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    <journal-meta />
    <article-meta>
      <title-group>
        <article-title>Image Analysis for Calculation of the Toxicity Degree of Cells in Phase Contrast Microscopy Images</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>M. Athelogou</string-name>
          <email>mathelogou@definiens.com</email>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>M. Eblenkamp</string-name>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>G. Schmidt</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>F. Novotny</string-name>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>E. Wintermantel</string-name>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>G. Binnig</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <aff id="aff0">
          <label>0</label>
          <institution>Definiens AG</institution>
          ,
          <addr-line>Munich</addr-line>
        </aff>
        <aff id="aff1">
          <label>1</label>
          <institution>Institute for Medical Engineering, Technical University Munich</institution>
        </aff>
      </contrib-group>
      <fpage>134</fpage>
      <lpage>138</lpage>
      <abstract>
        <p>Abstract: Because of the very special type of contrast in phase-contrast images, it is almost impossible to perform fully automated single-cell analysis and quantification successfully. Because fluorescent dyes are highly toxic, phase-contrast images are commonly used to monitor live cells. In this paper, we present a method for the fully automated segmentation, classification and quantification of individual cell morphology in phase-contrast images. We calculate the confluence of the cell population and quantify the degree of toxic damage to each individual cell following phenol incubation. The results are then compared to standard cytotoxicity assays.</p>
      </abstract>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>Introduction</title>
      <p>
        Phase contrast images are commonly used in order to study cell migration, cell
tracking and cell behavior like cell division under different conditions. The
morphology of each individual cell correlates with the degree of damage caused
by, for example, toxic substances in cell cultures or endogenous toxins.
Corresponding calculations of such toxicity damages are usually based on manual or
semi-automated methods. Automated methods of differentiated live cell
monitoring, based on image analysis algorithms, are limited; they depend upon the
degree of confluence of the corresponding cells and on the morphological
complexity. Sophisticated segmentation algorithms are applied in order to achieve
a robust segmentation of in vitro cell culture images observed with a standard
phase-contrast microscope or with video microscopy. Although these algorithms
provide a good separation of cell regions from the image background, they are
not able to classify cells on a differentiated level, e.g. they do not reliably separate
attached cells automatically [
        <xref ref-type="bibr" rid="ref1">1</xref>
        ].
      </p>
    </sec>
    <sec id="sec-2">
      <title>Materials and Methods</title>
      <p>To quantify toxicity in fibroblast cell cultures (Fig. 1), a data set of
phasecontrast images was acquired. Cell cultivation was based on the ISO-Norm
10993 protocol. Phenol was used for the induction of cytotoxicity. Images were
derived from a Zeissmicroscope, with 10x and 20x objectives, as 8-bit TIFFS.
In order to evaluate the quantification of cell damage based on morphological
criteria, standard cytotoxicity assays were applied in parallel:
1. LDH assay: The degree of cell damage correlates with the concentration of
lactate dehydrogenase (LDH) in the cell culture medium released by
damaged cells. The LDH content is quantified by the use of a color reaction
induced by LDH.
2. Live/Dead assay: In this differentiating fluorescence based staining
Propidiumiodid, which permeates only the membrane of damaged cells is used to
stain the nucleus.</p>
      <p>
        For the image analysis we used Definiens XD, which is an application of the
Definiens Cognition Network Technology. The Cognition Network Language
(CNL) is the corresponding graphical user interface meta-language, which
allows efficient development of rule-based algorithms. CNL consists of four basic
data structures: processes, domains, image objects and image object classes and
supports the use of specific expert knowledge within rule sets. We developed
an image analysis solution (CNL rule set), which uses different “maps”, where
the same phase-contrast image is copied into different instances (maps) for the
application of independent different processing procedures. Various algorithms
for segmentation and classification were applied to different maps in order to
achieve in their combination an optimal segmentation results. Analysis results
from one map were used as context for the analysis of objects in other maps;
in this way, the same phase contrast image could be analyzed simultaneously
differently by concentrating on different aspects and by combining those aspects
stepwise into one final result. Context-neutral and context-sensitive features are
defined in order to describe the individual properties of cells, the relationships
of cells to their neighborhoods and the cell organelles. The degree of confluence
of the cell population in an image was calculated as the ratio of the total area
of all cells in an image to the sum of the overall area of cell regions plus
background. The separation of the corresponding image objects-such as cell regions
and image background-requires a precise segmentation of these objects.
