Comparative evaluation of slide scanners, scan settings, and cytopreparations for digital urine cytology

Background

Acquiring well-focused digital images of cytology slides with scanners can be challenging due to the 3-dimensional nature of the slides. This study evaluates performances of whole-slide images (WSIs) obtained from 2 different cytopreparations by 2 distinct scanners with 3 focus modes.

Methods

Fourteen urine specimens were collected from patients with urothelial carcinoma. Each specimen was equally divided into 2 portions, prepared with Cytospin and ThinPrep methods and scanned for WSIs using Leica (Aperio AT2) and Hamamatsu (NanoZoomer S360) scanners, respectively. The scan settings included 3 focus modes (default, semi-auto, and manual) for single-layer scanning, along with a manual focus mode for 21 Z-layers scanning. Performance metrics were evaluated including scanning success rate, artificial intelligence (AI) algorithm-inferred atypical cell numbers and coverage rate (atypical cell numbers in single or multiple Z-layers divided by the total atypical cell numbers in 21 Z-layers), scanning time, and image file size.

Results

The default mode had scanning success rates of 85.7% or 92.9%, depending on the scanner used. The semi-auto mode increased success to 92.9% or 100%, and manual even further to 100%. However, these changes did not affect the standardized median atypical cell numbers and coverage rates. The selection of scanners, cytopreparations, and Z-stacking influenced standardized median atypical cell numbers and coverage rates, scanning times, and image file sizes.

Discussion

Both scanners showed satisfactory scanning. We recommend using semi-auto or manual focus modes to achieve a scanning success rate of up to 100%. Additionally, a minimum of 9-layer Z-stacking at 1 μm intervals is required to cover 80% of atypical cells. These advanced focus methods do not impact the number of atypical cells or their coverage rate. While Z-stacking enhances the AI algorithm's inferred quantity and coverage rates of atypical cells, it simultaneously results in longer scanning times and larger image file sizes.

Evaluating Urine Cytology Slide Digitization Efficiency: A Comparative Study Using an Artificial Intelligence-Based Heuristic Scanning Simulation and Multiple-Z-Plane Scanning

INTRODUCTION

Digitizing cytology slides presents challenges because of their three-dimensional features and uneven cell distribution. While multi-Z-plane scan is a prevalent solution, its adoption in clinical digital cytopathology is hindered by prolonged scanning times, increased image file sizes, and the requirement for cytopathologists to review multiple Z-plane images.

METHODS

This study presents heuristic scan as a novel solution, using an artificial intelligence (AI)-based approach specifically designed for cytology slide scanning as an alternative to the multi-Z-plane scan. Both the 21 Z-plane scan and the heuristic scan simulation methods were used on 52 urine cytology slides from three distinct cytopreparations (Cytospin, ThinPrep, and BD CytoRich™ (SurePath)), generating whole-slide images (WSIs) via the Leica Aperio AT2 digital scanner. The AI algorithm inferred the WSI from 21 Z-planes to quantitate the total number of suspicious for high-grade urothelial carcinoma or more severe cells (SHGUC+) cells. The heuristic scan simulation calculated the total numbers of SHGUC+ cells from the 21 Z-plane scan data. Performance metrics including SHGUC+ cell coverage rates (calculated by dividing the number of SHGUC+ cells identified in multiple Z-planes or heuristic scan simulation by the total SHGUC+ cells in the 21 Z-planes for each WSI), scanning time, and file size were analyzed to compare the performance of each scanning method. The heuristic scan's metrics were linearly estimated from the 21 Z-plane scan data. Additionally, AI-aided interpretations of WSIs with scant SHGUC+ cells followed The Paris System guidelines and were compared with original diagnoses.

RESULTS

The heuristic scan achieved median SHGUC+ cell coverage rates similar to 5 Z-plane scans across three cytopreparations (0.78-0.91 vs. 0.75-0.88, P=0.451-0.578). Notably, it substantially reduced both scanning time (137.2-635.0 seconds vs. 332.6-1278.8 seconds, P<0.05) and image file size (0.51-2.10 GB vs. 1.16-3.10 GB, P<0.05). Importantly, the heuristic scan yielded higher rates of accurate AI-aided interpretations compared to the single Z-plane scan (62.5% vs. 37.5%).

