DEVICE AND METHOD FOR CONTROLLING THE VOLUME OF A MICRO CHAMBER ARRANGEMENT
20210001327 ยท 2021-01-07
Inventors
Cpc classification
B01L2200/0673
PERFORMING OPERATIONS; TRANSPORTING
B01L3/0268
PERFORMING OPERATIONS; TRANSPORTING
B01L3/502707
PERFORMING OPERATIONS; TRANSPORTING
G01N2001/282
PHYSICS
International classification
Abstract
Disclosed is a device for controlling a volume of an analysis chamber of a micro chamber arrangement to which a region of interest of an object is exposed. The volume is controlled using a volume reducing element which is deposited on a surface of the micro chamber arrangement. The device comprises a deposition unit configured to determine a position and an extent of the volume reducing element depending on (a) the region of interest and further depending on (b) a predetermined level by which a volume of the analysis chamber is reduced using the volume reducing structure. The deposition unit is further configured to deposit the volume reducing element depending on the determined position and extent.
Claims
1. A method for identifying two or more infections as related or non-related infections based on an estimated genetic relatedness of the two or more infections, comprising: receiving, for each of two or more infected patients, infection-relevant information comprising an antibiotic resistance profile for the patient's infection, a geo-temporal record for the patient, and a caregiver history for the patient; estimating, using a trained genetic relatedness model analyzing the received infection-relevant information for the two or more infected patients, a genetic relatedness of at least two of the two or more infections; comparing the estimated genetic relatedness between at least two of the two or more infections to a predetermined threshold; and identifying, based on the comparison, the at least two of the two or more infections as a related infection or a non-related infection, wherein the at least two of the two or more infections are identified as a related infection if the estimated genetic relatedness falls below the predetermined threshold, and wherein the at least two of the two or more infections are identified as a non-related infection if the estimated genetic relatedness exceeds the predetermined threshold.
2. The method of claim 1, wherein the trained genetic relatedness model estimates genetic relatedness of the at least two of the two or more infections without sequencing data.
3. The method of claim 1, wherein the genetic relatedness of the two or more infections comprises a predicted number of SNPs between at least two of the two or more infections.
4. The method of claim 1, further comprising: obtaining, if the at least two of the two or more infections are identified as related, sequencing data for each of the at least two of the two or more infections; and determining, using the obtained sequencing data, the relatedness of the at least two of the two or more infections.
5. The method of claim 1, further comprising: displaying, on an interactive user interface, a representation of the estimated genetic relatedness between the at least two of the two or more infections.
6. The method of claim 5, wherein the representation of the estimated genetic relatedness comprises a network graph of two or more patients and/or infections.
7. The method of claim 1, further comprising: adjusting, using an interactive user interface, the predetermined threshold.
8. The method of claim 1, wherein the predetermined threshold is based at least in part on the identity of a pathogen causing the two or more infections.
9. The method of claim 1, further comprising the step of training the trained genetic relatedness model, comprising: receiving, from a database of infection data, infection-relevant information for a plurality of patients and pathogen sequencing data for an infection associated with each of the plurality of patients; calculating, using the sequencing data, genetic relatedness between the infections of two or more of the plurality of patients; generating, from the received infection-relevant information and the calculated genetic relatedness between the infections, a predictive model designed to provide an estimate of genetic relatedness between two or more infections using only infection-relevant information.
10. The method of claim 9, wherein the genetic relatedness model comprises a decision tree.
11. A system configured to identify two or more infections as related or non-related infections based on an estimated genetic relatedness of the two or more infections, comprising: infection-relevant information for each of two or more infected patients, comprising an antibiotic resistance profile for the patient's infection, a geo-temporal record for the patient, and a caregiver history for the patient; a trained genetic relatedness model configured to analyze the received infection-relevant information for the two or more infected patients and to estimate based on that analysis a genetic relatedness of at least two of the two or more infections; a processor configured to: (i) compare the estimated genetic relatedness between at least two of the two or more infections to a predetermined threshold; and (i) identify, based on the comparison, the at least two of the two or more infections as a related infection or a non-related infection, wherein the at least two of the two or more infections are identified as a related infection if the estimated genetic relatedness falls below the predetermined threshold, and wherein the at least two of the two or more infections are identified as a non-related infection if the estimated genetic relatedness exceeds the predetermined threshold; and a user interface configured to display a representation of the estimated genetic relatedness between the at least two of the two or more infections.
12. The system of claim 11, wherein the representation of the estimated genetic relatedness comprises a network graph of two or more patients and/or infections.
13. The system of claim 11, wherein the trained genetic relatedness model estimates genetic relatedness of the at least two of the two or more infections without sequencing data.
14. The system of claim 11, wherein the predetermined threshold is based at least in part on the identity of a pathogen causing the two or more infections.
