Computational Optics Enables Breast Cancer Profiling in Point-of-Care Settings.

Journal: ACS nano
Published Date:

Abstract

The global burden of cancer, severe diagnostic bottlenecks in underserved regions, and underfunded health care systems are fueling the need for inexpensive, rapid, and treatment-informative diagnostics. On the basis of advances in computational optics and deep learning, we have developed a low-cost digital system, termed AIDA (artificial intelligence diffraction analysis), for breast cancer diagnosis of fine needle aspirates. Here, we show high accuracy (>90%) in (i) recognizing cells directly from diffraction patterns and (ii) classifying breast cancer types using deep-learning-based analysis of sample aspirates. The image algorithm is fast, enabling cellular analyses at high throughput (∼3 s per 1000 cells), and the unsupervised processing allows use by lower skill health care workers. AIDA can perform quantitative molecular profiling on individual cells, revealing intratumor molecular heterogeneity, and has the potential to improve cancer diagnosis and treatment. The system could be further developed for other cancers and thus find widespread use in global health.

Authors

  • Jouha Min
    Center for Systems Biology , Massachusetts General Hospital , Boston , Massachusetts 02114 , United States.
  • Hyungsoon Im
    Center for Systems Biology , Massachusetts General Hospital , Boston , Massachusetts 02114 , United States.
  • Matthew Allen
    Center for Systems Biology , Massachusetts General Hospital , Boston , Massachusetts 02114 , United States.
  • Phillip J McFarland
    Center for Systems Biology , Massachusetts General Hospital , Boston , Massachusetts 02114 , United States.
  • Ismail Degani
    Center for Systems Biology , Massachusetts General Hospital , Boston , Massachusetts 02114 , United States.
  • Hojeong Yu
    Center for Systems Biology , Massachusetts General Hospital , Boston , Massachusetts 02114 , United States.
  • Erica Normandin
    Department of Systems Biology , Harvard Medical School , Boston , Massachusetts 02115 , United States.
  • Divya Pathania
    Center for Systems Biology , Massachusetts General Hospital , Boston , Massachusetts 02114 , United States.
  • Jaymin M Patel
    BreastCare Center, Division of Hematology Oncology , Beth Israel Deaconess Medical Center , Boston , Massachusetts 02115 , United States.
  • Cesar M Castro
    Center for Systems Biology , Massachusetts General Hospital , Boston , Massachusetts 02114 , United States.
  • Ralph Weissleder
    Center for Systems Biology , Massachusetts General Hospital , Boston , Massachusetts 02114 , United States.
  • Hakho Lee
    Center for Systems Biology , Massachusetts General Hospital , Boston , Massachusetts 02114 , United States.