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      Stain-free histopathology by programmable supercontinuum pulses

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          Abstract

          The preparation, staining, visualization, and interpretation of histological images of tissue is well-accepted as the gold standard process for the diagnosis of disease. These methods were developed historically, and are used ubiquitously in pathology, despite being highly time and labor intensive. Here we introduce a unique optical imaging platform and methodology for label-free multimodal multiphoton microscopy that uses a novel photonic crystal fiber source to generate tailored chemical contrast based on programmable supercontinuum pulses. We demonstrate collection of optical signatures of the tumor microenvironment, including evidence of mesoscopic biological organization, tumor cell migration, and (lymph-)angiogenesis collected directly from fresh ex vivo mammary tissue. Acquisition of these optical signatures and other cellular or extracellular features, which are largely absent from histologically processed and stained tissue, combined with an adaptable platform for optical alignment-free programmable-contrast imaging, offers the potential to translate stain-free molecular histopathology into routine clinical use.

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          Most cited references27

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          Optical coherence tomography.

          A technique called optical coherence tomography (OCT) has been developed for noninvasive cross-sectional imaging in biological systems. OCT uses low-coherence interferometry to produce a two-dimensional image of optical scattering from internal tissue microstructures in a way that is analogous to ultrasonic pulse-echo imaging. OCT has longitudinal and lateral spatial resolutions of a few micrometers and can detect reflected signals as small as approximately 10(-10) of the incident optical power. Tomographic imaging is demonstrated in vitro in the peripapillary area of the retina and in the coronary artery, two clinically relevant examples that are representative of transparent and turbid media, respectively.
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            Live tissue intrinsic emission microscopy using multiphoton-excited native fluorescence and second harmonic generation.

            Multicolor nonlinear microscopy of living tissue using two- and three-photon-excited intrinsic fluorescence combined with second harmonic generation by supermolecular structures produces images with the resolution and detail of standard histology without the use of exogenous stains. Imaging of intrinsic indicators within tissue, such as nicotinamide adenine dinucleotide, retinol, indoleamines, and collagen provides crucial information for physiology and pathology. The efficient application of multiphoton microscopy to intrinsic imaging requires knowledge of the nonlinear optical properties of specific cell and tissue components. Here we compile and demonstrate applications involving a range of intrinsic molecules and molecular assemblies that enable direct visualization of tissue morphology, cell metabolism, and disease states such as Alzheimer's disease and cancer.
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              Lymphangiogenesis and cancer metastasis.

              Lymphatic vessels are important for the spread of solid tumours, but the mechanisms that underlie lymphatic spread and the role of lymphangiogenesis (the growth of lymphatics) in tumour metastasis has been less clear. This article reviews recent experimental and clinico-pathological data indicating that growth factors that stimulate lymphangiogenesis in tumours are associated with an enhanced metastatic process.
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                Author and article information

                Journal
                101283276
                34862
                Nat Photonics
                Nat Photonics
                Nature photonics
                1749-4885
                1749-4893
                20 April 2016
                23 May 2016
                August 2016
                23 November 2016
                : 10
                : 8
                : 534-540
                Affiliations
                [1 ]Beckman Institute for Advanced Science and Technology, University of Illinois at Urbana-Champaign, Urbana, IL 61801, USA
                [2 ]Department of Bioengineering, University of Illinois at Urbana-Champaign, Urbana, IL 61801, USA, 2Max Planck Institute for Polymer Research, Ackermannweg 10, Mainz, 55128, Germany
                [3 ]NKT Photonics A/S, Blokken 84, 3460 Birkerød, Denmark
                [4 ]DTU Fotonik, Technical University of Denmark, Ørsteds Plads 343, 2800 Lyngby, Denmark
                [5 ]Department of Materials Science and Engineering, Frederick Seitz Materials Research Laboratory, University of Illinois at Urbana-Champaign, Urbana, Illinois 61801, USA
                [6 ]Biophotonic Solutions Inc., East Lansing, Michigan 48823, USA
                [7 ]Department of Chemistry and Department of Physics, Michigan State University, East Lansing, Michigan 48824, USA
                [8 ]Department of Electrical and Computer Engineering, University of Illinois at Urbana-Champaign, Urbana, IL 61801, USA
                [9 ]College of Medicine, University of Illinois at Urbana-Champaign, Urbana, IL 61801, USA
                Author notes
                [* ]Correspondence and requests for materials should be addressed to H. T. and S. A. B., boppart@ 123456illinois.edu , htu@ 123456illinois.edu
                [†]

                These authors contributed equally to this work.

                Article
                NIHMS779624
                10.1038/nphoton.2016.94
                5031149
                27668009
                9ae398eb-057b-44aa-b127-f94752f43b69

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                Optical materials & Optics
                Optical materials & Optics

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