Classification of malignant and benign tumors of the lung by infrared spectral histopathology (SHP)

• Published in: Laboratory investigation 2015-04, Vol.95 (4), p.406-421
• Main Authors: Akalin, Ali, Mu, Xinying, Kon, Mark A, Ergin, Ayşegül, Remiszewski, Stan H, Thompson, Clay M, Raz, Dan J, Diem, Max
• Format: Article
• Language: English
• Subjects: 13; 13/105; 59; 631/1647; Histological Techniques - methods; Humans; Laboratory Medicine; Lung Neoplasms - classification; Lung Neoplasms - pathology; Medicine; Medicine & Public Health; Multivariate Analysis; pathobiology-in-focus; Pathology; Spectrophotometry, Infrared - methods; Tissue Array Analysis - methods
• ISSN: 0023-6837; 1530-0307
• DOI: 10.1038/labinvest.2015.1

We report results of a study utilizing a novel tissue classification method, based on label-free spectral techniques, for the classification of lung cancer histopathological samples on a tissue microarray. The spectral diagnostic method allows reproducible and objective classification of unstained tissue sections. This is accomplished by acquiring infrared data sets containing thousands of spectra, each collected from tissue pixels ∼6 μm on edge; these pixel spectra contain an encoded snapshot of the entire biochemical composition of the pixel area. The hyperspectral data sets are subsequently decoded by methods of multivariate analysis that reveal changes in the biochemical composition between tissue types, and between various stages and states of disease. In this study, a detailed comparison between classical and spectral histopathology is presented, suggesting that spectral histopathology can achieve levels of diagnostic accuracy that is comparable to that of multipanel immunohistochemistry.