Collagen and elastin are prominent components in both normal and abnormal tissues, and their presence and distribution have great significance for fibrosis- and cancer-related processes. Collagen and elastin quantification in the context of fibrosis, often associated with irreparable organ injury, can predict the disease severity and patient prognosis. In the context of cancer, specific spatial collagen signatures are known to influence tumor microenvironments while identification of elastin is important in the context of treatment of metastatic cancers. Traditional methods to quantify collagen and elastin vary in accuracy, cost, and ease of use. Using DUET microscopy on H&E slides, high-resolution collagen and elastin mapping is possible without added staining steps or expensive optical instrumentation. We demonstrate this approach in chronic kidney disease (CKD), coronary artery disease (CAD), and for identifying vascular elastin in colon cancers.
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