Biomedical Optics Express

Alterations of fluorescence properties in retinal pigment epithelium (RPE) cells caused by diseases such as age-related macular degeneration (AMD) highlight the need for detailed analysis of the fluorescent RPE granules at the individual level. Precise segmentation and classification of these granules remain challenging due to their limited visual separability. In this study, we present Classi4RPE, a computational algorithm designed to accurately segment RPE granules and classify them into three categories -- lipofuscin (L), melanolipofuscin (ML), and melanin (M) -- based on fluorescence lifetime imaging data, which provide distinctive contrast. The method is implemented in a custom Python framework and employs seeded watershed segmentation to isolate individual granules. Lipofuscin granules are identified as hyperfluorescent structures with longer lifetimes, while granules with shorter lifetimes are further analyzed based on their spatial lifetime distribution from the center to edge, enabling discrimination of ML from other melanin-rich granules. Our approach achieves high performance, with mean sensitivities of 0.99 for L granules and 0.90 for ML granules, and corresponding specificities of 0.93 and 0.98, respectively, compared to manually annotated ground truth. These results demonstrate the potential of Classi4RPE to surpass human visual limitations and provide a robust tool for quantitative RPE analysis.

Light-sheet fluorescence microscopy (LSFM) has revolutionized biological imaging by enabling high spatial and temporal resolution with minimal photodamage. However, conventional LSFM techniques often suffer from striping artifacts in the resulting images due to light scattering and absorption within samples, leading to uneven illumination that negatively impacts the accuracy of subsequent image analyses. To address this limitation, we introduce dodecagon light-sheet fluorescence microscopy (dodecaLSFM), a novel approach that maximizes angular diversity to achieve homogeneous illumination and suppress striping artifacts. dodecaLSFM employs diffraction optics and cylindrical lenses to generate twelve light sheets, providing 360 degree omnidirectional illumination that significantly enhances illumination uniformity compared to traditional mSPIM, mDSLM, and ultramicroscopy systems, which use only one or two illumination planes. We demonstrate the effectiveness of dodecaLSFM by achieving high-resolution imaging of whole mouse brain vasculature following tissue clearing, allowing precise morphometric analysis of vascular networks without striping artifacts. Furthermore, we show that combining dodecaLSFM with expansion microscopy (ExM) enables whole-organ 3D imaging at cellular resolution. This novel approach provides an advanced, scalable solution for large-volume imaging, facilitating detailed structural and functional studies across diverse biological applications.

Minimally invasive surgery is a powerful technique that enables operations deep within the body while minimizing patient trauma and recovery time. Optical endoscopes are key to providing intraoperative vision but still face challenges due to the loss of essential senses, including depth perception and tactile feedback for tissue evaluation. Thus, it is critical to develop endoscopic imaging technologies that can augment operators with critical information. In this work, we explore a prototype multimodal 3D imaging endoscope that integrates volumetric light-field imaging with laser-speckle contrast imaging to simultaneously capture 3D structure and blood-flow information in a clinically relevant form factor.

