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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Immunol.</journal-id>
<journal-title>Frontiers in Immunology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Immunol.</abbrev-journal-title>
<issn pub-type="epub">1664-3224</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fimmu.2025.1610345</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Immunology</subject>
<subj-group>
<subject>Review</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>AI-based hardware and software tools in microscopy to boost research in immunology and virology</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Morone</surname>
<given-names>Diego</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1069334/overview"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/"/>
<role content-type="https://credit.niso.org/contributor-roles/conceptualization/"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>D&#x2019;Antuono</surname>
<given-names>Rocco</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1306162/overview"/>
<role content-type="https://credit.niso.org/contributor-roles/conceptualization/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/"/>
</contrib>
</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>Universit&#xe0; della Svizzera italiana (USI), Faculty of Biomedical Sciences, Institute for Research in Biomedicine</institution>, <addr-line>Bellinzona</addr-line>,&#xa0;<country>Switzerland</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Graduate School for Cellular and Biomedical Sciences, University of Bern</institution>, <addr-line>Bern</addr-line>,&#xa0;<country>Switzerland</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>Crick Advanced Light Microscopy STP, The Francis Crick Institute</institution>, <addr-line>London</addr-line>,&#xa0;<country>United Kingdom</country>
</aff>
<aff id="aff4">
<sup>4</sup>
<institution>Department of Biomedical Engineering, School of Biological Sciences, University of Reading</institution>, <addr-line>Reading</addr-line>,&#xa0;<country>United Kingdom</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>Edited by: <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/17792/overview">Giovanni Porta</ext-link>, University of Insubria, Italy</p>
</fn>
<fn fn-type="edited-by">
<p>Reviewed by: Jie E. Yang, University of Wisconsin-Madison, United States</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1555542/overview">Shengshan Xu</ext-link>, Jiangmen Central Hospital, China</p>
</fn>
<fn fn-type="corresp" id="fn001">
<p>*Correspondence: Diego Morone, <email xlink:href="mailto:diego.morone@irb.usi.ch">diego.morone@irb.usi.ch</email>; Rocco D&#x2019;Antuono, <email xlink:href="mailto:rocco.dantuono@crick.ac.uk">rocco.dantuono@crick.ac.uk</email>
</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>30</day>
<month>09</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="collection">
<year>2025</year>
</pub-date>
<volume>16</volume>
<elocation-id>1610345</elocation-id>
<history>
<date date-type="received">
<day>11</day>
<month>04</month>
<year>2025</year>
</date>
<date date-type="accepted">
<day>13</day>
<month>08</month>
<year>2025</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2025 Morone and D&#x2019;Antuono.</copyright-statement>
<copyright-year>2025</copyright-year>
<copyright-holder>Morone and D&#x2019;Antuono</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>The integration of computational advances in microscopy has enhanced our ability to visualise immunological events at scales. However, data generated with these techniques is often complex, multi-dimensional, and multi-modal. Data science and artificial intelligence (AI) play a key role in untangling the wealth of information hidden in microscopy data by enhancing image processing, automating image analysis, and assisting in interpreting the results. With this Review, we aim to inform the reader about the advances in the fields of fluorescence and electron microscopy with a focus on their applications to immunology and virology, and the AI approaches to aid image acquisition, analysis, and data interpretation. We also outline the open-source tools for image acquisition and analysis and how these tools can be programmed for an image-informed, AI-assisted acquisition.</p>
</abstract>
<kwd-group>
<kwd>microscopy</kwd>
<kwd>immunology</kwd>
<kwd>virology</kwd>
<kwd>machine learning</kwd>
<kwd>deep learning</kwd>
<kwd>image analysis</kwd>
<kwd>feedback microscopy</kwd>
<kwd>smart microscopy</kwd>
</kwd-group>
<contract-sponsor id="cn001">Institute for Research in Biomedicine<named-content content-type="fundref-id">10.13039/100007678</named-content>
</contract-sponsor>
<contract-sponsor id="cn002">Cancer Research UK<named-content content-type="fundref-id">10.13039/501100000289</named-content>
</contract-sponsor>
<contract-sponsor id="cn003">Medical Research Council<named-content content-type="fundref-id">10.13039/501100000265</named-content>
</contract-sponsor>
<contract-sponsor id="cn004">Wellcome Trust<named-content content-type="fundref-id">10.13039/100010269</named-content>
</contract-sponsor>
<counts>
<fig-count count="3"/>
<table-count count="2"/>
<equation-count count="0"/>
<ref-count count="487"/>
<page-count count="29"/>
<word-count count="14913"/>
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<custom-meta-wrap>
<custom-meta>
<meta-name>section-in-acceptance</meta-name>
<meta-value>Systems Immunology</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec id="s1" sec-type="intro">
<label>1</label>
<title>Introduction</title>
<p>Since the first observations of microorganisms using a high-quality single-lens microscope by Antonie van Leeuwenhoek in the 17th century (<xref ref-type="bibr" rid="B1">1</xref>), microscopy has been instrumental in understanding diseases and alterations of the immune system. In the late 19th century, Robert Koch isolated the anthrax and tuberculosis bacteria, establishing microscopy as one of the key techniques for investigating the immune system (<xref ref-type="bibr" rid="B2">2</xref>). Today, microscopy offers unparalleled insights into molecular mechanisms, cellular dynamics, and tissue interactions.</p>
<p>Before the 20th century, observations were performed using brightfield light microscopy (<xref ref-type="bibr" rid="B3">3</xref>). Afterwards, several innovations have led to progress in the imaging of immune cells and molecules. Among them, we mention the optimisation of fluorescent probes in conjunction with the advancement of fluorescence optical methods (<xref ref-type="bibr" rid="B4">4</xref>), the development of techniques for antibody isolation (<xref ref-type="bibr" rid="B5">5</xref>), the discovery of natural fluorescent proteins (<xref ref-type="bibr" rid="B6">6</xref>), and the development of genetic manipulation techniques (<xref ref-type="bibr" rid="B7">7</xref>). These innovations allow today the precise imaging of cells and molecules, enabling real-time tracking of dynamics, localisation, and interactions that characterise the immune system both <italic>in vitro</italic> and <italic>in vivo</italic>. On the other hand, the use of electron microscopy (EM) to visualise structures that are relevant for immunology and virology dates back to the first images of viral particles by Ernst Ruska in 1939 (<xref ref-type="bibr" rid="B8">8</xref>, <xref ref-type="bibr" rid="B9">9</xref>). Since then, improvements in both protocols and microscope techniques have led to significant increase in resolution, maximum sample size, and tagging specificity. Among these, we should cite progresses in sample preparation, such as ultramicrotomy (<xref ref-type="bibr" rid="B10">10</xref>) and cryogenic techniques (<xref ref-type="bibr" rid="B11">11</xref>, <xref ref-type="bibr" rid="B12">12</xref>), advancements in microscope hardware, such as the use of digital cameras and direct detectors (<xref ref-type="bibr" rid="B13">13</xref>) and scanning electron microscopy (<xref ref-type="bibr" rid="B10">10</xref>), or finally advancements in software, for microscope automation (<xref ref-type="bibr" rid="B14">14</xref>&#x2013;<xref ref-type="bibr" rid="B17">17</xref>), image reconstruction (<xref ref-type="bibr" rid="B18">18</xref>), tomographic reconstructions (<xref ref-type="bibr" rid="B19">19</xref>), and alignment between different modalities (<xref ref-type="bibr" rid="B20">20</xref>&#x2013;<xref ref-type="bibr" rid="B24">24</xref>). Today, microscopy encompasses a wide range of techniques, ranging spatial scales from the molecular detail to the whole tissue and organ, and time scales from the millisecond to days (<xref ref-type="bibr" rid="B25">25</xref>, <xref ref-type="bibr" rid="B26">26</xref>). The wealth of visible and hidden information in the images can deeply enhance our understanding of immune events, if unlocked.</p>
<p>Artificial Intelligence (AI) technologies are pervasive in today&#x2019;s world and are affecting all fields of knowledge, including science (<xref ref-type="bibr" rid="B27">27</xref>). AI enables machines to mimic human intelligence and perform tasks that typically require human cognition, such as learning, problem solving and perception. In microscopy, AI can significantly enhance our understanding by extracting information from images, bridging the gap between scales (<xref ref-type="bibr" rid="B28">28</xref>), finding hidden connections within images or between images and other types of data (e.g. genomics or proteomics, <xref ref-type="bibr" rid="B29">29</xref>), and guiding the acquisition in challenging experiments and across modalities (<xref ref-type="bibr" rid="B30">30</xref>, <xref ref-type="bibr" rid="B31">31</xref>).</p>