15. The system of claim 11, wherein the genetic relatedness of the two or more infections comprises a predicted number of SNPs between at least two of the two or more infections.
Description
BRIEF DESCRIPTION OF THE DRAWING
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DESCRIPTION OF EMBODIMENTS
[0046]
[0047] The substrate 4 may be made of glass, transparent plastic, and/or composites of glass and plastic. The substrate 4 may be a microscope slide, which, for example, has dimensions of 25751 millimeter (sidesideheight). A label 7 is attached to a surface portion of the substrate 4 which is not covered by the cover 3.
[0048] By way of example, the analysis chamber 6 has dimensions of 22400.5 millimeters (sidesideheight) corresponding to a volume of 440 microliters.
[0049] In order to extract nucleic acids from the object, an analysis liquid, which may include a lysis buffer, is introduced into the analysis chamber 6 through one of the fluid ports 10 and 11, which are formed by openings provided in the cover 3 of the micro chamber arrangement 1. The other one of the fluid ports 10 and 11 is used to discharge the analysis liquid from the analysis chamber 6. By way of example, the cover 3 may be made of glass, transparent plastic, and/or composites of glass and plastic. A spacer element 5 is provided between the substrate 4 and the cover 5. Although not necessary, in the embodiment shown on
[0050] Based on the extracted nucleic acids, molecular diagnostics (abbreviated as MDX) of pathologically altered cells of the object can be performed. Specifically, using molecular diagnostic, it is possible to detect specific sequences in DNA or RNA that may or may not be associated with a disease. Molecular diagnostics may include analysis procedures such as PCR (several techniques are comprised under this term, like q-PCR, RT-PCR, qrt-PCR, digital PCR, etc), or RNA or DNA sequencing.
[0051] As will be explained in detail further below, it has been shown that the region of interest of the object which is exposed to the analysis liquid can be comparatively small, leading to an undesirable high dilution of the extracted nucleic acids. Notably, for the extraction and clean-up processes, it is desirable that the volume of the analysis chamber 6 is less than 200 microliters or even less than 50 microliters. It has further been shown that it is desirable for the analysis chamber 6 to have a known volume which preferably is constant for different objects. However, simply reducing the volume by reducing the width of the planar gap between the substrate 4 and the cover 3 influences the filling behavior of the liquid leading to undesirable air entrapment which may result in incomplete coverage of the object with the analysis liquid.
[0052] The inventors have found that it is possible to provide a device and a method for adapting the volume of the analysis chamber depending on the position and the extent of the region of interest from which nucleic acids are to be extracted and further depending on predefined criterions for the volume of the analysis chamber. It has been shown that this allows efficient prevention of undesirable dilution of the extracted nucleic acids. It has further been shown that the same type of micro chamber arrangement can be adapted to different objects so that for each of these objects, the volume of the analysis chamber can be reduced to a predefined value which is the same for each object. Using the same micro chamber arrangement for different objects allows implementation of a standard workflow. Further, having a constant analysis chamber volume for different objects allows implementation of controlled downstream processing. As such, efficient integration of digital pathology and molecular diagnostics can be obtained.
[0053]
[0054] As is illustrated in
[0055] The digital image data which are acquired from the object 39 are transmitted to the data processing system 12. The data processing system 12 is configured to read the digital image data. The data processing system 12 includes a graphical user interface which displays, on a display device 18, an image which is generated depending on the digital image data. The data processing system 12 is configured to automatically or semi-automatically (i.e. using user input received via one or more input devices such as the mouse 17 and/or the keyboard 16) determine one or more regions of interest depending on the digital image data.
[0056] The one or more regions of interest which are identified using the stained object 39 are used to identify one or more regions of interest of an unstained object from which nucleic acids are to be extracted. The unstained object is a section from the same biopsy or from the same resection as the stained object 39 used for identifying the region of interest. In particular, as will be described in detail in the following paragraphs, one or more regions of interest of the unstained object are determined relative to the substrate on which the unstained object is disposed, depending on the digital image data acquired from the stained object 39 and further depending on digital image data acquired from the unstained object disposed on the substrate 4 (shown in
[0057] The one or more regions of interest of the unstained object which are determined relative to the substrate are used to isolate the regions of interest and to control the volume of the analysis chamber in which the nucleic acids are to be extracted from the object. These processes will be described in more detail further below.
[0058] The device includes a second image acquisition system (not illustrated) which is configured to acquire digital image data from the unstained object. The acquired digital image data may be indicative of a position and extent of the unstained object relative to the substrate. The data processing system 12 is configured to semi-automatically (i.e. using user interaction) or automatically determine the position and extent of the one or more regions of interest of the unstained object relative to the substrate by comparing the digital image data acquired from the stained object 39 with the digital image data acquired from the unstained object. Comparing the digital image data may include identification of object features which are common or similar to both the image of the stained object 39 and the image of the unstained object. In order to facilitate the comparison between the digital data of the stained object with the digital image data of the unstained object, it is conceivable that the unstained object is also stained and/or deparaffinated before acquiring of the digital image data in order to highlight features required for identifying the corresponding region of interest in the object from which nucleic acids are to be extracted. By way of example, the object from which nucleic acids are to be extracted is stained using hematoxylin.