Therefore, we used multi-resolution segmentation and applied pixel-based filters, such
as the edge detection filter, on such individual image objects [
        <xref ref-type="bibr" rid="ref2 ref3">2, 3</xref>
        ]. The CNL
rule set separates cell clusters into individual cells, segments and extracts
individual cell compartments-such as vacuoles and cell protrusions-and classifies the
individual cells according to overall morphology, individual sub cellular
structures. Cells with a high degree of damage contain several vacuoles and usually
lack prominent protrusions. Such features are used for evaluating the
individual degree of damage of each individual cell. The total degree of damage was
calculated as the average cell damage of all individual cells in an image. To
calculate the degree of damage of individual cells, we developed a method that
calculates prominent morphological parameters. In terms of the two classes of
round cells in the images-mitotic cells and dead cells-mitotic cells are rounder
and have smoother boundaries than dead cells. Cells that show halos
(surrounding light-colored areas) are usually damaged. Other kinds of cells, flat extended
cells in close proximity to the substrate, showing little or no protrusions are also
usually damaged (Fig. 1); as well as those with vacuoles in their nuclei. All these
parameters were used to define a “Damage Factor Single Cell” (DFSC) for each
individual cell
      </p>
      <p>DFSC
f1(protrusions) + f2(vacuoles) + f3(halos) + f4(roundness)
(1)
The coefficients f1, f2, f3, f4 are calculated automatically using the developed
rule set and according to the numerical values of the corresponding morphological
parameters of individual cells. The mean value of the DFSC over all individual
cells in an image is defined as the “damage factor” for the image. The ratio of this
“damage factor” to the confluence of the cells in the image is defined as “damage
index” . The damage index was calculated at different time points during cell
culture monitoring and for different phenol concentrations (Fig. 4).
3</p>
    </sec>
    <sec id="sec-3">
      <title>Results</title>
      <p>Fifty images were used to develop the CNL rule set; this rule set was then applied
to an automatic analysis of 200 test images. In the first analysis, the cell region
was separated from the background and the quotient of the cell region to the
whole image area was calculated; this is a measurement of the confluence of
the cell population in an image (Fig. 1, Fig. 2). In the next step, sub cellular
structures such as vacuoles, halos and protrusions were segmented and classified
in each of the cells (Fig. 3). The damage factor was automatically calculated for
each cell and individual cells were classified as damaged (red), partially damaged
(magenta) or healthy (green or yellow). An overall damage factor for each of the
images was calculated (Fig. 2, Fig. 3) and the damage index for varying phenol
concentrations at different time points during cell culture monitoring was also
determined. Fig. 4 shows the results for the damage index plotted as a graph
(in blue) and the corresponding results from the cytotoxicity assays.</p>
      <p>Athelogou et al.</p>
    </sec>
    <sec id="sec-4">
      <title>Discussion</title>
      <p>The above work shows that CNL image analysis reproduces the results of the
established cytotoxicity assays. Our method can therefore be used to analyze the
morphology of single cells in phase contrast images and to quantify the degree of
toxic damage of individual cells and the corresponding cell cultures during cell
monitoring, as an alternative to semi-automated or manual methods.
Acknowledgement. The authors are grateful to State of Bavaria and
Landesgewerbeanstalt Bayern (LGA) for their financial support and Paul Brookes for
his help for the manuscript.</p>
    </sec>
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