Label-free histomorphometry of peripheral nerve by stimulated Raman spectroscopy.

Background: Conventional processing of nerve for histomorphometry is resource-intensive, precluding use in intraoperative assessment of nerve quality during nerve transfer procedures. Stimulated Raman scattering (SRS) microscopy is a label-free technique that enables rapid and high-resolution histol...

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Bibliographic Details
Published in:Muscle & Nerve Vol. 62; no. 1; pp. 137 - 143
Main Authors: Coto Hernández, Iván, Yang, Wenlong, Mohan, Suresh, Jowett, Nate
Format: research Journal Article
Published: Wiley-Blackwell Jul2020
Online Access:View this record in EBSCOhost
Description
Summary:Background: Conventional processing of nerve for histomorphometry is resource-intensive, precluding use in intraoperative assessment of nerve quality during nerve transfer procedures. Stimulated Raman scattering (SRS) microscopy is a label-free technique that enables rapid and high-resolution histology.Methods: Segments of healthy murine sciatic nerve, healthy human obturator nerve, and human cross-facial nerve autografts were imaged on a custom SRS microscope. Myelinated axon quantification was performed through segmentation using a random forest machine learning algorithm in commercial software.Results: High contrast, high-resolution imaging of nerve morphology was obtained with SRS imaging. Automated myelinated axon quantification from cross-sections of healthy human nerve imaged using SRS was achieved.Conclusions: Herein, we demonstrate the use of a label-free technique for rapid imaging of murine and human peripheral nerve cryosections. We illustrate the potential of this technique to inform intraoperative decision-making through rapid automated quantification of myelinated axons using a machine learning algorithm.