Significance: Continuous, noninvasive, and depth-resolved monitoring of blood-flow-related tissue dynamics remains an important unmet need. Speckle-contrast optical spectroscopy (SCOS), including interferometric implementations such as iSCOS, provides a scalable optical route to blood-flow sensing, but conventional continuous-wave approaches lack intrinsic depth selectivity. Time-of-flight (TOF) gating offers a way to separate superficial and deeper dynamic contributions in layered tissues, such as skin-muscle or scalp-cortex, by resolving photon path lengths. Aim: We introduce a swept-source, single-channel implementation of interferometric speckle-contrast optical spectroscopy (iSCOS) to obtain TOF-resolved temporal speckle contrast, {kappa}^2, from the measured field autocorrelation g_1, and evaluate its feasibility for depth-resolved blood-flow sensing. Approach: A swept-source iNIRS system operating at 780 nm acquired interferometric signals, which were Fourier-transformed along the optical-frequency axis to recover complex TOF-resolved speckle fields. Temporal speckle contrast was then estimated at each TOF gate indirectly from g_1 using the speckle-visibility relation. Diffusion-based numerical simulations were first used to compare the direct variance-based estimator and the indirect g_1-based estimator under varying reduced scattering coefficient, diffusion coefficient, additive noise level, and bi-layer geometry. Because the simulations showed that the g_1-derived {kappa}^2 estimator was substantially less sensitive to additive noise than the direct estimator, this estimator was used for the main phantom and in vivo analyses, while the direct estimator served as a simulation comparator. The g_1-derived estimator was then applied to liquid and bi-layer phantoms, followed by proof-of-concept in vivo measurements on the human forearm during cuff occlusion and on the forehead during a Sudoku task. Results: TOF-resolved kappa2 curves recovered with the g_1-derived estimator matched DWS theory across scattering coefficients, photon path lengths, and exposure times. The estimator preserved theoretical accuracy for additive noise amplitudes up to 50% of the field amplitude, whereas the direct variance estimator showed substantial noise-induced bias and required correction. Bi-layer simulations and phantom experiments reproduced the predicted direction and onset of TOF-dependent decorrelation-rate trends in layered media. In vivo, the recovered blood-flow index tracked the expected TOF-dependent cuff-occlusion and reactive-hyperemia response in the forearm. During the single-subject Sudoku task, the left-forehead recording showed a TOF-dependent relative blood-flow-index increase of +0.8 {+/-} 1.9% at TOF = 400 ps, +9.8 {+/-} 2.2% at TOF = 600 ps, and +15.2 {+/-} 5.6% at TOF = 800 ps. This pattern is consistent with increased sensitivity to deeper tissue at longer photon path lengths, but requires cohort-level validation before quantitative interpretation as cognitive activation. Conclusions: Coupling temporal speckle-contrast analysis with swept-source iNIRS yields a proof-of-concept, depth-resolved platform for blood-flow sensing. By estimating TOF-resolved speckle contrast through the g_1-derived {kappa}^2 route, TOF-iSCOS suppresses additive-noise bias while preserving sensitivity to deeper dynamic tissue layers. The present single-channel results bridge continuous-wave iSCOS, interferometric NIRS and time-domain diffuse correlation spectroscopy (TD-DCS), and motivate future multi-channel and cohort studies for scalable cortical hemodynamic monitoring.

Optical fluorescence microscopy enables visualization of biological structures and dynamics. However, the intrinsic diffraction limit, especially axially, and depth-related scattering noise compromise the image resolution and fidelity. Computational 3D deconvolution is a promising approach for mitigating these issues, yet its execution is hindered by inaccurate and cumbersome theoretical modeling or experimental measurement of 3D point spread function (PSF), as well as ineffective 3D noise regularization. Furthermore, in the 3D super-resolution regime, there remains a lack of standardized tools for evaluating 3D super-resolution fidelity. Here, we present the 3D adaptive deconvolution and evaluation (3D-ADE) toolkit, which comprises 3D-Ada deconvolution with physics-oriented automatic 3D-PSF calibration, and 3D-SQUIRREL for 3D super-resolution quality assessment. It effectively resolves noise instability, eliminates the need for 3D-PSF calibration, and reliably assesses the fidelity of 3D resolution extension via deconvolution, physical, and deep-learning-based methods. Accessible via multiple software platforms, 3D-ADE enhances the versatility of 3D deconvolution and fills the gap in 3D super-resolution evaluation tools, and thereby advances volumetric fluorescence imaging applications.

This study presents the use of sub-micron nanobubbles (NBs) as contrast agents for ultrasound localization microscopy (ULM), a super-resolution imaging technique that visualizes microvascular structure and flow beyond the acoustic diffraction limit. While ULM has traditionally relied on micron-sized microbubbles (MBs), the reduced dimensions and prolonged circulation times of NBs make them attractive candidates for localization-based imaging. However, their weaker acoustic responses present significant challenges for reliable detection and tracking. To address this challenge, we developed the ULM Master GUI, an interactive framework for optimization of the complete ULM processing pipeline. Using custom ultrasound-compatible wall-less gelatin flow phantoms containing vessel-mimicking channels and bifurcations ranging from 100 to 500 m, we demonstrate that NB-based ULM achieves velocity reconstruction and flow partitioning measurements comparable to conventional MB-based ULM. Across all investigated geometries, NBs faithfully reproduced the underlying flow patterns and hemodynamic behavior despite their substantially reduced acoustic scattering. These findings establish the feasibility of NB-based ULM, expand the range of contrast agents available for localization microscopy, and provide a foundation for future super-resolution ultrasound imaging using nanoscale acoustic contrast agents. The ULM processing GUI is publicly available at https://github.com/grisha1998/ulm-super-resolution-toolbox.