<p>In the first part of this Review, we will survey main microscopy and image analysis techniques, with a focus on their use in immunology and virology. The second part introduces the reader to the concepts of AI and its main applications in microscopy, in particular for immunology and virology research. We finish with a discussion on the current challenges in AI and how its integration with microscopy can drive a new generation of tools to unlock novel insights into the immune system.</p>
</sec>
<sec id="s2">
<label>2</label>
<title>Microscopy and image analysis for immunology and virology</title>
<sec id="s2_1">
<label>2.1</label>
<title>Electron microscopy</title>
<sec id="s2_1_1">
<label>2.1.1</label>
<title>Room temperature EM</title>
<p>Classic, Room-Temperature Transmission Electron Microscopy (RT-TEM) relies on chemical fixation, lipid staining with contrast agents based on heavy metals, resin embedding, and cutting in ultrathin sections. This methodology, mainly established in the 1960s (<xref ref-type="bibr" rid="B32">32</xref>), is an excellent way to investigate subcellular morphology and ultrastructure (<xref ref-type="bibr" rid="B33">33</xref>). A certain degree of three-dimensional information can be acquired by capturing EM images at varying sample tilt angles and performing tomographic reconstructions (electron tomography, ET in short, <xref ref-type="bibr" rid="B34">34</xref>). RT-TEM has been applied to visualise organelle changes in immune cells, such as in the investigation of the role of autophagy of the endoplasmic reticulum during plasma cell differentiation (<xref ref-type="bibr" rid="B35">35</xref>), the disposal of damaged mitochondria in migrating neutrophils through mitocytosis (a novel mitochondrial quality control process, <xref ref-type="bibr" rid="B36">36</xref>), or the mechanisms of antigen presentation by major histocompatibility complex (MHC) in antigen-presenting cells (<xref ref-type="bibr" rid="B37">37</xref>&#x2013;<xref ref-type="bibr" rid="B40">40</xref>). Another classical visualisation approach relies on the negative staining of small particles, such as protein aggregates, viral particles, or extracellular vesicles, and it is used in clinical diagnostics for virus identification (<xref ref-type="bibr" rid="B41">41</xref>).</p>
<p>Immuno-Electron Microscopy (IEM) highlights specific markers on the structure of interest by immunostaining with target-specific antibodies conjugated to colloidal gold particles (<xref ref-type="bibr" rid="B42">42</xref>). Another way to achieve specific staining is by expressing a genetically encodable tag that triggers the deposition of a contrasting agent (<xref ref-type="bibr" rid="B43">43</xref>, <xref ref-type="bibr" rid="B44">44</xref>), which was used for example for the visualisation of the role of ectocytosis in terminating TCR signalling in cytotoxic T cells (CTLs, <xref ref-type="bibr" rid="B45">45</xref>).</p>
<p>Scanning Electron Microscopy (SEM) employs a focused electron beam that scans the surface of a sample, generating an array of secondary electrons that are detected and converted into an image (<xref ref-type="bibr" rid="B46">46</xref>). This results in a high-resolution image of the sample&#x2019;s surface. To improve contrast, the sample is frequently coated with metals. SEM has been employed with immunogold staining to map the SARS-CoV-2 receptor ACE2 distribution along the motile cilia in respiratory multiciliated cells (<xref ref-type="bibr" rid="B47">47</xref>). Also, SEM showed how the porosity of liver sinusoids reduces antigen recognition by effector CD8+ T cells (<xref ref-type="bibr" rid="B48">48</xref>) or how intercellular nanotubes enable mitochondrial trafficking from bone marrow stromal cells to CD8+ T cells, to enhance their fitness and antitumor efficacy (<xref ref-type="bibr" rid="B49">49</xref>).</p>
<p>Finally, volume Electron Microscopy (vEM) is an emerging group of techniques that offers unprecedented insights into the three-dimensional organisation and dynamics of immune cells, tissues, and molecular complexes. vEM is based on TEM or SEM. TEM-based techniques, like serial section TEM (ssTEM) and serial section ET (ssET), reconstruct volumes by acquiring sequentially ultra-thin sample slices. On the other hand, SEM-based techniques, including array tomography, serial block-face SEM (SBF-SEM) and focused ion beam SEM (FIB-SEM), scan sample surfaces to produce image stacks for 3D reconstruction (<xref ref-type="bibr" rid="B26">26</xref>, <xref ref-type="bibr" rid="B50">50</xref>, <xref ref-type="bibr" rid="B51">51</xref>). In immunology, SBF-SEM has been applied to reconstruct T cells (<xref ref-type="bibr" rid="B52">52</xref>) and to elucidate how <italic>Candida albicans</italic> exploits transcellular tunnels to invade epithelial cells while evading host immunity (<xref ref-type="bibr" rid="B53">53</xref>). FIB-SEM helped in clarifying how G protein subunit G&#x3b2;4 negatively regulates phagocytosis by controlling plasma membrane abundance in myeloid cells (<xref ref-type="bibr" rid="B54">54</xref>), or was employed to create a 3D reconstruction of CTLs with target cells (<xref ref-type="bibr" rid="B45">45</xref>). FIB-SEM was instrumental in reconstructing, with a near-isotropic resolution of 4 nm, whole-cell organelle segmentations, which resulted in the &#x201c;OpenOrganelle&#x201d; web repository (<xref ref-type="bibr" rid="B55">55</xref>&#x2013;<xref ref-type="bibr" rid="B57">57</xref>). Among others, a notable example is the reconstruction of a CTL interacting with an ovarian cancer cell (<xref ref-type="bibr" rid="B56">56</xref>). Moreover, vEM can be combined with advanced labelling techniques like immuno-gold (<xref ref-type="bibr" rid="B58">58</xref>) or fluorescent nanoparticles to visualise specific cellular structures or molecular interactions within complex biological samples (<xref ref-type="bibr" rid="B59">59</xref>), providing an invaluable information for understanding the spatiotemporal organisation of immune responses at the ultrastructural level.</p>
</sec>
<sec id="s2_1_2">
<label>2.1.2</label>
<title>Cryo-EM and freeze substitution</title>
<p>Cryo-Electron Microscopy (cryo-EM) techniques can currently achieve the sub-nanometre range (<xref ref-type="bibr" rid="B60">60</xref>&#x2013;<xref ref-type="bibr" rid="B62">62</xref>). The sample (proteins, cells, or tissues) is first flash-frozen at cryogenic temperature, allowing the creation of a layer of vitreous ice, which fixes the sample while preserving its ultrastructure (<xref ref-type="bibr" rid="B11">11</xref>). The vitrified sample can be visualised by different techniques. Microcrystal Electron Diffraction (MicroED) provides structural information from 3D nanocrystals (<xref ref-type="bibr" rid="B63">63</xref>). Single Particle Analysis (SPA) reconstructs protein structures without the need for crystallization (<xref ref-type="bibr" rid="B61">61</xref>, <xref ref-type="bibr" rid="B62">62</xref>). Cryo-Electron Tomography (cryo-ET) enables the 3D reconstruction by capturing images at varying tilt angles and performing tomographic reconstructions (<xref ref-type="bibr" rid="B34">34</xref>) and together with subtomogram averaging can resolve macromolecules (<xref ref-type="bibr" rid="B64">64</xref>). Lastly, cryo-Scanning Transmission EM (cryo-STEM) provides a tomographic reconstruction of thick lamellae with quantifiable chemical characterization (<xref ref-type="bibr" rid="B65">65</xref>). Cryo-EM techniques have revolutionised structural immunology, enabling the visualisation, in high-resolution, of viral particles (<xref ref-type="bibr" rid="B66">66</xref>, <xref ref-type="bibr" rid="B67">67</xref>) or SARS-CoV-2 assembly and egress (<xref ref-type="bibr" rid="B68">68</xref>), the TCR complex assembly (<xref ref-type="bibr" rid="B69">69</xref>&#x2013;<xref ref-type="bibr" rid="B72">72</xref>), the structural components of antigen processing and presentation (<xref ref-type="bibr" rid="B73">73</xref>), the chemokine recognition and the activation of chemokine receptors CCR5, CCR6, CCR2, CCR3 (<xref ref-type="bibr" rid="B74">74</xref>), and helped guiding the design of nanoparticles inducing potent neutralising antibody responses (<xref ref-type="bibr" rid="B75">75</xref>).</p>
<p>Cryo-Immuno-EM of ultrathin cryo-sections prepared from chemically fixed samples (<xref ref-type="bibr" rid="B76">76</xref>) allows the best preservation of protein antigenicity, as it requires chemicals only for fixation (<xref ref-type="bibr" rid="B77">77</xref>). When imaging surface proteins, cells can also be labelled with immuno-gold before cryo-fixation and imaged by cryo-ET (<xref ref-type="bibr" rid="B78">78</xref>). This approach opens a range of applications for the study of ultrastructural localisation of surface markers, with potential relevance for the field of immunology.</p>
<p>Volume EM at cryogenic conditions can capture 3D morphology in cells at near native state. It can be approached with cryo-ssET (cryo-serial section Electron Tomography) or with cryo-FIB-SEM. For example, cryo-FIB-SEM showed how growth hormone remodels 3D mitochondrial structure in macrophages (<xref ref-type="bibr" rid="B79">79</xref>) or the 3D ultrastructure of HIV virological synapses (<xref ref-type="bibr" rid="B80">80</xref>).</p>
