2009
DOI: 10.1117/1.3183811
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Fibro-C-Index: comprehensive, morphology-based quantification of liver fibrosis using second harmonic generation and two-photon microscopy

Abstract: Abstract. We develop a standardized, fully automated, quantification system for liver fibrosis assessment using second harmonic generation microscopy and a morphology-based quantification algorithm. Liver fibrosis is associated with an abnormal increase in collagen as a result of chronic liver diseases. Histopathological scoring is the most commonly used method for liver fibrosis assessment, where a liver biopsy is stained and scored by experienced pathologists. Due to the intrinsic limited sensitivity and ope… Show more

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Cited by 82 publications
(84 citation statements)
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References 46 publications
(68 reference statements)
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“…For example, Schanne-Klein used a thresholding process of image segmentation of collagen fibers for scoring fibrosis in a mouse model of kidney disease. 23 Similarly, Tai et al 24 applied Otsu's segmentation to score liver fibrosis in both mouse and human tissues. However, segmentation is most sensitive to brightness and the collagen area covered in the image and is not as sensitive to fibrillar alignment and organization, which are often more important markers of diseased states.…”
Section: Introductionmentioning
confidence: 99%
“…For example, Schanne-Klein used a thresholding process of image segmentation of collagen fibers for scoring fibrosis in a mouse model of kidney disease. 23 Similarly, Tai et al 24 applied Otsu's segmentation to score liver fibrosis in both mouse and human tissues. However, segmentation is most sensitive to brightness and the collagen area covered in the image and is not as sensitive to fibrillar alignment and organization, which are often more important markers of diseased states.…”
Section: Introductionmentioning
confidence: 99%
“…Sensitive and accurate quantitative assays of the degree and progress of fibrosis have been developed using SHG imaging (Tai et al 2009;Gailhouste et al 2010). These are much more precise than techniques based on staining, and are totally objective rather than relying on the judgment of a clinician.…”
Section: Collagenmentioning
confidence: 99%
“…Recently, the nonlinear optical microscopy imaging technique has emerged as a powerful tool for label-free biomedical imaging in cells and tissue due to many attractive features such as three-dimensional sectioning capability at submicron scale resolutions, deep tissue penetration depth, and non-destructiveness with biochemical specificity [5][6][7][8][9][10], such as two-photon excitation fluorescence (TPEF), second-harmonic generation (SHG), and coherent anti-Stokes Raman scattering (CARS). TPEF signal can be used to image cell morphologies [5], since it comes from the fluorescence of intrinsic molecules in hepatocyte, such as fiber elastins, NAD(P)H, and FAD, and these molecules are related to the cell metabolism [11].…”
Section: Introductionmentioning
confidence: 99%