Kevin Bernard Kenny

Highly multiplexed single-cell analysis of formalin-fixed, paraffin-embedded cancer tissue

Limitations on the number of unique protein and DNA molecules that can be characterized microscopically in a single tissue specimen impede advances in understanding the biological basis of health and disease. Here we present a multiplexed fluorescence microscopy method (MxIF) for quantitative, single-cell, and subcellular characterization of multiple analytes in formalin-fixed paraffin-embedded tissue. Chemical inactivation of fluorescent dyes after each image acquisition round allows reuse of common dyes in iterative staining and imaging cycles. The mild inactivation chemistry is compatible with total and phosphoprotein detection, as well as DNA FISH. Accurate computational registration of sequential images is achieved by aligning nuclear counterstain-derived fiducial points. Individual cells, plasma membrane, cytoplasm, nucleus, tumor, and stromal regions are segmented to achieve cellular and subcellular quantification of multiplexed targets. In a comparison of pathologist scoring of diaminobenzidine staining of serial sections and automated MxIF scoring of a single section, human epidermal growth factor receptor 2, estrogen receptor, p53, and androgen receptor staining by diaminobenzidine and MxIF methods yielded similar results. Single-cell staining patterns of 61 protein antigens by MxIF in 747 colorectal cancer subjects reveals extensive tumor heterogeneity, and cluster analysis of divergent signaling through ERK1/2, S6 kinase 1, and 4E binding protein 1 provides insights into the spatial organization of mechanistic target of rapamycin and MAPK signal transduction. Our results suggest MxIF should be broadly applicable to problems in the fields of basic biological research, drug discovery and development, and clinical diagnostics.

Simple and robust image-based autofocusing for digital microscopy

A simple image-based autofocusing scheme for digital microscopy is demonstrated that uses as few as two intermediate images to bring the sample into focus. The algorithm is adapted to a commercial inverted microscope and used to automate brightfield and fluorescence imaging of histopathology tissue sections.

Microscopy image focus quality assessment by overlapping tile analysis

Digital microscopy is a field that is becoming increasingly popular for tissue imaging. Most digital microscopes have a limited field-of-view, requiring the acquisition of multiple tiles across the tissue that are then stitched together in software. During the acquisition, however, the microscope may intermittently fail to focus correctly, which will result in out-of-focus images that no longer provide diagnostic value. While many approaches have been proposed to address this using absolute measures of focus quality, we here introduce a novel approach that instead operates on the overlap regions between acquired images. This provides a relative measure that is independent of tissue type and staining protocol. These automatic measures can then be used to identify failed images that need to be re-acquired. Our quantitative and qualitative results on large datasets demonstrate the accuracy and robustness of the approach.