<p>Finally, in the case of cells and tissues, samples can be plunge-frozen (<xref ref-type="bibr" rid="B81">81</xref>, if less than 10-15 &#x3bc;m in thickness) or fixed by high-pressure freezing (<xref ref-type="bibr" rid="B82">82</xref>, <xref ref-type="bibr" rid="B83">83</xref>, if between 20-200&#xb5;m in thickness). After flash-freezing, the sample can be imaged at cryogenic temperature or slowly brought back to room temperature in a chemical fixation buffer, using a so-called freeze-substitution protocols (<xref ref-type="bibr" rid="B84">84</xref>). This approach reduces artefacts that could potentially be introduced by toxic chemical agents used as fixatives. Freeze substitution techniques are also employed in light microscopy to reduce fixation artefacts when performing subcellular diffraction-limited or super-resolved imaging (<xref ref-type="bibr" rid="B85">85</xref>&#x2013;<xref ref-type="bibr" rid="B89">89</xref>).</p>
</sec>
<sec id="s2_1_3">
<label>2.1.3</label>
<title>Room-temperature CLEM</title>
<p>Correlative Light-Electron Microscopy (CLEM) integrates the complementary approaches of light and electron microscopy on the same portion of cell or tissue to overcome the limitations of both techniques, combining the multichannel protein localisation of light microscopy with nanometre resolution of EM (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1A</bold>
</xref>). The sample is usually imaged separately with the two modalities and then images are aligned with respect to each other. This poses several challenges to both acquisition and image registration. Some approaches that directly combine both modalities in the same microscope are starting to appear (<xref ref-type="bibr" rid="B93">93</xref>). One interesting application of CLEM is the visualisation, in the study by Baldwin et&#xa0;al. (<xref ref-type="bibr" rid="B49">49</xref>), of mitochondrial transport from bone marrow stromal cells to CD8+ T cells, by fluorescently labelling mitochondria in stromal cells and then imaging CD8+ T cells with both modalities. Also, FIB-SEM has been combined with light microscopy to visualise the virological synapse and virus-containing compartments in HIV-infected T cells (<xref ref-type="bibr" rid="B94">94</xref>). The combination of intravital microscopy and electron microscopy merges the dynamic information of immune cells <italic>in vivo</italic> with a more comprehensive characterisation of the same in fixed tissue. This multiscale deep phenotyping approach is reviewed in (<xref ref-type="bibr" rid="B95">95</xref>).</p>
<fig id="f1" position="float">
<label>Figure&#xa0;1</label>
<caption>
<p>Imaging at scales and performances of different microscopy techniques for immunology. <bold>(A)</bold> Correlative Light-Electron Microscopy of mouse T cell (transmission electron microscopy image in grey, DAPI in blue, and mitochondria in red), reproduced from (<xref ref-type="bibr" rid="B49">49</xref>, CC-BY 4.0). <bold>(B)</bold> Fluorescence multichannel image of BPAE cells, reproduced from (<xref ref-type="bibr" rid="B90">90</xref>, CC-BY 4.0). <bold>(C)</bold> Whole tissue section of mouse spleen acquired on a confocal microscope, reproduced from (<xref ref-type="bibr" rid="B91">91</xref>, CC-BY 4.0). <bold>(D)</bold> Gut bacterial infection with whole crypts imaged in 3D, reproduced from (<xref ref-type="bibr" rid="B92">92</xref>, CC-BY 4.0). <bold>(E)</bold> Comparison between Electron Microscopy and Super-Resolution techniques. <bold>(F)</bold> Comparison between TIRF and Super-Resolution techniques. <bold>(G)</bold> Comparison between Laser Scanning confocal and Spinning Disk confocal. <bold>(H)</bold> Comparison between Intravital and Light Sheet. <bold>(I)</bold> The spatial scale covered by different microscopy techniques. <bold>(J)</bold> Radar plots visualising the performances of individual microscopy techniques.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-16-1610345-g001.tif">
<alt-text content-type="machine-generated">Various microscopy techniques are displayed across multiple panels. Panel A shows an electron microscopy image with an overlay of cellular compartments labeled by fluorescence microscopy. Panel B shows a high-resolution confocal microscopy image with detailed cellular structures. Panel C presents immunofluorescence staining of a large tissue reconstruction. Panel D contrasts infected and control ex-vivo gut portions using fluorescence. Panels E to H compare different microscopy methods using radar charts for parameters like temporal resolution and signal-to-noise ratio. Panel I illustrates a scale bar from nanometers to centimeters. Panel J summarizes performance metrics for diverse microscopy techniques, each represented by separate radar charts, comparing aspects such as spatial resolution signal-to-noise, number of imaged channels, imaged sample size, temporal resolution, live imaging compatibility.</alt-text>
</graphic>
</fig>
</sec>
<sec id="s2_1_4">
<label>2.1.4</label>
<title>Cryo-CLEM</title>
<p>CLEM combined with cryogenic conditions also has great potential, due to its preservation of the native state, very high resolution and capacity to retain fluorescent signals (<xref ref-type="bibr" rid="B96">96</xref>). For example, this approach has been applied to investigate the intracellular trafficking of <italic>Salmonella</italic> bacteria (<xref ref-type="bibr" rid="B97">97</xref>). In the case of genetically engineered cells (such as when expressing GFP or other fluorescent proteins), cryo-fixation can then be followed by cryo-sectioning with FIB (<xref ref-type="bibr" rid="B98">98</xref>) or cryo-ultramicrotomy (<xref ref-type="bibr" rid="B99">99</xref>). Cryo-fluorescence light microscopy (cryo-FLM) can guide the <italic>lamella</italic> milling process (<xref ref-type="bibr" rid="B100">100</xref>), also with super-resolution LM (<xref ref-type="bibr" rid="B89">89</xref>). Finally, current protocols are extending cryo-CLEM to post-milling visualisation (<xref ref-type="bibr" rid="B101">101</xref>), and to 3D samples, such as organoids (<xref ref-type="bibr" rid="B102">102</xref>), thus providing a step towards sub-nanometre visualisation in larger 3D context, with relevant applications in immunology.</p>
</sec>
<sec id="s2_1_5">
<label>2.1.5</label>
<title>Conclusions on the use of electron microscopy in immunology and virology</title>
<p>All in all, electron microscopy offers insights into the ultrastructure and three-dimensional organisation of viruses, immune complexes, cells, and tissues that are unattainable with light microscopy techniques (<xref ref-type="fig" rid="f1">
<bold>Figures&#xa0;1E</bold>
</xref>, <xref ref-type="fig" rid="f1">
<bold>1J</bold>
</xref>). Coupled with immunostaining in a correlative approach, EM also informs on the localisation of selected proteins, thus giving context to the ultrastructural detail. EM poses several challenges in terms of image analysis. High-resolution cryo-EM of viral and protein structures employs state-of-the-art algorithms to reconstruct information from low-signal images. Images of thin slices and tomographic reconstructions are frequently analysed by manual segmentation due to the complexity of the ultrastructural contrast. Volume EM reconstructions pose many challenges in terms of image reconstruction, alignment, contrast, and segmentation, due to the size and the complexity of the structures visualised. All these techniques are already or might soon take advantage of the latest AI and image analysis developments (<xref ref-type="table" rid="T1">
<bold>Table&#xa0;1</bold>
</xref>).</p>
<table-wrap id="T1" position="float">
<label>Table&#xa0;1</label>
<caption>
<p>Resolution range, strengths, sample type and AI applications for different microscopy techniques.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="middle" align="center">Technique</th>
<th valign="middle" align="center">Resolution range</th>
<th valign="middle" align="center">Strengths</th>
<th valign="middle" align="center">Sample suitability</th>
<th valign="middle" align="center">Examples of technique-specific uses of AI</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">RT-EM</td>
<td valign="top" align="left">Spatial resolution less than ~1 nm laterally, from less than 10 nm (FIB-SEM) up to 200 nm (ssTEM) axially</td>
<td valign="top" align="left">High resolution, ultrastructural contrast</td>
<td valign="top" align="left">Fixed extracellular vesicles, viral particles, cells, organoids or tissues</td>
<td valign="top" align="left">Segmenting extracellular vesicles with TEM (<xref ref-type="bibr" rid="B103">103</xref>), HIV-1 virions with TEM (<xref ref-type="bibr" rid="B104">104</xref>) or segmenting &#x3b1;-granules or mitochondria in SARS-CoV2 patient-derived platelets with FIB-SEM (<xref ref-type="bibr" rid="B105">105</xref>)</td>
</tr>
<tr>
<td valign="top" align="left">Cryo-EM</td>
<td valign="top" align="left">Spatial resolution down to atomic resolution</td>
<td valign="top" align="left">Highest resolution, optimal preservation of sample&#x2019;s native state</td>
<td valign="top" align="left">Purified proteins and macromolecules (SPA), pleomorphic objects (virus, vesicles, bacteria) and <italic>in situ</italic> cellular studies without purification and isolation (cryo-ET in combination with cryo-FIB milling and cryo-microsectioning)</td>
<td valign="top" align="left">Finding macromolecules in cellular 3D cryo-ET tomograms (<xref ref-type="bibr" rid="B28">28</xref>), aiding template matching in cryo-ET for particle picking (<xref ref-type="bibr" rid="B106">106</xref>)</td>