[0059] The second image acquisition system may be a camera, a microscope and/or a digital scanner. The second image acquisition system may be in a known spatial relationship (in particular a known position and orientation) relative to the substrate when acquiring the digital image data. In particular, the second image acquisition system may be in a known spatial relationship relative to the substrate, wherein the substrate is mounted to a sample mount of a printer which is used to isolate the region if interest and/or to deposit a volume reducing element for controlling the volume of the analysis chamber. These processes are described in detail in the following paragraphs. Additionally or alternatively, the digital image data may be acquired from one or more fiducial markers which are provided on the substrate and which are used to determine the position and the extent of the region of interest relative to the substrate.
[0060] The regions of interest are isolated by depositing a film-shaped capping structure 22 on a surface portion of the object 14 which is complementary to the identified one or more regions of interest. The film-shaped capping structure is deposited using a printer 19 (shown in
[0061] The printing process which is performed using the printer 19 may be a non-impact printing process, in particular a dot-matrix printing process and/or an ink-jet printing process using one or more nozzles 21 of the ink-jet printer for ejecting the ink 20 toward the substrate 4. The printer may be configured to move the nozzle 21 in directions parallel to the object receiving surface of the substrate 4. The ink may be solidify and/or may be solidifiable. The ink may solidify, for example by drying. Additionally or alternatively, the ink may be solidifiable by exposing the ink to heat, pressure, electromagnetic radiation (such as ultraviolet light) and/or chemicals. Additionally or alternatively, solidification of the ink may be performed using a cooling device for cooling the ink (e.g. when solid ink is used). It is conceivable that the device uses technologies for isolating the one or more regions of interest from the unstained object 14 which are different from the one described above. By way of example, it is conceivable that a tape is used to cover a portion of the object which is not part of the region of interest. Further, depending on the analysis which is performed, it is conceivable that no region of interest is isolated and the entire object is exposed to the analysis chamber. In this case, the entire object represents the region of interest.
[0062]
[0063] In order to control the volume of the analysis chamber 6 (shown in cross-section in
[0064]
[0065] The separation gap between the volume reducing element 24 and the cover 3 allows for an accurate attachment of the cover 3 to the substrate 4 via the spacer element 5, irrespective of tolerances in the height of the volume reducing element 24 which may result from the printing and/or curing process. This ensures a highly accurate value for the volume of the analysis chamber and reliable liquid-tight seal. However, a still satisfactory accuracy for the analysis chamber volume and an acceptable seal can be obtained if the volume reducing element 24 is in contact with the cover 3.
[0066] The volume reducing element 24 is deposited layer-by-layer using the printer 19. In other words, layers of ink are deposited on top of other layers of previously deposited and solidified layers of ink. The volume reducing element 24 may be formed by more than 10, more than 20, or more than 50 layers which are stacked on top of each other. Each of the layers may have a thickness which is less than 100 micrometers or less than 80 micrometers or less than 50 micrometers. The thickness may be greater than 5 micrometers or greater than 10 micrometers. The thickness of the layers may be adapted by adapting a configuration of the printing head (such as a spacing between neighboring nozzles and/or an inside diameter of the nozzle) and/or by adapting pulse settings for dispensing the ink.
[0067] It has been shown that using an ink-jet printer for depositing a UV-curable ink, printing and curing of layers having a thickness of, for example, 0.5 millimeter can be done within a few minutes. The ink-jet printer can print at a high frequency (few kHz) so that within a few seconds, one layer of ink can be printed on the substrate and cured. With a typical layer thickness of approximately 15 micrometers and a printing and curing time of approximately 10 seconds, it takes 5.5 minutes to deposit the volume reducing element. It is conceivable to parallelize this process to deposit volume reducing elements simultaneously on multiple substrates which are arranged side-by-side in a row.
[0068] A height of the volume reducing element 24, as measured along a width direction of the planar gap formed by the substrate 4 and the cover 3, may have a value which is greater than 50 micrometers, greater than 80 micrometers or greater then 100 micrometers. The height may be less than 1500 micrometers or less than 1000 micrometers.