Temperature is a fundamental parameter governing all molecular processes, including those that define life. Fluorescence microscopy is a powerful tool to observe molecular processes in living systems in real time. Precise control and measurement of temperature during fluorescence microscopy is therefore essential. We present here a robust temperature measurement based on the excited-state lifetime of the widely available and relatively inexpensive fluorescent dye pentamethine cyanine (Cy5). The excited-state lifetime of Cy5 shows a monotonic decline in the measurement range of 0 {degrees}C - 80 {degrees}C. The measured dependency is linear until 39 {degrees}C and monoexponential above. The dependance of excited-state lifetime upon temperature is used to measure temperature up to a precision of 0.5 {degrees}C or less, a temporal resolution down to <1 millisecond and to resolve temperature gradients with spatial resolutions that are only diffraction-limited. The far-red excitation and emission of Cy5 leaves bandwidth to simultaneously measure at least 3 additional spectral channels in standard fluorescent microscopes simultaneously. We demonstrate determination of temperature during 4-color live-cell fluorescence microscopy for a temperature-controlled experiment. We also show its applicability in measuring temperature gradients and laser-induced sample heating such as during STED nanoscopy.

Hyperspectral imaging (HSI) has gained increasing attention for bone assessment because it captures rich wavelength dependent information associated with mineralised tissue. HSI provides detailed spectral information related to material composition, while 3D geometric information supports the analysis of surface morphology and structural detail. However, integrating spectral and geometric information remains challenging, particularly when conventional reconstruction pipelines depend on external pose estimation. To address this challenge, we propose BoNeRF-HS, a self-calibrated hyperspectral neural radiance field for 3D reconstruction. BoNeRF-HS jointly optimises camera intrinsics, volume density, and hyperspectral radiance, removing the need for COLMAP based poses. To improve spectral modelling, we incorporate a gated spectral adapter head that learns wavelength dependent radiance features for hyperspectral view synthesis. We evaluate BoNeRF-HS on a multi-view hyperspectral dataset containing mouse bone, trabecular bone analogue, and cortical bone analogue samples. Experimental results demonstrate that our framework achieves improved reconstruction quality, and better preservation of bone surface details compared with existing approaches.

Laser Interstitial Thermal Therapy (LITT) is a minimally invasive neurosurgical technique in which a stereotactically-implanted fiber delivers thermal energy to ablate intracranial lesions. Existing computer-assisted planning systems optimize trajectories against a one-dimensional line abstraction, then approximate the ablation zone as a fixed-radius cylinder post-hoc to estimate coverage. Trajectories selected as optimal under this model are not guaranteed to remain optimal once the cylindrical extent is applied, which introduces a mismatch between predicted and true ablation coverage. This may also underestimate spillover into surrounding healthy tissue. We present OptiLITT, a treatment planning system that represents the laser probe as a cylindrical ablation volume from the onset of optimization, jointly solving dual-fiber placement, lesion coverage, and healthy-tissue spillover as a single coupled problem. All planning parameters are exposed through a user-configurable graphical user interface supporting intraoperative refinement between planning stages.

