Pathology is practiced by visual inspection of histochemically stained slides. Most commonly, the hematoxylin and eosin (H&E) stain is used in the diagnostic workflow and it is the gold standard for cancer diagnosis. However, in many cases, especially for non-neoplastic diseases, additional "special stains" are used to provide different levels of contrast and color to tissue components and allow pathologists to get a clearer diagnostic picture. In this study, we demonstrate the utility of supervised learning-based computational stain transformation from H&E to different special stains (Masson's Trichrome, periodic acid-Schiff and Jones silver stain) using tissue sections from kidney needle core biopsies. Based on evaluation by three renal pathologists, followed by adjudication by a fourth renal pathologist, we show that the generation of virtual special stains from existing H&E images improves the diagnosis in several non-neoplastic kidney diseases, sampled from 16 unique subjects. Adjudication of N=48 diagnoses from the three pathologists revealed that the virtually generated special stains yielded 22 improvements (45.8%), 23 concordances (47.9%) and 3 discordances (6.3%), when compared against the use of H&E stained tissue only. As the virtual transformation of H&E images into special stains can be achieved in less than 1 min per patient core specimen slide, this stain-to-stain transformation framework can improve the quality of the preliminary diagnosis when additional special stains are needed, along with significant savings in time and cost, reducing the burden on healthcare system and patients.

本研究应用有监督学习的计算机染色转换技术，将经典的血红蛋白与嗜酸性染色（H&E）转换为肾脏穿刺活组织检测中的不同特殊染色，从而改善了多种非肿瘤性肾脏疾病的初步诊断质量，并减少了医疗系统和患者的时间和成本负担。

基于深度学习的将H&E染色转变为特殊染色