[0069] As can be seen in
[0070] As can be seen in
[0071] The data processing system 12 is configured to automatically or semi-automatically (i.e. based on user interaction) determine the position and extent of the volume reducing element 24 (measured in a plane parallel to the object receiving surface) depending on the position and extent of the region of interest 23 relative to the substrate 4 (measured in the plane parallel to the object receiving surface) and further depending on a predetermined level by which the volume of the analysis chamber 6 is to be reduced. The position and extent of the region of interest relative to the substrate may be determined depending on the digital image data acquired from the object 14 using the second image acquisition system. The data processing system 12 may further be configured to determine the height of the volume reducing element 24 depending on the position and the extent of the region of interest 23 and the predetermined level. The height of the volume reducing element 24 determines the width of the separation gap between the volume reducing element 24 and the cover 3.
[0072] The determination of the position and extent of the volume reducing element 24 may further be performed depending on known behavior of the deposited liquid ink which solidifies or which is solidifiable to form at least a portion of the volume reducing element (such as an ink flow behavior). By way of example, in order to generate control signals for controlling the printer, the data processing system may modify the determined position and extent of the volume reducing element 24 so that after solidification of the ink, the solidified ink has the desired position and extent.
[0073] Semi-automatic determination of the position and extent of the volume reducing element 24 may be performed using the graphical user interface of the data processing system. The data processing system may be configured to determine the position and the extent of the region of interest 23 relative to the substrate 4 using one or more fiducial markers 8 and 9, which are provided on the substrate 4. The fiducial markers 8 and 9 may be configured to be detectable using the image acquisition system 13. Additionally or alternatively, the second image acquisition system may be in a known spatial relationship relative to the substrate when acquiring the digital image data for determining the position and extent of the region of interest relative to the substrate.
[0074] It is conceivable, that the device is configured so that the deposition of the film-shaped capping structure 22 and the volume reducing element 24 is performed in a substantially continuous deposition process which may be performed by the printer.
[0075]
[0076] Each of the volume reducing elements 26 and 27 has a width a, b, measured parallel to the object receiving surface of the substrate 4 which is less than five times, or less than three-times or less than two times the width d (shown in
[0077]
[0078] The volume reducing element 30 of the third exemplary embodiment may be generated using a mask 38 (shown in
[0079] In a plane parallel to the object receiving surface of the substrate 4, a positive mask is defined by the position and extent of the region of interest 23. The edges of the mask of the region of interest 23 may be shifted outwardly so that the edge of the positive mask is spaced outward from the edge of the region of interest 23 by at least a predefined distance and the region of interest 23 only represents a portion of the positive mask. Thereby, residues of the analysis liquid, which, as a result of capillary action, remain in the corners of the analysis chamber, do not cover the region of interest 23. This allows keeping the region of interest 23 free from residues of the analysis liquid after completion of the discharging process for discharging the analysis liquid from the analysis chamber 6. This prevents undesirable modification of the region of interest 23 so that the micro chamber arrangement 1 containing the object can be stored in a storage unit for later access and verification.
[0080] A morphological dilation operation may be applied to the positive mask using a structuring element having a rounded or circular shape of a predefined radius. By way of example, the radius may have a value of more than 0.2 millimeters and/or less than 10 millimeters or less than 5 millimeters or less than 1 millimeter. It has been shown that the morphological dilation operation provides improved microfluidic flow of the analysis liquid through the analysis chamber, preventing undesirable air entrapment.
[0081] Then, in the plane parallel to the object receiving surface of the substrate 4, for each of the fluid ports 10, 11, a further positive masks is calculated. One or both of the fluid port masks may be modified by shifting the edge of the respective fluid port mask outwardly so that the edge is spaced outward from the edge of the respective fluid port by at least a predetermined distance. In a similar way as has been described in connection with the region of interest mask, a morphological dilation operator may be applied to one or both of the fluid port masks. Through these modifications of the mask, a volume reducing element can be obtained which facilitates alignment of the cover relative to the volume reducing element.
[0082] As a next step, a combined mask is generated by applying a logical OR operator to the region of interest mask and to the fluidic port masks. Then, a convex hull is calculated for the combined mask. The convex hull represents the mask 38 (illustrated in
[0083]
[0084] In the plane parallel to the object receiving surface of the substrate 4, locations of pseudo fluid ports 31 and 32 (illustrated in
[0085] The region of interest mask may be generated in the same manner as has been described in connection with the third exemplary embodiment illustrated in
[0086] It is further conceivable that using the calculated masks 38 (shown in
[0087] The above embodiments as described are only illustrative, and not intended to limit the technique approaches of the present invention. Although the present invention is described in details referring to the preferable embodiments, those skilled in the art will understand that the technique approaches of the present invention can be modified or equally displaced without departing from the protective scope of the claims of the present invention. In particular, although the invention has been described based on a projection radiograph, it can be applied to any imaging technique which results in a projection image. In the claims, the word comprising does not exclude other elements or steps, and the indefinite article a or an does not exclude a plurality. Any reference signs in the claims should not be construed as limiting the scope.