An Open-Source Workflow for Semi-Automated Spatial Profiling of Multiplex Immunofluorescent Images
Alisha Dabb1,2, Cynthia Morgan1,2, Sophia Noble1
1Malaghan Institute of Medical Research, Wellington, New Zealand.
Current Protocols
|March 18, 2026
Summary
This study introduces QuPath, a free software for analyzing multiplex immunofluorescence images. It offers accessible, standardized methods for spatial analysis, improving tissue structure and cellular organization quantification for research.
Area of Science:
- Biomedical Imaging
- Computational Biology
- Pathology
Background:
- Multiplex immunofluorescence microscopy enables detailed cellular and spatial analysis in tissues.
- Advances in computational methods enhance data extraction from multiplex images.
- Existing spatial analysis pipelines often lack accessibility and reproducibility due to technical complexity or proprietary software.
Purpose of the Study:
- To present accessible, standardized protocols for semi-automated spatial analysis of multiplex immunofluorescence images using free, open-source software.
- To detail methods for quantifying cellular organization and tissue structure in multiplex images.
- To facilitate reproducible spatial profiling for translational research and biomarker discovery.
Main Methods:
- Utilized QuPath software for semi-automated spatial analysis of 2D multiplex immunofluorescence images.
- Employed object and pixel classification, cell distance, and cluster measurements for spatial profiling.
- Incorporated training images, basic scripting for batch processing, and a browser-based tool for data consolidation and reporting.
Main Results:
- Developed and validated protocols for spatial analysis of multiplex immunofluorescence images using QuPath.
- Demonstrated objective and standardized analysis through training images and batch processing.
- Provided a pipeline for automated reporting of spatial data, including cell plots, measurements, and clustering.
Conclusions:
- QuPath offers an accessible, reproducible, and scalable solution for spatial analysis of multiplex immunofluorescence microscopy images.
- The presented protocols enhance the quantification of cellular organization and tissue structure.
- This approach strengthens the integration of spatial data into translational research, biomarker discovery, and mechanistic studies.
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