</tr>
<tr>
<td valign="top" align="left">CLEM and Cryo-CLEM</td>
<td valign="top" align="left">Depending on the EM and LM techniques used</td>
<td valign="top" align="left">Multichannel fluorescence specificity and ultrastructural details, also in correlation with live imaging</td>
<td valign="top" align="left">Live or fixed cells, organoids or tissues</td>
<td valign="top" align="left">Aiding automated registration (<xref ref-type="bibr" rid="B107">107</xref>) and/or segmentation (<xref ref-type="bibr" rid="B108">108</xref>)</td>
</tr>
<tr>
<td valign="top" align="left">Super-Resolution</td>
<td valign="top" align="left">Spatial resolution down to ~1&#x2013;10 nm laterally, down to 10 nm axially. Temporal resolution down to ~100 ms</td>
<td valign="top" align="left">Multichannel fluorescence imaging with resolution at the nanometre scale</td>
<td valign="top" align="left">Depending on the technique: live or fixed molecular imaging in cells, organoids or tissues</td>
<td valign="top" align="left">In SMLM, increasing acquisition speed (<xref ref-type="bibr" rid="B109">109</xref>) and improving resolution (<xref ref-type="bibr" rid="B110">110</xref>). In STED, identifying Zika virus reorganization of the endoplasmic reticulum (<xref ref-type="bibr" rid="B111">111</xref>)</td>
</tr>
<tr>
<td valign="top" align="left">TIRF</td>
<td valign="top" align="left">Spatial resolution diffraction-limited (200&#x2013;200 nm) laterally, down to 80&#x2013;100 nm axially. Temporal resolution down to ~10 ms</td>
<td valign="top" align="left">Fast live imaging of dynamic events near cell membrane</td>
<td valign="top" align="left">Live imaging of purified cell components or cells</td>
<td valign="top" align="left">Cross-modality transformation from TIRF to SIM (<xref ref-type="bibr" rid="B30">30</xref>), improving smFRET tracks analysis (<xref ref-type="bibr" rid="B112">112</xref>)</td>
</tr>
<tr>
<td valign="top" align="left">Laser scanning confocal</td>
<td valign="top" align="left">Spatial resolution from 200&#x2013;220 nm (diffraction-limited) to the micrometre laterally, from less than 1 to a few micrometres axially. Temporal resolution down to ~100 ms</td>
<td valign="top" align="left">Flexibility of application, from subcellular detail to live imaging and large tissue reconstruction</td>
<td valign="top" align="left">Live or fixed cells, organoids and tissues</td>
<td valign="top" align="left">Resolution enhancement (<xref ref-type="bibr" rid="B113">113</xref>), reduction of optical aberrations (<xref ref-type="bibr" rid="B114">114</xref>), improvement in FLIM lifetime determination (<xref ref-type="bibr" rid="B115">115</xref>)</td>
</tr>
<tr>
<td valign="top" align="left">Lattice Light-Sheet</td>
<td valign="top" align="left">Isotropic spatial resolution diffraction-limited (200&#x2013;220 nm). Temporal resolution down to ~10 ms</td>
<td valign="top" align="left">Ultrafast isotropic reconstruction of small volumes with minimal phototoxicity</td>
<td valign="top" align="left">Live cells or small organoids</td>
<td valign="top" align="left">Resolution enhancement and ultrafast super-resolution (<xref ref-type="bibr" rid="B116">116</xref>)</td>
</tr>
<tr>
<td valign="top" align="left">Spinning disk</td>
<td valign="top" align="left">Spatial resolution: same range as Laser Scanning confocal. Temporal resolution down to ~10 ms</td>
<td valign="top" align="left">Fast 3D imaging of dynamic events</td>
<td valign="top" align="left">Live cells and tissues</td>
<td valign="top" align="left">Resolution enhancement and speed improvement (<xref ref-type="bibr" rid="B117">117</xref>)</td>
</tr>
<tr>
<td valign="top" align="left">Multiplex imaging</td>
<td valign="top" align="left">Depending on acquisition technique used (e.g. Widefield or Laser Scanning confocal)</td>
<td valign="top" align="left">High-content imaging for extended sample phenotyping with multiple fluorescence channels</td>
<td valign="top" align="left">Fixed tissues</td>
<td valign="top" align="left">Cell segmentation in complex tissues (<xref ref-type="bibr" rid="B118">118</xref>, <xref ref-type="bibr" rid="B119">119</xref>) or detection-based phenotyping (<xref ref-type="bibr" rid="B120">120</xref>). Characterization of tumour microenvironment in lung cancer (<xref ref-type="bibr" rid="B121">121</xref>) or pancreatic ductal adenocarcinoma (<xref ref-type="bibr" rid="B122">122</xref>).</td>
</tr>
<tr>
<td valign="top" align="left">Widefield fluorescence and brightfield imaging</td>
<td valign="top" align="left">Spatial resolution from 200&#x2013;220 nm (diffraction-limited) to the micrometre laterally, few micrometres axially. Temporal resolution down to ~10 ms</td>
<td valign="top" align="left">Fast, low toxicity imaging</td>
<td valign="top" align="left">Live or fixed cells, organoids and tissue slices</td>
<td valign="top" align="left">Providing optical sectioning (<xref ref-type="bibr" rid="B30">30</xref>, <xref ref-type="bibr" rid="B123">123</xref>, <xref ref-type="bibr" rid="B124">124</xref>) and label-free imaging (<xref ref-type="bibr" rid="B125">125</xref>&#x2013;<xref ref-type="bibr" rid="B130">130</xref>). Aiding cell tracking in chemotaxis experiments with brightfield (<xref ref-type="bibr" rid="B131">131</xref>)</td>
</tr>
<tr>
<td valign="top" align="left">Intravital</td>
<td valign="top" align="left">Spatial resolution: same range as Laser Scanning confocal. Temporal resolution down to ~100 ms</td>
<td valign="top" align="left">4D imaging with high sample penetration</td>
<td valign="top" align="left">
<italic>In vivo</italic> or <italic>ex vivo</italic> tissues and organs</td>
<td valign="top" align="left">Cell segmentation (<xref ref-type="bibr" rid="B132">132</xref>) and resolution improvement in high-speed imaging (<xref ref-type="bibr" rid="B133">133</xref>)</td>
</tr>
<tr>
<td valign="top" align="left">Light-sheet microscopy</td>
<td valign="top" align="left">Spatial resolution in range 1-10 &#x3bc;m. Temporal resolution down to ~10 ms</td>
<td valign="top" align="left">Fast volumetric reconstruction of large samples with cellular resolution and low phototoxicity</td>
<td valign="top" align="left">Live or fixed organoids, tissues, embryos, organisms</td>
<td valign="top" align="left">Resolution enhancement (<xref ref-type="bibr" rid="B113">113</xref>, <xref ref-type="bibr" rid="B134">134</xref>), performing segmentation to study nanoparticle delivery to alveolar macrophages (<xref ref-type="bibr" rid="B135">135</xref>)</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>The table summarizes, for each technique, the resolution range, the strengths and uses cases, the applicable sample types and provides examples of application of AI methods for image analysis.</p>
</fn>
</table-wrap-foot>
</table-wrap>
</sec>
</sec>
<sec id="s2_2">
<label>2.2</label>
<title>Light microscopy</title>
<sec id="s2_2_1">
<label>2.2.1</label>
<title>Super-resolution</title>
<p>By selectively tagging molecules of interest, fluorescence microscopy allows the characterisation of functional and structural features of biological samples, with the intrinsic limitation of the optical resolution limit (<xref ref-type="bibr" rid="B136">136</xref>, <xref ref-type="bibr" rid="B137">137</xref>). In fluorescence microscopy, the diffraction-limited resolution is in the order of 200&#x2013;220 nm, a scale compatible with most cell and tissue imaging applications. However, the scale of many biological structures, such as organelles and molecular clusters, is at least one order of magnitude smaller (tens of nm). Super-resolution microscopy of fluorescent samples bridges the scale of light and electron microscopy, preserving sample integrity and the possibility of performing functional imaging on live samples (<xref ref-type="fig" rid="f1">
<bold>Figures&#xa0;1E</bold>
</xref>, <xref ref-type="fig" rid="f1">
<bold>1J</bold>
</xref>). Most super-resolution methods are based on the manipulation or the analysis of the on/off state of emitters (fluorophores), which are changed either spatially or temporally (<xref ref-type="bibr" rid="B138">138</xref>), or on the concept of light reassignment by optical rescanning (<xref ref-type="bibr" rid="B139">139</xref>) or pixel reassignment (<xref ref-type="bibr" rid="B140">140</xref>).</p>
<p>Localisation microscopy is based on experimental minimisation of the number of active emitters in the field of view, either by activating only a few fluorophores at the time or by limiting the population in the ground energetic state. This allows the determination of the emitter position with the highest probability (<xref ref-type="bibr" rid="B141">141</xref>). Localisation microscopy, including techniques such as PALM and STORM, requires the acquisition of a high number of frames to accumulate information about biological structures, and the use of blinking fluorophores to obtain a sparse presence of emitters in the field of view. In general, the definition of biological structures in the final image improves with the number of accumulated frames (in the order of thousands). However, there are methods to optimise the acquisition parameters, such as excitation power and number of frames needed, depending on the structure dimensionality (<xref ref-type="bibr" rid="B142">142</xref>), or to identify artefacts in the super-resolved image based on a local error map (<xref ref-type="bibr" rid="B143">143</xref>). In immunology, localisation microscopy provided information on SARS-Cov-2 entry in liver spheroids (<xref ref-type="bibr" rid="B144">144</xref>), showed how the TCR is randomly distributed on the surface of resting antigen-experienced T cells (<xref ref-type="bibr" rid="B145">145</xref>), and informed on the structure of cluster in the NK cell&#x2019;s immune synapse (<xref ref-type="bibr" rid="B146">146</xref>).</p>
