Abstract

Fluorescencein situhybridization (FISH) tests provide promising molecular imaging biomarkers to more accurately and reliably detect and diagnose cancers and genetic disorders. Since current manual FISH signal analysis is low-efficient and inconsistent, which limits its clinical utility, developing automated FISH image scanning systems and computer-aided detection (CAD) schemes has been attracting research interests. To acquire high-resolution FISH images in a multi-spectral scanning mode, a huge amount of image data with the stack of the multiple three-dimensional (3-D) image slices is generated from a single specimen. Automated preprocessing these scanned images to eliminate the non-useful and redundant data is important to make the automated FISH tests acceptable in clinical applications. In this study, a dual-detector fluorescence image scanning system was applied to scan four specimen slides with FISH-probed chromosome X. A CAD scheme was developed to detect analyzable interphase cells and map the multiple imaging slices recorded FISH-probed signals into the 2-D projection images. CAD scheme was then applied to each projection image to detect analyzable interphase cells using an adaptive multiple-threshold algorithm, identify FISH-probed signals using a top-hat transform, and compute the ratios between the normal and abnormal cells. To assess CAD performance, the FISH-probed signals were also independently visually detected by an observer. The Kappa coefficients for agreement between CAD and observer ranged from 0.69 to 1.0 in detecting/counting FISH signal spots in four testing samples. The study demonstrated the feasibility of automated FISH signal analysis that applying a CAD scheme to the automated generated 2-D projection images.

Highlights

  • Fluorescence in situ hybridization (FISH) tests provide molecular imaging biomarkers that have been expansively studied as promising imaging tools to improve the accuracy in cancer diagnosis and its prognosis assessment [1, 2]

  • The 2-D projection images were considered acceptable by both observer and computer-aided detection (CAD) scheme in further detecting and counting FISH-probed signal spots inside the detected and segmented analyzable interphase cells

  • Random selection of a limited number of cells and tendency of observers towards the selection of cells with good morphology generates the inevitable bias that may reduce the diagnostic sensitivity and make it very difficult to correctly predict disease prognosis and/or detect residual disease in response to the therapy, which requires counting FISH signals depicting on much large number of cells depicted on the targeted specimen slides in the heterogeneous cases [13]

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Summary

Introduction

Fluorescence in situ hybridization (FISH) tests provide molecular imaging biomarkers that have been expansively studied as promising imaging tools to improve the accuracy in cancer diagnosis and its prognosis assessment [1, 2]. FISH test is able to discover cryptic abnormalities and identify structural/numerical abnormalities that may be missed by conventional cytogenetic examinations due to a number of advantages of FISH tests that enable to improve the accuracy and/or consistency in cancer diagnosis by targeting the visualization and detection of specific chromosome changes based on different DNA probes.

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