and has minimal impact on outcomes 3,14,17 . In fact, increasing tissue volume can be used to increase resolution 18,19 , whereas decreasing the volume can be advantageous for large samples [20][21][22] .…”
Section: Introductionmentioning
confidence: 99%
“…The ability to synthesise hydrogels with tuneable physical and chemical characteristics makes them a favourable material for use in tissue engineering, ophthalmology, wound-dressing and various other biomedical applications29 . Herein, we evaluated the applicability of a high refractive index hydrogel that provided stability to tissue architecture and minimised shrinking/expanding of the tissue for use in imaging large biological samples with LSFM6,17 . Typically, hydrogels have either a high refractive index or high-water content, but not both.…”
mentioning
confidence: 99%
“…While a macroscopic anatomical picture of 17 the brain is easily acquired non invasively or ex vivo with magnetic resonance imaging (MRI), 18 finer characterization requires histological procedures and microscopy. Histology and MRI are 19 highly complementary modalities: histology produces excellent contrast at the microscopic scale 20 using dedicated stains that target different microanatomical or cytoarchitectural features, but it 21 is a 2D modality that also inevitably introduces distortions in the tissue during blocking and 22 sectioning. MRI does not yield microscopic resolution, but produces undistorted 3D volumes.…”
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confidence: 99%
“…Notably, large-scale microtomes are not a feasible solution with these techniques, 59 as they are inherently limited to small tissue blocks. In fact, despite technological advances 60 in terms of both increasingly larger samples [17][18][19] and novel microscopic acquisitions [20,21], 61 complete multi-scale characterization of the human brain as a whole organ still requires the use 62 of complementary tools able to cover all the biologically relevant scales. This inherent limitation 63 makes the development of inter-modality workflows a necessity, especially as cutting-edge research 64 starts to target the whole human body [22].…”
mentioning
confidence: 99%