<p>One of the methods to achieve super-resolution using specific illumination patterns is the STimulated Emission Depletion (STED) microscopy, in which the illumination laser, hitting the sample as a diffraction-limited laser spot, is used together with a depletion laser illumination, shaped as a toroidal pattern that switches off fluorescence, leaving a smaller emission spot and therefore increasing the resolution as a function of the power of the depletion laser (<xref ref-type="bibr" rid="B147">147</xref>). In immunology, STED microscopy has been used to show the role of SWAP70 in organising actin cytoskeleton during phagocytosis (<xref ref-type="bibr" rid="B148">148</xref>) and how TIGIT receptor can inhibit T cell activation by forming nanoclusters (<xref ref-type="bibr" rid="B149">149</xref>).</p>
<p>Other optical super-resolution methods implemented on laser-scanning systems, such as Zeiss Airyscan (<xref ref-type="bibr" rid="B150">150</xref>) and Nikon NSPARC (<xref ref-type="bibr" rid="B151">151</xref>), rely on light reassignment, assuming that higher order rings of Airy pattern can be detected with arrayed detectors and light be reassigned to the centre of the pattern where single emitters should be located (<xref ref-type="bibr" rid="B140">140</xref>). Finally, other methods such as iSIM and SoRa, are based on optically rescanning the point spread function to reduce its size and obtain instant super-resolution imaging on camera-based systems (<xref ref-type="bibr" rid="B152">152</xref>).</p>
<p>Instead, super-resolution methods based on the temporal analysis of fluorescence intensity fluctuations do not require blinking fluorophores and can be employed on data sets acquired on conventional microscopes (e.g. wide-field, TIRF, laser scanning confocal). They are referred to as Fluorescence-Fluctuation based Super Resolution Methods (FF-SRM), and each relies on a different statistical analysis of the temporal fluorescence fluctuations (e.g. Super-Resolution Optical Fluctuation Imaging (SOFI, <xref ref-type="bibr" rid="B153">153</xref>), Super-Resolution Radial Fluctuations (SRRF, <xref ref-type="bibr" rid="B154">154</xref>) or Mean-Shift Super-Resolution (MSSR, <xref ref-type="bibr" rid="B155">155</xref>) to overcome specific limitations in the acquisition or in the image, such as low signal-to-noise, low number of frames, capability to reconstruct hollow structures or susceptibility to the creation of image artefacts (<xref ref-type="bibr" rid="B156">156</xref>).</p>
<p>All in all, the landscape of super-resolution microscopy ranges from methods based on light reassignment, providing moderate optical resolution increase (e.g. Airyscan), to methods based on localisation microscopy and fluorescence depletion, achieving a resolution of the order of the nanometre (e.g. RESI (<xref ref-type="bibr" rid="B157">157</xref>), MINFLUX (<xref ref-type="bibr" rid="B158">158</xref>&#x2013;<xref ref-type="bibr" rid="B160">160</xref>) and MINSTED (<xref ref-type="bibr" rid="B161">161</xref>)). The use of computational methods on top of super-resolved images can further enhance super-resolution even with a limited number of frames (<xref ref-type="bibr" rid="B155">155</xref>).</p>
</sec>
<sec id="s2_2_2">
<label>2.2.2</label>
<title>TIRF</title>
<p>Total Internal Reflection Fluorescence (TIRF) microscopy uses the total internal reflection of a laser beam to create a thin illumination layer. This allows the observation of fluorescent molecules close to the coverslip surface (depth of about 100&#x2013;200 nm, <xref ref-type="fig" rid="f1">
<bold>Figures&#xa0;1F</bold>
</xref>, <xref ref-type="fig" rid="f1">
<bold>1J</bold>
</xref>
<xref ref-type="bibr" rid="B162">162</xref>, <xref ref-type="bibr" rid="B163">163</xref>). Such method provides high-resolution images of the basal cell layer with minimal background noise, making it ideal for studying cellular processes such as migration, adhesion, and signalling (<xref ref-type="bibr" rid="B164">164</xref>).</p>
<p>In immunology, TIRF microscopy is commonly used to study the interactions between immune cells in antigen presentation. For example, seminal studies employed this technique to investigate TCR clusterization and activation pathways following antigen recognition (<xref ref-type="bibr" rid="B165">165</xref>, <xref ref-type="bibr" rid="B166">166</xref>). More recently, TIRF has been used to highlight that clathrin is recruited in microclusters to mediate internalisation and vesicular release of a triggered T cell receptor at the immunological synapse (<xref ref-type="bibr" rid="B167">167</xref>). Another application of TIRF microscopy in immunology is the study of receptor clustering, such as to show the importance of CD4+ T cell&#x2019;s CXCR4 nanoclusters in supporting CXCL12-mediated responses (<xref ref-type="bibr" rid="B168">168</xref>). On macrophages, TIRF has been employed to show the accumulation of dynamin-2 at the site of phagosome closure (<xref ref-type="bibr" rid="B169">169</xref>).</p>
<p>A recent evolution of TIRF microscopy, called quantitative dynamic footprint (qDF) and based on variable-angle TIRF, was used to visualise leukocytes rolling, adhering, and spreading with nanometre-scale z-resolution (<xref ref-type="bibr" rid="B170">170</xref>, <xref ref-type="bibr" rid="B171">171</xref>). Finally, TIRF in conjunction with SIM super-resolution microscopy showed the engagement of two spatially distinct TCR microclusters with ZAP70-bound TCR and LAT-associated signalling complex (<xref ref-type="bibr" rid="B172">172</xref>).</p>
</sec>
<sec id="s2_2_3">
<label>2.2.3</label>
<title>Confocal</title>
<p>Confocal microscopy is based on the use of an optical aperture, called a pinhole, to obtain the optical sectioning of the sample and localise the fluorescent signal in 3D (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1B</bold>
</xref>). It was invented by Marvin Minsky (<xref ref-type="bibr" rid="B173">173</xref>) &#x2013; a computer scientist who would later play a significant role in the development of AI concepts and methods &#x2013; and has been improved with the use of lasers and scanning systems (<xref ref-type="bibr" rid="B174">174</xref>, <xref ref-type="bibr" rid="B175">175</xref>). It avoids the need to physically slice thick samples by rejecting out-of-focus light proportionally to the reduction of the pinhole aperture (<xref ref-type="bibr" rid="B176">176</xref>).</p>
<p>Thanks to its versatility, confocal microscopy can find applications on a wide range of samples, from fast visualisation of live subcellular events to reconstruction of large portions of thick tissues. On the subcellular scale, confocal live-cell microscopy was used to investigate how lymphocytes, in the absence of chemotactic signalling, orient their migration against a fluid flow (<xref ref-type="bibr" rid="B177">177</xref>), to characterise the force dynamics in phagocytic engulfment by cytotoxic T cells (<xref ref-type="bibr" rid="B178">178</xref>), and to show how the Golgi complex directs the positioning of lytic granules inside NK cells to guide their cytotoxicity (<xref ref-type="bibr" rid="B179">179</xref>). At the cellular level, tracking of macrophages in live-cell confocal imaging helped, together with modelling, in clarifying how these cells use a collective quorum licensing to initiate inflammation (<xref ref-type="bibr" rid="B180">180</xref>). In fixed tissue samples (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1C</bold>
</xref>), confocal microscopy has been employed to visualise macrophages in meningeal compartments of the central nervous system (<xref ref-type="bibr" rid="B181">181</xref>), vascular endothelium of mouse lymph node (<xref ref-type="bibr" rid="B182">182</xref>), virion transport to lymph nodes (<xref ref-type="bibr" rid="B183">183</xref>) and neutrophil accumulation (<xref ref-type="bibr" rid="B91">91</xref>). Moreover, it helped in defining the role of scavenging chemokines in marginal B cell zone formation (<xref ref-type="bibr" rid="B184">184</xref>) or the contribution of innate lymphoid cells and conventional T cells on shaping gut microbiota and lipid metabolism (<xref ref-type="bibr" rid="B185">185</xref>), and Treg accumulation around self-activated T cells in lymph node paracortex (<xref ref-type="bibr" rid="B186">186</xref>). Finally, it contributed to characterising megakaryocytes in the bone marrow niche (<xref ref-type="bibr" rid="B187">187</xref>), periarteriolar alignment and integrin-dependent network formation of tissue-resident mast cells (<xref ref-type="bibr" rid="B188">188</xref>), platelets around metastatic niches in lungs (<xref ref-type="bibr" rid="B189">189</xref>), and tissue-resident memory T cells on the ocular surface (<xref ref-type="bibr" rid="B190">190</xref>). In a high-throughput manner, confocal microscopy was instrumental in isolating CAR-T cell clones with a multi-killing property against patient-derived cancer cell organoids and associating this information with their transcriptomic profile (<xref ref-type="bibr" rid="B191">191</xref>).</p>
