A current challenge is providing an accurate diagnosis in a timely manner for patients at risk of having prostate cancer. We developed and demonstrated a non-destructive procedure in which 12 biopsies can be cleared, fluorescently labeled, imaged with an open-top light-sheet (OTLS) microscope, and then diagnosed by a pathologist within an hour of biopsy. Using conventional histology as the gold standard, the accuracy, sensitivity, and specificity of 1Hr2Dx were all >90%. Such a method could potentially provide patients with a preliminary on-site diagnosis after a biopsy procedure, thereby alleviating anxiety and potentially expediting treatments.
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