CONCLUSION

We demonstrated that the heuristic scan offers a cost-effective alternative to the conventional multi-Z-plane scan in digital cytopathology. It achieves comparable SHGUC+ cell capture rates while reducing both scanning time and image file size, promising to aid digital urine cytology interpretations with a higher accuracy rate compared to the conventional single (optimal) plane scan. Further studies are needed to assess the integration of this new technology into compatible digital scanners for practical cytology slide scanning.

Determination of free electron density in sequentially doped InxGa1-xAs by Raman spectroscopy

The advent and exponential growth of mobile computing has spurred greater emphasis on the adoption of III-V compound semiconductors in device architectures. The introduction of high charge carrier densities within InxGa1-xAs and the development of metrologies to quantitate the extent of doping have thus emerged as an urgent imperative. As an amphoteric dopant, Si begins to occupy anionic sites at high concentrations, thereby limiting the maximum carrier density that can be obtained upon Si doping of III-V semiconductors. Here, we present Raman results on sequentially doped In0.53Ga0.47As wherein sulfur monolayer doping is used to introduce additional carrier density to Si-doped samples. The sequential doping of Si and S allows for high carrier concentrations of up to 1.3 × 10(19) cm(-3) to be achieved without damaging the III-V lattice. The coupling of the plasmon in the doped samples to the longitudinal optic phonons allows Raman spectroscopy to serve as an excellent probe of the extent of dopant activation, charge carrier density, and the surface depletion region. In particular, the energy position of a high-frequency coupled mode (HFCM) that is detected above 400 cm(-1) is used to extract the free electron density in these samples. The extracted free electron densities are well correlated with measured sheet resistance values and the carrier densities deduced from Hall measurements.

Chloride molecular doping technique on 2D materials: WS2 and MoS2

Low-resistivity metal-semiconductor (M-S) contact is one of the urgent challenges in the research of 2D transition metal dichalcogenides (TMDs). Here, we report a chloride molecular doping technique which greatly reduces the contact resistance (Rc) in the few-layer WS2 and MoS2. After doping, the Rc of WS2 and MoS2 have been decreased to 0.7 kΩ·μm and 0.5 kΩ·μm, respectively. The significant reduction of the Rc is attributed to the achieved high electron-doping density, thus a significant reduction of Schottky barrier width. As a proof-of-concept, high-performance few-layer WS2 field-effect transistors (FETs) are demonstrated, exhibiting a high drain current of 380 μA/μm, an on/off ratio of 4 × 10(6), and a peak field-effect mobility of 60 cm(2)/(V·s). This doping technique provides a highly viable route to diminish the Rc in TMDs, paving the way for high-performance 2D nanoelectronic devices.

Acute hemiplegia associated with herpes zoster infection in children: report of one case

Herpes zoster infection has been rarely reported to cause angiitis of the central nervous system in children. We describe a 4-year, 8-month-old female with acute hemiplegia and central facial palsy 6 weeks after she had had zoster ophthalmicus. The findings of magnetic resonance angiography, the clinical picture, and a preceding history of herpes zoster ophthalmicus suggested zoster vasculitis. Herpes zoster vasculitis is thus another consideration when examining a child with acute hemiplegia and a recent herpes zoster infection.

The nu(1) + nu(5) Band of HCCN: Determination of the nu(5) Vibrational Energy

The high-resolution infrared spectrum of HCCN in the region 3323-3383 cm(-1) was observed by infrared kinetic spectroscopy. The band observed is assigned as nu(1) + nu(5) of the quasilinear molecule HCCN with its origin at 3355.500(2) cm(-1). Combining this number with the band origin of the previously investigated nu(1) + nu(5) - nu(5) spectrum, the energy of the lowest excited state with angular momentum about the a axis, nu(5), is determined to be 128.907(2) cm(-1). This value is lower than the results obtained by means of relative intensity measurements on the millimeter-wave spectra (145 +/- 15 cm(-1)) or from similar relative intensity measurements on the IR spectra (187 +/- 20 cm(-1)). The present value of the energy of nu(5) predicts a barrier to linearity of 300 cm(-1) similar to 280 cm(-1) obtained from the corresponding band of DCCN and comparable to 277 cm(-1) from the quantum chemistry calculation by Seidl and Schaefer [J. Chem. Phys. 96, 4449-4452 (1992)]. Copyright 1999 Academic Press.