<p>When coupled with pulsed lasers, confocal microscopy can detect fluorescence lifetimes in so-called Fluorescence Lifetime Imaging (FLIM, <xref ref-type="bibr" rid="B192">192</xref>). The determination of the lifetimes can be done either with exponential fit of the decay histogram or with phasor analysis (<xref ref-type="bibr" rid="B193">193</xref>). The measured lifetimes are concentration-independent but microenvironment-dependent. Thus, local microenvironment changes can be assessed, such as pH and ion changes, FRET events (<xref ref-type="bibr" rid="B194">194</xref>) or cell membrane tension (<xref ref-type="bibr" rid="B195">195</xref>). Confocal microscopy can also be used to visualise structures below the diffraction limit by means of expansion microscopy, which increases the sample size (e.g. by 10-fold), and standard confocal imaging (<xref ref-type="bibr" rid="B196">196</xref>). Finally, confocal live acquisitions can offer insights into molecular behaviour with techniques such as Fluorescence Correlation Spectroscopy (FCS, <xref ref-type="bibr" rid="B197">197</xref>), Image Correlation Spectroscopy (ICS, <xref ref-type="bibr" rid="B198">198</xref>), and Number and Brightness (N&amp;B, <xref ref-type="bibr" rid="B199">199</xref>). For example, N&amp;B has been applied to determine GPCR oligomerisation states in live cells (<xref ref-type="bibr" rid="B200">200</xref>).</p>
<p>Recently, new technologies in confocal imaging are being developed to increase its speed and multi-view capabilities, such as techniques for fast, super-resolution, and multi-view imaging (<xref ref-type="bibr" rid="B201">201</xref>) or virtual scanning light-field technologies (<xref ref-type="bibr" rid="B202">202</xref>, <xref ref-type="bibr" rid="B203">203</xref>).</p>
</sec>
<sec id="s2_2_4">
<label>2.2.4</label>
<title>Confocal and multiphoton for intravital imaging</title>
<p>Staying true to the microscopists&#x2019; motto, &#x201c;Seeing is believing&#x201d; (<xref ref-type="bibr" rid="B204">204</xref>), intravital microscopy (IVM) addresses the need to observe events in their context (<xref ref-type="bibr" rid="B205">205</xref>), which provides complementary information to static 3D tissue phenotyping (<xref ref-type="bibr" rid="B206">206</xref>). Depending on the degree of tissue transparency and the required depth of imaging, IVM can be achieved with widefield, confocal, or multiphoton microscopy. Due to the shallow imaging capabilities of widefield microscopy, most studies are conducted using confocal or multiphoton approaches.</p>
<p>In the case of confocal, IVM is sometimes based on the use of a faster alternative microscope called Spinning Disk (SD, <xref ref-type="fig" rid="f1">
<bold>Figures&#xa0;1G</bold>
</xref>, <xref ref-type="fig" rid="f1">
<bold>1J</bold>
</xref>
<xref ref-type="bibr" rid="B207">207</xref>). Here, multiple excitation points are obtained by splitting the laser beam with microlenses on a rotating disk, while corresponding pinholes on a second rotating disk perform optical sectioning. Spinning disk microscopy has been applied to visualise Kupfer cells sequestering <italic>E. coli</italic> to show how this mitigates neonatal sepsis (<xref ref-type="bibr" rid="B208">208</xref>), liver-specific Treg and their re-programming of liver neutrophils (<xref ref-type="bibr" rid="B209">209</xref>), peritoneal macrophages (<xref ref-type="bibr" rid="B210">210</xref>), patrolling by alveolar macrophages (<xref ref-type="bibr" rid="B211">211</xref>), and mechanisms of control of dendritic cells by nociceptors (<xref ref-type="bibr" rid="B212">212</xref>). A promising approach to confocal IVM is the recent development of confocal light-field microscopy (<xref ref-type="bibr" rid="B203">203</xref>, <xref ref-type="bibr" rid="B213">213</xref>), which achieves real-time acquisition of whole volumes (Z-stacks) with micrometre resolution.</p>
<p>Multiphoton microscopy (MPM) combines laser scanning with a multiphoton near-infrared excitation. It is based on the simultaneous absorption of multiple low-energy photons, resulting in the same fluorescence emission as in conventional one-photon excitation. Multiphoton excitation increases the achievable imaging depth (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1D</bold>
</xref>) thanks to the use of near-infrared wavelengths that are scattered less by the sample, eliminates out-of-focus excitation and reduces phototoxicity and photobleaching (<xref ref-type="bibr" rid="B214">214</xref>). MPM contributed to several major discoveries in immunology (see reviews <xref ref-type="bibr" rid="B205">205</xref>, <xref ref-type="bibr" rid="B215">215</xref>). The most used type of multiphoton excitation is by means of two photons (also called Two-Photon Microscopy, TPM). Examples of application of TPM in immunology include the visualisation of inflammatory dendritic cells (<xref ref-type="bibr" rid="B216">216</xref>&#x2013;<xref ref-type="bibr" rid="B218">218</xref>) and neutrophil efferocytosis (<xref ref-type="bibr" rid="B219">219</xref>) in trachea after influenza infection, innate immune responses in the skin during wound repair (<xref ref-type="bibr" rid="B220">220</xref>, <xref ref-type="bibr" rid="B221">221</xref>), macrophage aggregation in a peritoneal sterile wound model (<xref ref-type="bibr" rid="B222">222</xref>). Moreover, it helped in investigating chemotactic neutrophil migration bias at capillary bifurcations (<xref ref-type="bibr" rid="B223">223</xref>), and complement activation in draining lymph nodes following dermal infection (<xref ref-type="bibr" rid="B224">224</xref>). In adaptive immunity, TPM contributed to the show that T cell activation occurs in three stages (<xref ref-type="bibr" rid="B225">225</xref>), or to elucidate T cell regulation by innate lymphoid cells in the liver (<xref ref-type="bibr" rid="B226">226</xref>), corneal tissue-resident T cells localising at the surface of immune privileged eye (<xref ref-type="bibr" rid="B190">190</xref>), mechanism of additive cytotoxicity by CTLs (<xref ref-type="bibr" rid="B227">227</xref>), dynamic interaction between marginal zone B cells and red blood cells (<xref ref-type="bibr" rid="B228">228</xref>), and B cell control of affinity by restraining somatic hypermutation through controlled cell proliferation (<xref ref-type="bibr" rid="B229">229</xref>). TPM also aided <italic>ex vivo</italic> imaging, such as in the visualisation of the role of ATP in limiting protective IgA against enteropathogens (<xref ref-type="bibr" rid="B92">92</xref>), or in the visualisation of collagen deposition and mesothelial cell activation in the intraperitoneal gut following microbial contamination (<xref ref-type="bibr" rid="B230">230</xref>).</p>
<p>Three- and four-photon excitations have been instrumental to reconstruct the entire depth of a popliteal lymph node (<xref ref-type="bibr" rid="B231">231</xref>) or the deep vasculature in brain tumours (<xref ref-type="bibr" rid="B232">232</xref>), to the quantification of calcium events in astrocytes in deep portions of tissue (<xref ref-type="bibr" rid="B233">233</xref>), and to the acquisition of multichannel data sets (up to 6 channels) in tumour tissues (<xref ref-type="bibr" rid="B234">234</xref>). The combined use of TPM and FLIM imaging allows the characterisation of pH and metabolic changes <italic>in vivo</italic> (<xref ref-type="bibr" rid="B235">235</xref>). Finally, to overcome the speed limitations inherent to laser scanning systems, faster implementations have been developed that use a synthetic aperture microscopy to achieve long-term imaging at high speed (<xref ref-type="bibr" rid="B236">236</xref>) or with a scan-less multiphoton setup for fast, deep, imaging-based neuron voltage recordings (<xref ref-type="bibr" rid="B237">237</xref>). On the other hand, adaptive optics methods have been employed to limit scattering in deep tissues and correct aberrations (<xref ref-type="bibr" rid="B233">233</xref>, <xref ref-type="bibr" rid="B238">238</xref>). Finally, sample drift or organ movements can pose challenges that AI could address during or after acquisition.</p>
</sec>
<sec id="s2_2_5">
<label>2.2.5</label>
<title>Multiplex imaging</title>
<p>The goal of understanding biological function within the complex context of tissues &#x2013; which is of particular importance in immunology &#x2013; led to the development of techniques for visualising and analysing multiple targets or markers within the same sample. Standard imaging setups are usually limited to very few markers at the same time, while multiplex imaging extends the total number of markers in the order of several tens (<xref ref-type="bibr" rid="B239">239</xref>).</p>
<p>Current approaches to multiplex imaging include fluorescence imaging, imaging mass spectrometry, or sequencing techniques. In its fluorescence declination, samples are either stained with many fluorophores simultaneously or repetitively stained with fewer fluorophores in many cycles of imaging and fluorescence bleaching (<xref ref-type="bibr" rid="B240">240</xref>). Samples are then acquired in widefield or confocal microscopy, to achieve a cellular resolution (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1J</bold>
