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Human microscopic vagus nerve anatomy using deep learning on 3D-MUSE images.
Naomi Joseph1, Chaitanya Kolluru1, James Seckler1
1Department of Biomedical Engineering, Case Western Reserve University, Cleveland, OH 44106.
Proceedings of Spie--The International Society for Optical Engineering
|September 15, 2025
Summary
Researchers developed 3D-MUSE microscopy and deep learning to map the human vagus nerve (VN) anatomy for neuromodulation therapies. A 2D U-Net model achieved high accuracy in segmenting nerve structures from detailed images.
Area of Science:
- Neuroscience
- Medical Imaging
- Biomedical Engineering
Background:
- Current imaging techniques like micro-CT and MRI lack the resolution to detail human vagus nerve (VN) fascicles and boundaries.
- Accurate VN anatomy mapping is crucial for developing effective neuromodulation therapies.
Purpose of the Study:
- To develop a high-resolution imaging method for detailed VN anatomy analysis.
- To create the first comprehensive VN connectome for computational modeling.
- To automate the segmentation of VN structures using deep learning.
Main Methods:
- Developed 3D serial block-face Microscopy with Ultraviolet Surface Excitation (3D-MUSE) for high-resolution VN imaging (0.9-μm in-plane, 3-μm thickness).
- Trained multiple deep learning models (2D U-Net, Attention U-Net, Vision Transformer) for automatic segmentation of VN fascicles, perineurium, and epineurium.
- Utilized pseudo-3D image generation and self-supervised learning for model training.
Main Results:
- 3D-MUSE successfully captured fine details of VN anatomy, including myelinated fibers and connective sheaths.
- A 2D U-Net model trained on pseudo-3D images achieved the highest segmentation accuracy (Dice score of 0.936).
- The developed models show promise for automated segmentation and nerve fiber tractography estimation.
Conclusions:
- 3D-MUSE provides unprecedented resolution for human vagus nerve imaging.
- Deep learning models, particularly 2D U-Net with pseudo-3D data, effectively automate VN structure segmentation.
- This work lays the foundation for a detailed VN connectome to advance neuromodulation therapy modeling.

