Abstract
Hematoxylin and eosin (H&E) staining has long been a cornerstone of histopathology, typically applied to formalin-fixed, paraffin-embedded (FFPE) tissue sections to ensure stable and consistent sample preparation. However, the chemical staining procedure is inherently irreversible, making stained tissue unsuitable for subsequent analysis. Moreover, it is time-consuming, requires chemical handling, and incurs significant costs. While label-free microscopy, combined with deep learning, has been explored as an alternative, its clinical adoption remains limited due to slow imaging speeds, single-slide processing constraints, and operator-dependent variability in system management. To address these challenges, we propose a high-throughput virtual histology framework that integrates deep learning-based virtual staining and classification with a high-throughput digital multi-slide scanner. This approach enables the rapid and automated processing of unstained bright-field (UBF) images acquired from formalin-fixed, paraffin-embedded (FFPE) tissue sections, including those from lymph nodes, brain, and liver samples. We employ instance-wise hard negative example generation for Contrastive Learning in the Unpaired Image-to-Image Translation (NEGCUT) model to generate virtual H&E (VHE) images that faithfully replicate conventional staining while preserving critical morphological features. Furthermore, we introduce a residual network (ResNet)-based classification model that jointly leverages both VHE and UBF images, achieving 95.9 % accuracy in cancer detection. In a blind evaluation, board-certified pathologists confirmed that VHE images were diagnostic and indistinguishable from conventionally stained slides. By leveraging widely available digital slide scanners, our framework offers a scalable and cost-effective alternative to conventional staining, enabling high-throughput histopathology with reduced time, labor, and chemical usage.
| Original language | English |
|---|---|
| Article number | 103865 |
| Journal | Medical Image Analysis |
| Volume | 108 |
| DOIs | |
| State | Published - Feb 2026 |
UN SDGs
This output contributes to the following UN Sustainable Development Goals (SDGs)
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SDG 3 Good Health and Well-being
Keywords
- Bright field
- Cancer classification
- Deep learning
- Digital Slide Scanner
- High Throughput
- Virtual staining
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