High content imaging is being applied to achieve quantitative fluorescence readouts in increasingly complex 3-dimensional (3D) cell culture models such as spheroids and organoids. Compared to conventional 2D assays, 3D assays better represent biological heterogeneity but require more complex sample preparation, 3D imaging and 3D image analysis that can affect the accuracy and precision of such assays. We used spheroids formed from the NRAS-activated melanoma cell line 19161 modified to express an ERK kinase translocation reporter (KTR) as an exemplar 3D phenotypic assay carried out in 96-well plates. The spheroids were treated with the ERK activator TPA and a range of concentrations of the MEK inhibitor Binimetinib. 3D live-cell imaging with sub-cellular spatial resolution was performed using a dual-view oblique plane microscope (dOPM) - a form of single-objective light-sheet microscope - and the experiment was performed separately at 4 different institutes. The results were analysed using an identical 3D analysis pipeline and parameters. We assessed the variation in assay readout using a linear mixed effects model. Random variance at the well level was negligible (SD = 0.0048 relative to range of KTR biosensor readout at reference site of 0.17), indicating low technical noise. Treatment effects were dose-dependent and highly statistically significant compared to DMSO control across all sites (Dunnett-corrected p < 0.001). The range in KTR readout between the minimum (3.5 M Binimetinib) and maximum (100 nM TPA) treatments varied between 59 to 96% relative to the reference site. Measured bias in KTR readout between sites was between 6 and 12% of the range of the reference site. This study quantifies the reproducibility of a 3D live spheroid-based assay employing a fluorescence biosensor requiring readout out at the per-cell level using the dOPM platform and discusses areas where experimental protocol could be improved in the future to further improve reproducibility.

AO_SCPLOWBSTRACTC_SCPLOWEarly tumor detection is critical for improving patient survival and recovery. Clinically, tissue palpation is routinely used to identify regions of abnormal stiffness, a hallmark of many pathological conditions. However, palpation is restricted to anatomically accessible sites and remains highly operator dependent. Here, we introduce a method for real-time quantitative stiffness mapping using an unmodified commercial endoscope, with the goal of enhancing diagnostic capabilities and restoring mechanical feedback during endoscopic procedures. Our approach combines shear wave elastography with speckle imaging and an innovative synchronization strategy that enables the measurement of shear wave propagation using an unmodified commercial endoscope. The resulting wave fields are analyzed with the noise-correlation-inspired (NCI) method[1], providing pixel-wise estimates of shear wave velocity and, consequently, quantitative maps of local tissue stiffness. The method demonstrated robust performance in both benchtop and endoscopic configurations. Validation was achieved on polymer phantoms as well as on ex vivo and in vivo biological tissues, highlighting its potential for minimally invasive biomechanical imaging and real-time tissue characterization.

Chemical imaging is a powerful branch of modern microscopy encumbered by a lack of flexible, high-throughput analysis tools. Bespoke analytical pipelines typically perform ratiometric analysis on two layers in a multispectral image to describe the relative composition of molecules in a sample. This strategy has been implemented across fields, spanning histopathology, cell biology, environmental science, and materials science. The commercialization of chemical imaging microscopes has facilitated the collection of large multispectral datasets, necessitating accessible ways to process them. This paper describes Multispectral Analysis Graphical User Interface (msaGUI), a desktop graphical user interface to analyze individual and batch datasets of multispectral images. Data is loaded as CSV, TSV, or TIFFs and processed through a user-defined sequence of modular image operations that can be flexibly combined, e.g. to reduce spectral crosstalk or background noise. After analysis, data is visualized as exportable images, histograms, and statistics. To yield publication-quality figures, outputted images are fully customizable. Written in Python with open-source libraries, the msaGUI program is packaged into an executable for Windows and Mac for a fully no-code application. Other operating systems are supported via the Python source code. In summary, msaGUI provides a rapid and user-friendly solution for analyzing and visualizing multispectral data.