</xref>). When combining multiple fluorophores at the same time, several techniques have been developed to ensure the separation of highly overlapping emission spectra, either based on hardware, such as the employment multiple emission windows and spectral unmixing algorithms (<xref ref-type="bibr" rid="B241">241</xref>, <xref ref-type="bibr" rid="B242">242</xref>), or by calculating spill-over with single-stain samples (<xref ref-type="bibr" rid="B239">239</xref>). In the case of cyclic imaging, usually two or three fluorophores are used per cycle, with repetitive staining, imaging and bleaching phases, as applied to fixed tissues (<xref ref-type="bibr" rid="B243">243</xref>&#x2013;<xref ref-type="bibr" rid="B245">245</xref>), cells (<xref ref-type="bibr" rid="B246">246</xref>) and live samples (<xref ref-type="bibr" rid="B247">247</xref>). Multiplex imaging techniques require a solid antibody validation, which is addressed also by community efforts (<xref ref-type="bibr" rid="B248">248</xref>). Cycling imaging is time-consuming, then a possible improvement is the use of fluorescent tags with DNA barcoding: the sample is stained simultaneously with antibodies tagged with orthogonal single-stranded DNA sequences and then imaged in cycles by using an eraser strand between each cycle (<xref ref-type="bibr" rid="B249">249</xref>). Finally, recent and promising advances in fluorescent multiplex imaging use FLIM to increase the number of detectable fluorophores or discriminate the autofluorescence contribution (<xref ref-type="bibr" rid="B250">250</xref>). In this regard, techniques using AI to overcome the limitations of low photon budget when performing spectral FLIM imaging are of particular interest (<xref ref-type="bibr" rid="B115">115</xref>, <xref ref-type="bibr" rid="B251">251</xref>).</p>
<p>Mass-spectrometry based techniques employ a raster-scanned ionising beam to analyse a small portion of the sample that is then associated with a single pixel in the resulting image reconstruction. Material collected can be endogenous, such as proteins, metabolites, lipids, or glycans (<xref ref-type="bibr" rid="B252">252</xref>), or exogenous, as in the case of antibody staining with tags suitable for mass spectrometry, such as peptides or rare metal elements. For example, Imaging Mass Cytometry (IMC) and Multiplexed Ion Beam Imaging (MIBI) can reach single-cell resolution, allowing highly multiplexed spatial proteomics (<xref ref-type="bibr" rid="B253">253</xref>, <xref ref-type="bibr" rid="B254">254</xref>). With lower resolution (clusters of cells), metabolite mapping has been performed with both mass spectrometry and Raman spectro-microscopy (<xref ref-type="bibr" rid="B255">255</xref>). Overall, the development of these techniques greatly increased the amount and quality of data extracted from samples. Furthermore, the mentioned techniques can be combined in a multi-omics approach to increase sample information (<xref ref-type="bibr" rid="B256">256</xref>&#x2013;<xref ref-type="bibr" rid="B258">258</xref>). Of interest are methods that couple automated laser microdissection with shotgun lipidomics (<xref ref-type="bibr" rid="B259">259</xref>) or with (epi)genomics and transcriptomics, as they integrate imaging, analysis, and hardware feedback steps to extract interesting information for subsequent analysis (<xref ref-type="bibr" rid="B260">260</xref>).</p>
<p>Data obtained with multiplex imaging techniques can pose numerous problems regarding analysis due to size, complexity, and heterogeneity. For example, in the case of fluorescence imaging, removing autofluorescence from paraffin-embedded tissues or complex tumour tissues can be hard to achieve (<xref ref-type="bibr" rid="B261">261</xref>). Other challenges in the image analysis include segmentation of cells in the complex tissue environment (<xref ref-type="bibr" rid="B240">240</xref>), and spectral separation in the case of one-shot imaging with many overlapping fluorophore spectra (<xref ref-type="bibr" rid="B262">262</xref>). On the data interpretation side, data clustering and dimensionality reduction are needed to navigate complex multi-channel data sets and integrate these data with other multi-omics approaches (<xref ref-type="bibr" rid="B263">263</xref>). An example is the integration of multiplex imaging and spatial transcriptomics to follow thymic evolution (<xref ref-type="bibr" rid="B264">264</xref>). Finally, sharing code and protocols of the analysis pipeline ensures a dissemination of techniques and best practices, fostering the improvement of data analysis pipelines (<xref ref-type="bibr" rid="B118">118</xref>). All these tasks can be approached with standard or AI-assisted image analysis techniques, as discussed in the second part of this Review (see Section 3).</p>
</sec>
<sec id="s2_2_6">
<label>2.2.6</label>
<title>Light-sheet microscopy</title>
<p>Light-Sheet Fluorescence Microscopy (LSFM, also called Selective Plane Illumination Microscopy, SPIM) achieves 3D sectioning by illuminating the sample with a thin sheet of light and collecting fluorescence emission in a plane orthogonal to the illumination (<xref ref-type="bibr" rid="B265">265</xref>). A volume reconstruction can be obtained by translating the beam or the sample in a single direction or by rotating the sample to perform a tomographic reconstruction. This type of illumination achieves a very fast volume reconstruction with micrometre resolution (<xref ref-type="fig" rid="f1">
<bold>Figures&#xa0;1H</bold>
</xref>, <xref ref-type="fig" rid="f1">
<bold>1J</bold>
</xref>), high signal, low photobleaching and phototoxicity (<xref ref-type="bibr" rid="B266">266</xref>). In live samples, this technique has been applied to high-throughput live imaging of T cell cytotoxic function against B-cell lymphoma or the interaction of Tregs with gastric tumour spheroids (<xref ref-type="bibr" rid="B267">267</xref>).</p>
<p>A notable application of LSFM microscopy in immunology is the reconstruction of fixed, cleared organoids and tissues. Clearing removes the unwanted tissue components and improves the uniformity of tissue refractive index, thus reducing light scattering and improving image quality at high depth (<xref ref-type="bibr" rid="B268">268</xref>). LSFM has been applied to reconstruct many organoid types (<xref ref-type="bibr" rid="B269">269</xref>). Its use on cleared tissues is particularly interesting for the whole-organ characterisation of immune landscape and vascularisation of the brain (<xref ref-type="bibr" rid="B270">270</xref>), clinical identification of melanoma metastasis in the human lymph node (<xref ref-type="bibr" rid="B271">271</xref>), and whole-mouse cleared tissue imaging (<xref ref-type="bibr" rid="B272">272</xref>&#x2013;<xref ref-type="bibr" rid="B275">275</xref>).</p>
<p>Lattice light-sheet can image subcellular details with an illumination pattern that achieves diffraction-limited isotropic resolution and high acquisition speed (<xref ref-type="bibr" rid="B276">276</xref>). This technique was applied, for example, to the study of the interaction between tumour-associated macrophages and CD8+ T cells (<xref ref-type="bibr" rid="B277">277</xref>) or to characterise the effect of antigen strength on immune synapses (<xref ref-type="bibr" rid="B31">31</xref>). Given the lower penetration depth of visible light compared to multiphoton illumination, the application of LSFM <italic>in vivo</italic> has been limited to investigating cleared samples, as with the organoids mentioned above, or in embryo development studies (<xref ref-type="bibr" rid="B272">272</xref>, <xref ref-type="bibr" rid="B278">278</xref>). However, the development of multiphoton light-sheet systems (<xref ref-type="bibr" rid="B279">279</xref>), or the recent implementation of the NIR-II illumination (1000&#x2013;1700 nm) to light-sheet microscopy opened a window to the feasibility of deep tissue LSFM <italic>in vivo</italic> (<xref ref-type="bibr" rid="B280">280</xref>). On the other hand, a variation of visible-light LSFM called Swept Confocally Aligned Planar Excitation (SCAPE) microscopy (<xref ref-type="bibr" rid="B281">281</xref>), was applied to the histopathological characterisation of live tissues from their autofluorescence (<xref ref-type="bibr" rid="B282">282</xref>). SCAPE provides information on tissue architecture with cellular resolution, with a strong potential for diagnostic applications.</p>
<p>Overall, LSFM is an exciting field, but numerous challenges remain to be addressed. For instance, the vast amount of generated data renders archiving, pre-processing, visualisation, and analysis considerably more complex than other microscopy techniques (<xref ref-type="bibr" rid="B283">283</xref>). Many platforms have been developed to tackle the analysis of these complex and big data sets (<xref ref-type="bibr" rid="B284">284</xref>). As outlined in a recent review by Daetwyler and Fiolka (<xref ref-type="bibr" rid="B266">266</xref>), we also foresee that light-sheet microscopy, with its fast-imaging capabilities, 3D reconstruction of big volumes and generation of highly informative data sets, will take a central stage in microscopy to image cell-cell interactions in complex 3D structures such as organoids and tissues. Also, the resulting data sets are already pushing the generation of novel data analysis techniques (<xref ref-type="bibr" rid="B285">285</xref>, <xref ref-type="bibr" rid="B286">286</xref>).</p>
</sec>
<sec id="s2_2_7">
<label>2.2.7</label>
<title>Conclusions on the use of light microscopy for immunology</title>
<p>In conclusion, light microscopy techniques can span resolutions from the nanometre to the centimetre (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1I</bold>
