Abstract:Manual annotation of the images of thin tissue sections remains a time-consuming step in Mueller microscopy and limits its scalability. We present a novel automated approach using only the total intensity M11 element of the Mueller matrix as an input to a U-Net architecture with a pretrained ResNet-34 encoder. The network was trained to distinguish four classes in the images of murine uterine cervix sections: background, internal os, cervical tissue, and vaginal wall. With only 70 cervical tissue sections, the model achieved 89.71% pixel accuracy and 80.96% mean tissue Dice coefficient on the held-out test dataset. Transfer learning from ImageNet enables accurate segmentation despite limited size of training dataset typical of specialized biomedical imaging. This intensity-based framework requires minimal preprocessing and is readily extensible to other imaging modalities and tissue types, with publicly available graphical annotation tools for practical deployment.
Abstract:Optical continuous glucose monitoring (CGM) systems are emerging for personalized glucose management owing to their lower cost and prolonged durability compared to conventional electrochemical CGMs. Here, we report a computational CGM system, which integrates a biocompatible phosphorescence-based insertable biosensor and a custom-designed phosphorescence lifetime imager (PLI). This compact and cost-effective PLI is designed to capture phosphorescence lifetime images of an insertable sensor through the skin, where the lifetime of the emitted phosphorescence signal is modulated by the local concentration of glucose. Because this phosphorescence signal has a very long lifetime compared to tissue autofluorescence or excitation leakage processes, it completely bypasses these noise sources by measuring the sensor emission over several tens of microseconds after the excitation light is turned off. The lifetime images acquired through the skin are processed by neural network-based models for misalignment-tolerant inference of glucose levels, accurately revealing normal, low (hypoglycemia) and high (hyperglycemia) concentration ranges. Using a 1-mm thick skin phantom mimicking the optical properties of human skin, we performed in vitro testing of the PLI using glucose-spiked samples, yielding 88.8% inference accuracy, also showing resilience to random and unknown misalignments within a lateral distance of ~4.7 mm with respect to the position of the insertable sensor underneath the skin phantom. Furthermore, the PLI accurately identified larger lateral misalignments beyond 5 mm, prompting user intervention for re-alignment. The misalignment-resilient glucose concentration inference capability of this compact and cost-effective phosphorescence lifetime imager makes it an appealing wearable diagnostics tool for real-time tracking of glucose and other biomarkers.