Intelligent Histology for Tumor Neurosurgery

Fuente: arXiv
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Autores principales: Hou, Xinhai, Kondepudi, Akhil, Jiang, Cheng, Lyu, Yiwei, Harake, Samir, Chowdury, Asadur, Meißner, Anna-Katharina, Neuschmelting, Volker, Reinecke, David, Furtjes, Gina, Widhalm, Georg, Koerner, Lisa Irina, Straehle, Jakob, Neidert, Nicolas, Scheffler, Pierre, Beck, Juergen, Ivan, Michael, Shah, Ashish, Pandey, Aditya, Camelo-Piragua, Sandra, Heiland, Dieter Henrik, Schnell, Oliver, Freudiger, Chris, Young, Jacob, Pekmezci, Melike, Scotford, Katie, Hervey-Jumper, Shawn, Orringer, Daniel, Berger, Mitchel, Hollon, Todd
Formato: Preprint
Publicado: 2025
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author Hou, Xinhai
Kondepudi, Akhil
Jiang, Cheng
Lyu, Yiwei
Harake, Samir
Chowdury, Asadur
Meißner, Anna-Katharina
Neuschmelting, Volker
Reinecke, David
Furtjes, Gina
Widhalm, Georg
Koerner, Lisa Irina
Straehle, Jakob
Neidert, Nicolas
Scheffler, Pierre
Beck, Juergen
Ivan, Michael
Shah, Ashish
Pandey, Aditya
Camelo-Piragua, Sandra
Heiland, Dieter Henrik
Schnell, Oliver
Freudiger, Chris
Young, Jacob
Pekmezci, Melike
Scotford, Katie
Hervey-Jumper, Shawn
Orringer, Daniel
Berger, Mitchel
Hollon, Todd
author_facet Hou, Xinhai
Kondepudi, Akhil
Jiang, Cheng
Lyu, Yiwei
Harake, Samir
Chowdury, Asadur
Meißner, Anna-Katharina
Neuschmelting, Volker
Reinecke, David
Furtjes, Gina
Widhalm, Georg
Koerner, Lisa Irina
Straehle, Jakob
Neidert, Nicolas
Scheffler, Pierre
Beck, Juergen
Ivan, Michael
Shah, Ashish
Pandey, Aditya
Camelo-Piragua, Sandra
Heiland, Dieter Henrik
Schnell, Oliver
Freudiger, Chris
Young, Jacob
Pekmezci, Melike
Scotford, Katie
Hervey-Jumper, Shawn
Orringer, Daniel
Berger, Mitchel
Hollon, Todd
contents The importance of rapid and accurate histologic analysis of surgical tissue in the operating room has been recognized for over a century. Our standard-of-care intraoperative pathology workflow is based on light microscopy and H\&E histology, which is slow, resource-intensive, and lacks real-time digital imaging capabilities. Here, we present an emerging and innovative method for intraoperative histologic analysis, called Intelligent Histology, that integrates artificial intelligence (AI) with stimulated Raman histology (SRH). SRH is a rapid, label-free, digital imaging method for real-time microscopic tumor tissue analysis. SRH generates high-resolution digital images of surgical specimens within seconds, enabling AI-driven tumor histologic analysis, molecular classification, and tumor infiltration detection. We review the scientific background, clinical translation, and future applications of intelligent histology in tumor neurosurgery. We focus on the major scientific and clinical studies that have demonstrated the transformative potential of intelligent histology across multiple neurosurgical specialties, including neurosurgical oncology, skull base, spine oncology, pediatric tumors, and periperal nerve tumors. Future directions include the development of AI foundation models through multi-institutional datasets, incorporating clinical and radiologic data for multimodal learning, and predicting patient outcomes. Intelligent histology represents a transformative intraoperative workflow that can reinvent real-time tumor analysis for 21st century neurosurgery.
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publishDate 2025
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spellingShingle Intelligent Histology for Tumor Neurosurgery
Hou, Xinhai
Kondepudi, Akhil
Jiang, Cheng
Lyu, Yiwei
Harake, Samir
Chowdury, Asadur
Meißner, Anna-Katharina
Neuschmelting, Volker
Reinecke, David
Furtjes, Gina
Widhalm, Georg
Koerner, Lisa Irina
Straehle, Jakob
Neidert, Nicolas
Scheffler, Pierre
Beck, Juergen
Ivan, Michael
Shah, Ashish
Pandey, Aditya
Camelo-Piragua, Sandra
Heiland, Dieter Henrik
Schnell, Oliver
Freudiger, Chris
Young, Jacob
Pekmezci, Melike
Scotford, Katie
Hervey-Jumper, Shawn
Orringer, Daniel
Berger, Mitchel
Hollon, Todd
Computer Vision and Pattern Recognition
The importance of rapid and accurate histologic analysis of surgical tissue in the operating room has been recognized for over a century. Our standard-of-care intraoperative pathology workflow is based on light microscopy and H\&E histology, which is slow, resource-intensive, and lacks real-time digital imaging capabilities. Here, we present an emerging and innovative method for intraoperative histologic analysis, called Intelligent Histology, that integrates artificial intelligence (AI) with stimulated Raman histology (SRH). SRH is a rapid, label-free, digital imaging method for real-time microscopic tumor tissue analysis. SRH generates high-resolution digital images of surgical specimens within seconds, enabling AI-driven tumor histologic analysis, molecular classification, and tumor infiltration detection. We review the scientific background, clinical translation, and future applications of intelligent histology in tumor neurosurgery. We focus on the major scientific and clinical studies that have demonstrated the transformative potential of intelligent histology across multiple neurosurgical specialties, including neurosurgical oncology, skull base, spine oncology, pediatric tumors, and periperal nerve tumors. Future directions include the development of AI foundation models through multi-institutional datasets, incorporating clinical and radiologic data for multimodal learning, and predicting patient outcomes. Intelligent histology represents a transformative intraoperative workflow that can reinvent real-time tumor analysis for 21st century neurosurgery.
title Intelligent Histology for Tumor Neurosurgery
topic Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2507.03037