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Analyzing Cell-Scaffold Interaction through Unsupervised 3D Nuclei Segmentation
           where N , N , and N  are defined as the number of true-  The  visualization  of  a  HaCaT  raw  image,  the
                             FN
                  TP
                     FP
           positive  segmented  samples,  false-positive  segmented   corresponding  ground  truth  and  the  prediction  of AD-
           samples (voxels wrongly detected as nuclei), and false-  GAN  are  shown  in  Figure  10. As  reported  by  Kromp
           negative  segmented  samples  (voxels  wrongly  detected   et al. ,  the  biological  experts  obtained  DICE  93.2%
                                                                   [28]
           as  background),  respectively.  For  example,  wrongly   and  annotation  experts  obtained  DICE  (89.2%)  when
           identified nuclei may increase N , and nuclei with poor   annotating  this  dataset.  As  an  unsupervised  method,
                                      FP
           staining may lead to the increase of N . In general, larger   our  AD-GAN  achieved  precision  85.4%,  recall  95.2%
                                          FN
           precision  and  recall  indicate  accurate  segmentation,   and DICE 89.3%, which are close to the human expert
           and larger DICE indicates better similarity between the   recognition  capability.  Hence,  we  can  conclude  the
           ground truth and the segmentation results.          proposed AD-GAN can replace manual annotation with
               The  quantitative  evaluation  results  among  the   performance similar to human experts.
           different  segmentation  methods  are  listed  in  Table  1
           based on the fully annotated testing dataset. We believe   4. Cell adhesion and proliferation analysis
           the size and diversity of this dataset is sufficient to reflect   using segmented nuclei
           the  performance  of  different  segmentation  models.  As
           shown  in  Table  1,  CellProfiler  achieved  the  highest   Researchers  have  reported  that  the  cell  adhesion,
           recall (91.3%), but the poorest precision (37.5%). This is   proliferation  and  migration  heavily  depend  on  scaffold
           because the shadow regions along Z axis were detected   pore size, surface morphology, biomaterials and internal
                                                                      [29]
           as  the  nuclei.  Squassh  also  achieved  good  recall  but   structure .  The  cell  attachment  rate  lowers  with
           low  precision,  since  the  segmented  objects  consisted   increasing pore size, while relatively larger pore size may
                                                                                                 [30]
           of  connected  nuclei  or  fibers. A  takeaway  from  this  is   improve cell migration and proliferation . Meanwhile,
           that Squassh or CellProfiler generally suffers from low   the  preferred  pore  size  is  highly  cell-dependent.
           performance  in  analyzing  CLSM  images  consisting   Pore sizes of 30 – 80 µm were reported as an optimal
           of  scaffold  fibers.  Besides,  hours  of  effort  in  image   choice  for  endothelial  cell  adhesion  in  porous  silicon
           preprocessing and parameter setting cannot improve their   nitride scaffolds, but fibroblasts usually preferred larger
           global segmentation performance.                    pores . In an effort to reconcile the conflicting reports,
                                                                   [31]
               The DICE of CycleGAN was only 47.0%, due to     it is important to evaluate cell-scaffold interaction with
           the inconsistent mapping of nuclei between the CLSM   convincing evidence.
           image  and  synthetic  mask.  With  the  minimum  effort   Besides,  multiple  factors  are  involved  in  scaffold
           on  parameter  tuning,  our AD-GAN  method  performed   design such as material composition, surface roughness
           well with precision (89%), accuracy (78.2%) and DICE   and internal structures. To clarify their influences on cell
           (83.3%),  reflecting  its  better  capability  in  identifying   culture, automated nuclei segmentation is a prerequisite,
           nuclei in CLSM images. Moreover, the majority of the   which is particularly pronounced in the stage of scaffold
           identified nuclei are true-positive samples.        design. Consequently, the information of nuclei number,
                                                               size  and  position  can  be  collected  to  analyze  scaffold
           3.3. Segmentation performance in 2D CLSM            design. In this study, we used segmented nuclei from 3D
           images                                              CLSM  images  to  explore  how  scaffold  properties  can

           Our AD-GAN  method  can  also  be  applied  to  segment   modulate cell adhesion, proliferation and migration in a
           nuclei  in  2D  CLSM  images  by  replacing  the  3D   computational manner. This provides a rapid screening
           convolutional  layers  with  2D.  This  is  tested  using  the   method to analyze cell-scaffold interaction.
           recently released public  dataset  HaCaT . This  dataset   4.1. A549 cell adhesion and proliferation analysis
                                             [28]
           with  highly  over-lapping  nuclei  and  partially  invisible
           borders had been annotated by biological and annotation   Figure 11A and B demonstrate CLSM images of A549
           experts.  It  consists  of  26  training  images  and  15  test   cell  cultured  on  PCL-10-D  scaffold  on  day  1  and  3.
           images with human keratinocyte cell line.           The positions and size information were identified and
                                                               plotted  using  black  dots  as  the  heatmap,  as  shown  in
           Table 1. Segmentation results comparison on A549 scaffold-based   (Figure  11C  and  D).  The  nuclei  density  distribution
           cell culture images                                 provides  visual  cues  about  cell  proliferation  over  time
           Methods      Precision (%)  Recall (%)  DICE (%)    within  the  scaffold  structure. As  expected,  a  very  low
           CellProfiler     37.5         91.3       53.1       nuclei density was identified on day 1 and most of the
                                                               nuclei gathered close to fiber structures. In (Figure 11D),
           Squassh          51.7         78.6       62.3       higher nuclei density was observed after 3 days’ culture
           CycleGAN         53.9         41.7       47.0       and many nuclei were identified close to fiber surface.
           AD-GAN           89.0         78.2       83.3       Besides,  the  majority  of  nuclei  were  closely  packed

           176                         International Journal of Bioprinting (2022)–Volume 8, Issue 1
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