Core Needle Biopsy Guidance Based on Tissue Morphology Assessment with AI-OCT Imaging

This paper presents a combined optical imaging/artificial intelligence (OI/AI) technique for the real-time analysis of tissue morphology at the tip of the biopsy needle, prior to collecting a biopsy specimen. This is an important clinical problem as up to 40% of collected biopsy cores provide low di...

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Main Authors: Gopi Maguluri, John Grimble, Aliana Caron, Ge Zhu, Savitri Krishnamurthy, Amanda McWatters, Gillian Beamer, Seung-Yi Lee, Nicusor Iftimia
Format: Article
Language:English
Published: MDPI AG 2023-07-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/13/13/2276
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author Gopi Maguluri
John Grimble
Aliana Caron
Ge Zhu
Savitri Krishnamurthy
Amanda McWatters
Gillian Beamer
Seung-Yi Lee
Nicusor Iftimia
author_facet Gopi Maguluri
John Grimble
Aliana Caron
Ge Zhu
Savitri Krishnamurthy
Amanda McWatters
Gillian Beamer
Seung-Yi Lee
Nicusor Iftimia
author_sort Gopi Maguluri
collection DOAJ
description This paper presents a combined optical imaging/artificial intelligence (OI/AI) technique for the real-time analysis of tissue morphology at the tip of the biopsy needle, prior to collecting a biopsy specimen. This is an important clinical problem as up to 40% of collected biopsy cores provide low diagnostic value due to high adipose or necrotic content. Micron-scale-resolution optical coherence tomography (OCT) images can be collected with a minimally invasive needle probe and automatically analyzed using a computer neural network (CNN)-based AI software. The results can be conveyed to the clinician in real time and used to select the biopsy location more adequately. This technology was evaluated on a rabbit model of cancer. OCT images were collected with a hand-held custom-made OCT probe. Annotated OCT images were used as ground truth for AI algorithm training. The overall performance of the AI model was very close to that of the humans performing the same classification tasks. Specifically, tissue segmentation was excellent (~99% accuracy) and provided segmentation that closely mimicked the ground truth provided by the human annotations, while over 84% correlation accuracy was obtained for tumor and non-tumor classification.
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spelling doaj.art-79fe6b81d5f94991b04c06480eaee72d2023-11-18T16:22:28ZengMDPI AGDiagnostics2075-44182023-07-011313227610.3390/diagnostics13132276Core Needle Biopsy Guidance Based on Tissue Morphology Assessment with AI-OCT ImagingGopi Maguluri0John Grimble1Aliana Caron2Ge Zhu3Savitri Krishnamurthy4Amanda McWatters5Gillian Beamer6Seung-Yi Lee7Nicusor Iftimia8Physical Sciences Inc., Andover, MA 01810, USAPhysical Sciences Inc., Andover, MA 01810, USAPhysical Sciences Inc., Andover, MA 01810, USAPhysical Sciences Inc., Andover, MA 01810, USAMD Anderson Cancer Center, Houston, TX 77030, USAMD Anderson Cancer Center, Houston, TX 77030, USAAiforia Inc., Cambridge, MA 02142, USAAiforia Inc., Cambridge, MA 02142, USAPhysical Sciences Inc., Andover, MA 01810, USAThis paper presents a combined optical imaging/artificial intelligence (OI/AI) technique for the real-time analysis of tissue morphology at the tip of the biopsy needle, prior to collecting a biopsy specimen. This is an important clinical problem as up to 40% of collected biopsy cores provide low diagnostic value due to high adipose or necrotic content. Micron-scale-resolution optical coherence tomography (OCT) images can be collected with a minimally invasive needle probe and automatically analyzed using a computer neural network (CNN)-based AI software. The results can be conveyed to the clinician in real time and used to select the biopsy location more adequately. This technology was evaluated on a rabbit model of cancer. OCT images were collected with a hand-held custom-made OCT probe. Annotated OCT images were used as ground truth for AI algorithm training. The overall performance of the AI model was very close to that of the humans performing the same classification tasks. Specifically, tissue segmentation was excellent (~99% accuracy) and provided segmentation that closely mimicked the ground truth provided by the human annotations, while over 84% correlation accuracy was obtained for tumor and non-tumor classification.https://www.mdpi.com/2075-4418/13/13/2276tissue biopsy guidanceoptical coherence tomography imagingartificial intelligence
spellingShingle Gopi Maguluri
John Grimble
Aliana Caron
Ge Zhu
Savitri Krishnamurthy
Amanda McWatters
Gillian Beamer
Seung-Yi Lee
Nicusor Iftimia
Core Needle Biopsy Guidance Based on Tissue Morphology Assessment with AI-OCT Imaging
Diagnostics
tissue biopsy guidance
optical coherence tomography imaging
artificial intelligence
title Core Needle Biopsy Guidance Based on Tissue Morphology Assessment with AI-OCT Imaging
title_full Core Needle Biopsy Guidance Based on Tissue Morphology Assessment with AI-OCT Imaging
title_fullStr Core Needle Biopsy Guidance Based on Tissue Morphology Assessment with AI-OCT Imaging
title_full_unstemmed Core Needle Biopsy Guidance Based on Tissue Morphology Assessment with AI-OCT Imaging
title_short Core Needle Biopsy Guidance Based on Tissue Morphology Assessment with AI-OCT Imaging
title_sort core needle biopsy guidance based on tissue morphology assessment with ai oct imaging
topic tissue biopsy guidance
optical coherence tomography imaging
artificial intelligence
url https://www.mdpi.com/2075-4418/13/13/2276
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