Coherent Raman spectroscopy enables label-free biochemical fingerprinting of live cells with subcellular resolution. We previously developed a machine learning framework capable of classifying glioma FFPE tissues using Raman spectral signatures. To accelerate live cell acquisition, we previously developed RADAR (Raman Spectral Analysis Using Deep Learning for Artifact Removal), a method that increases imaging speed by an order of magnitude while preserving spectral integrity. By integrating high-speed Raman imaging with supervised machine learning, we aimed to define unique biochemical fingerprints specific to cell type. We hypothesized that intrinsic biochemical composition alone is sufficient to distinguish cellular identity and tumor subtype. To test this, we generated metabolic maps of diverse brain-derived cell types--including astrocytoma, oligodendroglioma, and glioblastoma cells--using coherent Raman spectroscopy at single-cell resolution. Patient-derived brain tumor cell lines representing genetically heterogeneous backgrounds were analyzed. Samples were stratified by IDH1 mutation status (IDH1-mutant and IDH1-wild-type) and histologically classified as oligodendroglioma or astrocytoma. Raman spectral data were acquired from 286 live single cells across the two principal molecular classes, with further subdivision into two histologic subtypes within the IDH1-mutant group. Classification was performed using an XGBoost model with shallow tree depth (1-3), a 20% held-out test set, and grouped, stratified 5-fold cross-validation to control for sample-level bias. The machine learning framework distinguished IDH1-mutant from IDH1-wild-type cells with a ROC-AUC of 0.78 and further discriminated IDH1-mutant astrocytoma from oligodendroglioma cells with a ROC-AUC of 0.81. Feature importance analysis demonstrated that separation between IDH1-mutant and IDH1-wild-type cells was driven primarily by Raman peaks associated with protein amide bands, total NADH, unsaturated fatty acids, and heme-related vibrational modes. Within the IDH1-mutant class, discrimination between oligodendroglioma and astrocytoma was driven by lipid-rich vesicle signatures, protein/polyamide amide bands, and lipid-associated spectral features. Together, these findings support the feasibility of label-free, machine learning-assisted Raman profiling to resolve clinically relevant glioma subtypes at single-cell resolution. This scalable analytical framework provides a translational platform for investigating metabolic heterogeneity, therapeutic response, co-culture systems, and patient-derived organoid models.

SignificanceDigital Holographic Microscopy (DHM) provides label-free quantitative phase images (QPIs) of living cells and has become a powerful tool for studying cellular morphology and dynamics. While most DHM studies have focused on cell-level analysis, the quantitative characterization of neuronal network organization and maturation from DHM images remains largely unexplored, highlighting the need for dedicated computational approaches. AimWe aimed to develop an automated framework combining deep-learning-based image analysis and graph theory to quantitatively characterize the organization, connectivity, and maturation of neuronal networks in primary rat cortical cultures imaged by DHM. ApproachTwo U-Net convolutional neural networks were trained on manually annotated DHM phase images to segment neuronal cell bodies and neurites. The resulting segmentation maps were used to infer putative morphological connections between neurons and generate graph representations of neuronal networks, referred to as graph fingerprints. A panel of 18 connectomics-inspired graph features was then computed to characterize local and global properties of network organization across four stages of culture maturation. ResultsThe mean area under the receiver operating characteristic curves was 0.98 for cell-body and 0.91 for neurite segmentation, indicating near-perfect identification. Graph-theoretical analysis revealed reproducible topological changes during network maturation in vitro, including increased density, reduced modularity, and progressive network integration. Correlation analysis showed that the 18 graph features grouped into two highly correlated families. A Random Forest classifier identified density and modularity as the most informative descriptors, achieving an accuracy of 87% in classifying maturation stages of neuronal cultures. ConclusionsOur results demonstrate that combining DHM, deep-learning-based segmentation, and graphtheoretical analysis enables quantitative characterization of neuronal network organization and maturation from label-free phase images. This framework provides a foundation for future studies of pharmacological experiments, neuronal network phenotyping, and human induced pluripotent stem cell (hiPSC)-derived neuronal cultures, where quantitative assessment of network organization remains a major challenge.

We present a non-invasive approach for continuous monitoring of lactate dynamics in-vivo using near-infrared (NIR) spectroscopy. Lactate-related spectral features were measured non-invasively within the overtone region (1600-1850 nm). Several anatomical measurement sites were evaluated, and the middle phalanx of the dorsal finger emerged as the most promising location due to its superior spectral quality and stable tissue perfusion, becoming the exclusive site for all further experiments. Across multiple exercise sessions, predictive models achieved high within-day accuracy (R2[&ge;] 0.8), while cross-day performance was affected by spectral drift and physiological variability. A dynamic offset-correction procedure effectively mitigated these baseline shifts, enabling stable prediction accuracy across days, weeks, and subjects. These findings demonstrate the feasibility of NIR-based lactate estimation and highlight the importance of adaptive correction strategies for reliable long-term, non-invasive monitoring.

