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Introducing ARONG, A 3D Reconstruction Method for Highly Deformed Histology
Yurim Lee1, Kwangok P Nickel2, Maxwell J Kiernan3
1Medical Physics, University of Wisconsin School of Medicine and Public Health (UW-SMPH), Madison, WI, USA. ylee739@wisc.edu.
Journal of Imaging Informatics in Medicine
|March 31, 2026
Summary
A new pipeline, ARONG (Artifact-correcting Reconstruction Of Nonrigidly-deformed Geometries), enables 3D reconstruction of highly deformed tissues. This method improves accuracy for complex samples like carotid plaques, outperforming existing 3D reconstruction techniques.
Area of Science:
- Biomedical Engineering
- Digital Pathology
- Medical Imaging
Background:
- Three-dimensional (3D) histopathology offers enhanced diagnostic and treatment insights but faces challenges with highly deformable tissues.
- Existing 3D reconstruction methods struggle with significant deformations and spatially disconnected components common in tissues like carotid plaques.
Purpose of the Study:
- To develop a novel 3D reconstruction pipeline, ARONG (Artifact-correcting Reconstruction Of Nonrigidly-deformed Geometries), specifically for highly deformed histology.
- To address challenges in reconstructing complex, non-rigid tissue structures and artifacts inherent in histological processing.
Main Methods:
- ARONG employs iterative alignment of 2D histology slides using affine transformations.
- The pipeline incorporates context-dependent artifact correction and specific matching criteria for distorted local features.
- It provides guidance on artifact correction mechanisms and their priority for complex tissue samples.
Main Results:
- ARONG successfully reconstructed 3D histology from twenty human atheromatous carotid plaques.
- The pipeline achieved a Jaccard index of 0.64 ± 0.19 when compared with ex vivo ultrasound for four specimens.
- ARONG demonstrated superior performance over the state-of-the-art CODA method, achieving approximately 14% higher Jaccard index.
Conclusions:
- ARONG provides a robust solution for 3D reconstruction of highly deformed histology, including samples with disconnected components.
- The pipeline's effectiveness was validated across various tissue types, including human tumors, murine hearts, and arteries.
- ARONG represents a significant advancement in 3D histopathology, enabling more accurate reconstructions for challenging biological samples.

