The medical field continuously seeks innovative solutions to enhance diagnostic accuracy and efficiency. Yet the field of cell morphology remains largely manual, relying on traditional microscopy techniques that have changed little over the past century. Technicians still spend significant time examining slides under microscopes, manually counting and classifying cells, which can lead to inconsistencies and human error. This labor-intensive process is not only time-consuming but also prone to variability, impacting diagnostic reliability and patient outcomes.

In response to these challenges, digital cell imaging systems have emerged as a revolutionary solution. This technology is transforming the landscape of cell morphology by digitizing the process of capturing, analyzing, and interpreting cell images. This article explores what digital cell imaging systems are, how they work, and the transformative benefits they bring to hematology and pathology laboratories.

What is a digital cell imaging system?

A digital cell imaging system is a sophisticated tool that integrates digital imaging technology with advanced computational analysis to examine and provide a suggested interpretation of cell samples. A digital cell imaging system automates the manual process of examining slides, improving speed and potentially improving accuracy and reliability. The core components of this system include high-resolution digital scanners, image processing software, and decision-support artificial intelligence (AI) algorithms. These elements work together to convert physical cell samples into detailed digital images, which can be stored, analyzed, and shared electronically.

How does a digital cell imaging system work?

The operation of a digital cell imaging system can be broken down into several critical steps, each leveraging state-of-the-art technology to enhance cell analysis:

• Sample Preparation: The process begins with the lab’s internal preparation of the biological sample, such as a blood smear, on a glass slide. This step is crucial for ensuring the sample is suitable for digital imaging.
• Image Capture: The prepared slide is then scanned using a high-resolution digital scanner. Systems like those developed by Scopio Labs use full-field imaging technology, capturing images at 100x magnification. This high level of detail is essential for accurate cell morphology analysis.
• Image Processing: Once captured, the images are processed using sophisticated software. AI algorithms play a significant role in this phase, assisting in the identification and classification of cells. These algorithms are trained to recognize various cell types and detect abnormalities, providing decision support to lab scientists.
• Analysis and Reporting: The analysis of the sample includes the AI-based suggestions for cell counts and pre-classifications. These must be reviewed and potentially adjusted by a lab scientist, ensuring a blend of automation and human expertise.

Types of digital cell imaging systems

There are two main types of cell imaging system:

• Single-Cell Imaging: These advanced digital microscopy solutions capture and process single cell images. They serve as a bridge for laboratories transitioning from manual to fully digital workflows, as they may still require reverting back to the microscope when certain regions of clinical interest are not available in the digital image.
• Full-Field Imaging Systems: These systems provide high-resolution images of all regions of clinical interest, allowing for a comprehensive analysis without the need for further manual microscopic review. This approach contrasts with traditional digital cell-locating technologies that capture snapshots of individual cells, which can miss critical context of the cell.

What is full-field imaging?

Full-field imaging is a groundbreaking approach in digital cell morphology that captures the clinically relevant area of interest of a sample at high magnification. This technology offers significant advantages over traditional or semi-digital methods, which often involve taking snapshots of individual cells. Full-field imaging provides a holistic view of the sample, enabling an efficient analysis.

Traditional microscopy typically involves examining a limited number of cells manually, which can result in missed abnormalities. In contrast, full-field imaging captures detail across the entire slide. For instance, Scopio Labs’ full-field imaging technology * delivers high-resolution images at 100x magnification without sacrificing the field of view. This approach to cell morphology allows clinicians to see both the big picture and the smallest details, which is crucial for confident diagnosis.

Full – Field Review

Advantages of using full-field imaging

The adoption of full-field imaging in digital cell morphology brings numerous benefits that enhance both the efficiency and accuracy of laboratory workflows:

• Remote Review and Consultation: One of the most significant advantages of digital imaging systems is the ability to review and consult on slides remotely. This capability eliminates the need for physical slide transport, which can be time-consuming and risky. Instead, digital images can be securely shared with experts through the secure hospital network, anywhere in the world, facilitating faster and more collaborative diagnostics.
• Increased Efficiency: By digitizing the imaging and analysis process, full-field imaging systems significantly reduce the time needed for sample analysis. Studies have shown that such systems can improve workflow efficiency by up to 60%1 and reduce remote turnaround times by 59.1% compared to traditional manual microscopy2.
• AI Decision Support: Advanced AI algorithms assist in cell detection, classification, and counting, enhancing consistency and accuracy. These algorithms can rapidly detect and analyze many cells, providing preliminary results that technicians must review and confirm. This support helps standardize results across different laboratories and technicians, improving overall reliability.

Implementation in modern laboratories

The integration of digital cell imaging systems in modern laboratories marks a significant shift in how cell morphology analysis is conducted. Traditional methods, while reliable, are labor-intensive and subject to human error and variability. Digital systems mitigate these issues by providing a standardized, automated approach that enhances both speed and accuracy.

Digital cell imaging systems offer a practical solution for laboratories facing challenges such as staffing shortages, increasing workloads, and budget constraints. By automating routine tasks and providing AI-based decision support, these systems help laboratories manage their resources more effectively, allowing skilled technicians to focus on more complex tasks.

Moreover, the ability to conduct remote reviews and consultations is particularly valuable in today’s globalized and interconnected world. It facilitates fast diagnosis and treatment, improves access to expert opinions, and supports continuous learning and improvement in laboratory practices.

Embracing the future of laboratory diagnostics

Digital cell imaging systems represent a transformative advancement in the field of hematology and pathology. By combining high-resolution imaging, advanced AI algorithms, and the ability to review and consult remotely, these systems enhance the efficiency, accuracy, and reliability of cell morphology analysis. Laboratories adopting this technology can expect significant improvements in workflow efficiency, diagnostic accuracy, and overall operational flexibility. This not only future-proofs operations, but also aligns with the ongoing digital transformation in healthcare.

To learn more about Scopio Labs’ full-field digital imaging solutions, book a demo today.

Sources

1. Katz B-Z, et al. Evaluation of Scopio Labs X100 Full Field PBS: The first high-resolution full field viewing of peripheral blood specimens combined with artificial intelligence-based morphological analysis. Int J Lab Hematol. 2021;00:1–9. https://doi.org/10.1111/ijlh.13681
2. “Remote Digital Microscopy Improves Hematology Laboratory Workflow by Reducing Peripheral Blood Smear Analysis Turnaround Time” (Applied Clinical Informatics, 2022)