Optical recording from large numbers of neurons is an indispensable technique for studying neuronal ensembles. We use optical sectioning through pinhole illumination to reduce the background fluorescence (F0) and increase the optical signal ({Delta}F/F0) in ex vivo brain slices densely labeled with GCaMP6f, allowing an ordinary fluorescence microscope to capture calcium transients from over 300 individual CA1 neurons - a marked increase compared to ordinary wide field fluorescence illumination. Multiple layers of overlapping neurons can be identified by their locations and the shape in space of their {Delta}F/F0 images. A single pinhole mask was placed at the field stop of a wide field illuminator, and the image of the pinhole was projected onto the tissue by a 20X NA 0.95 water immersion objective (Olympus). This created an illuminated disk with a diameter of [~]200 m and optical sections of hippocampal CA1 pyramidal layer tissue [~]100 m thick. This illumination blocked a large fraction of the F0, which in turn increased the {Delta}F/F0 5-10-fold compared to that of wide field illumination. When putative pyramidal neurons fire sparsely in the brain slice, up to 300 partially superimposed neurons can be identified by their shape and spatial location in the thick ([~]480 m) ex vivo slice in the CA1 area surrounding the pinhole image. The signal-to-noise ratio was adequate even at a low excitation light level of [~]20k photoelectrons per pixel well on the camera, allowing for 3,000 seconds of total recording time without significant bleaching. This pinhole "half confocal" method has created a useful way to sample calcium transient signals in thick tissue with a large population of neurons densely labeled with GCaMP-6f.

Designing transcutaneous skeletal muscle oxygenation (SmO2) sensors requires jointly optimizing source--detector geometry and wavelength selection while guaranteeing performance across populations that vary in subcutaneous fat thickness and skin pigmentation. We present a multi-fidelity Bayesian optimization (MFBO) framework that couples Monte Carlo light-transport simulations at two photon-count fidelities to a distributionally robust design objective. An autoregressive Gaussian-process surrogate learns the correlation between inexpensive low-photon-count and accurate high-photon-count simulations, and a cost-aware acquisition function decides both where and at what fidelity to sample. Robustness across the population is enforced with Conditional Value-at-Risk (CVaR) and entropic-risk (ERM) objectives that target worst-case subjects rather than the population average. On a five-layer forearm tissue model with anthropometric variability we find (i) a fidelity regime that is favorable for MFBO where the low-fidelity surrogate is rank-informative (Spearman {rho} = 0.84) but biased, at 100x lower cost; (ii) MFBO attains 23% higher robust sensitivity than a strong high-fidelity single-fidelity baseline at equal budget (p = 0.035), and avoids the optimistic bias that causes low-fidelity-only optimization to collapse when its designs are validated at high fidelity; (iii) CVaR/ERM objectives improve worst-case tail performance by {approx}23% relative to a mean objective without sacrificing average sensitivity; and (iv) discovered designs improve robust tail sensitivity by roughly 3--6x over commercial and heuristic optode layouts, with the largest gains in the high-fat and high-melanin subpopulations. The methodology bridges stochastic light-transport physics with sample-efficient machine-learning optimization and generalizes to cerebral oximetry, photodynamic therapy planning, and wearable physiological monitors.

Background. Scanning electron microscopy (SEM) is widely used to determine fibrin fiber structural properties such as fiber diameter and fiber length. However, conventional SEM preparation protocols are time-consuming and typically require conductive sputter coating. The coating process introduces an additional layer onto the sample surface and may influence measurements of nanoscale fiber structure. Furthermore, preparation of purified fibrinogen clots often follows protocols originally developed for plasma clots, resulting in unnecessary processing steps. Objective. To evaluate indium tin oxide (ITO) as a flat, conductive substrate for SEM imaging of fibrin fibers, investigate the effects of sputter coating on measured fiber diameter, and develop a simplified SEM preparation protocol for purified fibrinogen clots. Methods. Platelet-poor plasma clots and purified fibrinogen clots were formed on ITO substrates and imaged by SEM following 0 s, 45 s, or 90 s sputter coating. Fibrin fiber diameters were quantified and compared across coating conditions. For purified fibrinogen clots, an ITO-based simplified preparation protocol, in which clots were formed and imaged directly on the conductive ITO surface, was compared with a previously developed, standardized SEM protocol, in which clots were formed in microtube lids and subsequently transferred onto carbon tape for imaging. Results. Fiber diameter measurements were affected by sputter coating duration, with increasing coating time resulting in larger apparent fiber diameters. Plasma and purified fibrinogen clots exhibited distinct fiber diameter distributions and coating responses. For purified fibrinogen clots, the simplified ITO-based protocol produced fiber diameter measurements that were not significantly different from those obtained using the standardized lid-to-carbon-tape workflow when identical coating times were applied. Conclusions. ITO provides a practical conductive substrate for SEM imaging of fibrin fibers and enables substantial simplification of purified fibrinogen clot preparation. When coating conditions are matched, the simplified ITO-based protocol yields fiber diameter measurements comparable to those obtained using the previously standardized lid-to-carbon-tape workflow. These findings support the use of ITO as an alternative conductive imaging substrate and provide a simplified workflow for SEM analysis of purified fibrinogen clots. By reducing washing and transfer steps, this workflow may also provide a useful platform for future controlled studies of fibrin interactions with added proteins or other associated components.

Single-molecule localization microscopy (SMLM) enables nanoscale imaging but remains limited in three-dimensional (3D), high-speed, and high-density applications due to background fluorescence, photon inefficiency, and large point-spread function (PSF) footprints. Here, we present single-objective light-sheet microscopy with PSF-engineering enhanced biplane detection (SoLiD-3D), a versatile imaging platform that integrates dual-wavelength light-sheet illumination with dual-color, multi-configuration biplane imaging for parallel acquisition with PSF engineered detection for high-speed volumetric SMLM. Parallelized single-objective light-sheet excitation combined with PSF engineering overcomes key limitations of conventional wide-field and biplane approaches. Independent control of two excitation wavelengths for optical sectioning enables simultaneous dual-target imaging and single-target dual-color imaging with improved contrast and temporal resolution utilizing dynamically displaced light sheets for volumetric coverage. Using SoLiD-3D, we demonstrate high-speed single- and dual-target dual-color imaging that doubles localization density without sacrificing photon efficiency and continuous volumetric imaging via PSF-engineering enhanced biplane detection for whole-cell 3D imaging with improved axial localization performance over extended depth ranges. We further demonstrate improved speed by utilizing the Hummus PSF, a compact engineered PSF that enables high-precision 3D localization with a substantially reduced spatial footprint, for the first time for super-resolution imaging applications. Taken together, SoLiD-3D mitigates the trade-off between axial range and localization precision and offers improved speed compared to conventional 3D SMLM approaches.

Point-of-care ultrasound has transformed bedside diagnostics, yet current systems remain limited by rigid form factors, bulky external electronics and the need for skilled operators. Here we report a conformable ultrasound imaging patch that integrates a 1024-channel CMOS ultrasound application-specific integrated circuit (ASIC) directly beneath a conformable piezocomposite transducer array. The 10 mm X 8 mm, 1024-element ASIC contains on-chip transmit and receive beamforming, reducing the effective off-chip channel count by 16X while preserving image fidelity. Fabricated on a flexible polyimide substrate and bonded using anisotropic conductive film, the patch operates untethered from conventional ultrasound consoles and requires only a laptop for control and data acquisition. The device supports focused, plane-wave and diverging-wave transmission with steering over {+/-}30{degrees} in azimuth and {+/-}15{degrees} in elevation, achieving peak-to-peak acoustic pressures up to 7 MPa at a 4.4-MHz center frequency (mechanical index of 1.7), within diagnostic safety limits. Phantom experiments demonstrate three-dimensional imaging with axial and lateral resolutions (in both XZ and YZ planes) of 0.5 mm and 2 mm, respectively, and accurate contrast reproduction in tissue-mimicking phantoms. Human studies further demonstrate three-dimensional (3D) visualization of the internal jugular vein and carotid artery, as well as rib-shadow-free imaging of pleural motion during respiration. This work establishes a scalable architecture for chronic, wearable ultrasound imaging and highlights the potential of CMOS-integrated, conformable ultrasound systems for continuous physiological monitoring and remote diagnostics.