</xref>). They significantly advanced our understanding of the immune system, by enabling researchers to visualise complex subcellular structures, cellular interactions, and dynamic processes, for immune phenotyping and dynamic live analyses. Yet, biology occurs across all spatial and temporal scales, while current techniques can only see a portion of these events (<xref ref-type="bibr" rid="B25">25</xref>). To cover these different scales, we need both progress in imaging techniques, as well as automated analyses that can inform and guide the capture of events across scales in real-time.</p>
</sec>
</sec>
<sec id="s2_3">
<label>2.3</label>
<title>Image analysis</title>
<p>Image analysis is a crucial component of microscopy research, enabling the extraction of quantitative data from complex visual data sets in an unbiased manner (<xref ref-type="bibr" rid="B287">287</xref>). The standard toolbox for image analysis comprises tools for image preprocessing, segmentation, tracking, and quantification. Automating this process ensures unbiased data analysis and simplifies compliance with good practices for data and image acquisition reporting (<xref ref-type="bibr" rid="B288">288</xref>).</p>
<p>Image preprocessing seeks to minimise noise, enhance contrast, correct geometric distortions, and improve resolution, thus facilitating the subsequent image analysis steps. Denoising techniques improve the signal-to-noise ratio (<xref ref-type="bibr" rid="B289">289</xref>): methods vary from standard Gaussian blur and median filter to more advanced techniques such as 3D block-matching (<xref ref-type="bibr" rid="B290">290</xref>), non-local means (<xref ref-type="bibr" rid="B291">291</xref>, <xref ref-type="bibr" rid="B292">292</xref>), and wavelet transforms (<xref ref-type="bibr" rid="B293">293</xref>). Improvements in contrast and resolution can be achieved with deconvolution techniques, where the information about the point spread function of the microscope is used to remove the signal contribution from out-of-focus planes and surrounding signal sources (<xref ref-type="bibr" rid="B294">294</xref>). Resolution and contrast improvements can also be obtained by acquiring the same image with slight changes in the illumination beam (<xref ref-type="bibr" rid="B295">295</xref>, <xref ref-type="bibr" rid="B296">296</xref>), with general algorithms considering the noise distribution (<xref ref-type="bibr" rid="B150">150</xref>, <xref ref-type="bibr" rid="B151">151</xref>), analysing fluorescence fluctuations with algorithms such as mean shift vector analysis (MSSR, <xref ref-type="bibr" rid="B155">155</xref>), or by deconvolution, like in SUPPOSe (<xref ref-type="bibr" rid="B297">297</xref>) or B-SIM and Sparse-SIM for SIM images (<xref ref-type="bibr" rid="B298">298</xref>, <xref ref-type="bibr" rid="B299">299</xref>). Image registration corrects image distortions and time drift: this is especially useful when reconstructing a volume in a mosaic (<xref ref-type="bibr" rid="B300">300</xref>&#x2013;<xref ref-type="bibr" rid="B302">302</xref>), aligning images in case of sample drift, as needed in intravital microscopy (<xref ref-type="bibr" rid="B303">303</xref>&#x2013;<xref ref-type="bibr" rid="B306">306</xref>) or aligning images acquired with different modalities, such as in the case of CLEM (<xref ref-type="bibr" rid="B51">51</xref>). Lastly, crosstalk correction improves channel separation, eliminating unwanted spectral bleed-through between channels (<xref ref-type="bibr" rid="B4">4</xref>, <xref ref-type="bibr" rid="B174">174</xref>), while spectral unmixing techniques use the characterisation of the emission profile to separate many fluorophores with overlapping emission spectra (<xref ref-type="bibr" rid="B241">241</xref>). These approaches are particularly useful in multiplex imaging (<xref ref-type="bibr" rid="B239">239</xref>) and when subtracting unwanted autofluorescence contributions (<xref ref-type="bibr" rid="B242">242</xref>). Other methods for spectral separation include phasor analysis based on fluorescence spectral data, or on fluorescence lifetime (<xref ref-type="bibr" rid="B307">307</xref>). Overall, effective image preprocessing greatly simplifies image segmentation, ultimately improving the extraction of quantitative data from microscopy images.</p>
<p>Segmentation of image data is the process of separating the pixels of the background from the pixels of interest, labelling the objects (e.g. organelles, cells, tissue areas) so that properties such as geometrical descriptors can be measured, or intensity statistics be calculated. Image segmentation is at the basis of most automated analysis workflows (<xref ref-type="bibr" rid="B308">308</xref>). Segmentation techniques can be broadly categorised into two main groups: region-based and edge-based methods. Region-based segmentation algorithms group together pixels with similar attributes (e.g., intensity, colour) to form homogeneous regions within an image. These algorithms often use intensity thresholding (<xref ref-type="bibr" rid="B309">309</xref>), clustering (<xref ref-type="bibr" rid="B310">310</xref>), or watershed (<xref ref-type="bibr" rid="B311">311</xref>) to identify meaningful segments. On the other hand, edge-based segmentation focuses on identifying boundaries between objects in an image by detecting abrupt changes in pixel attributes, such as intensity or texture. Common edge detection methods include Canny (<xref ref-type="bibr" rid="B312">312</xref>, <xref ref-type="bibr" rid="B313">313</xref>), Sobel (<xref ref-type="bibr" rid="B314">314</xref>), and Laplacian of Gaussian (LoG) operators (<xref ref-type="bibr" rid="B308">308</xref>). The choice of segmentation technique may vary depending on the specific application, where factors to consider include image complexity, object shape, size, and contrast with respect to the background. Object segmentation can then be followed by object classification according to some measurable property, such as object position or shape factors.</p>
<p>Object detection localises objects or regions of interest in an image. The task typically involves identifying the object to be detected (classification) and determining its position in the image (localisation). Object detection is frequently employed to recognise areas of interest, such as a compartment in a cell or tissue (<xref ref-type="bibr" rid="B315">315</xref>), and to identify cells in time-lapse microscopy movies for object tracking (<xref ref-type="bibr" rid="B316">316</xref>).</p>
<p>Tracking allows the study of temporal dynamics, such as cellular or subcellular movements. Tracking objects in a movie is a two-step process, where object detection and segmentation are followed by object linking between frames (<xref ref-type="bibr" rid="B317">317</xref>, <xref ref-type="bibr" rid="B318">318</xref>). Manual or semi-automated tracking software has dominated the scene in studies of immune cell mobility upon antigen presentation, in cell culture experiments, or in lymph node imaging (<xref ref-type="bibr" rid="B319">319</xref>). However, when temporal sampling cannot be done at high frequencies, or the linking process is ambiguous, deep learning techniques may prove helpful in enhancing the effectiveness of classical methods (<xref ref-type="bibr" rid="B316">316</xref>, <xref ref-type="bibr" rid="B320">320</xref>).</p>
<p>Recent advances in bioimage analysis are significantly broadening its accessibility, allowing researchers to leverage powerful techniques with reduced reliance on programming expertise and lowered computational resource demands. These developments are driven by a growing trend toward simplified user interfaces (<xref ref-type="bibr" rid="B321">321</xref>&#x2013;<xref ref-type="bibr" rid="B326">326</xref>), and standardised analysis protocols for light microscopy (<xref ref-type="bibr" rid="B327">327</xref>) and electron microscopy (<xref ref-type="bibr" rid="B57">57</xref>). However, while these tools streamline many routine analyses, complex or novel research questions often require more sophisticated approaches. This is where the role of the bioimage analyst remains crucial &#x2013; bridging the gap between readily available software and advanced techniques, and facilitating the development of custom solutions to address unique research challenges (<xref ref-type="bibr" rid="B328">328</xref>).</p>
</sec>
<sec id="s2_4">
<label>2.4</label>
<title>Impact of open-source software and open hardware in image acquisition</title>
<p>Open-Source software (OSS) has a key role in bioimage analysis because the access to source code enables any researcher to develop customised workflows, even with a limited knowledge of programming languages, thus guaranteeing more transparency and reproducibility (<xref ref-type="bibr" rid="B329">329</xref>).</p>
<p>Image quantification has been made easy in the past decades by many graphical user interfaces (GUI) suites, among which the most renowned include ImageJ or FIJI (<xref ref-type="bibr" rid="B330">330</xref>), CellProfiler (<xref ref-type="bibr" rid="B323">323</xref>), napari (<xref ref-type="bibr" rid="B331">331</xref>), QuPath (<xref ref-type="bibr" rid="B332">332</xref>). The key aspect that makes these GUIs widely adopted is the abundance of scripts and plugins, together with the possibility to access the source code and develop custom bioimage analysis solutions, whether implemented as point and click interaction or as a script.</p>
<p>A fundamental role of facilitator for bioimage analysis based on scripting has been covered by development environments such as RStudio<xref ref-type="fn" rid="fn1">
<sup>1</sup>
</xref> (based on R language), JupyterLab (<xref ref-type="bibr" rid="B333">333</xref>, based on Python) or visual programming suite KNIME (<xref ref-type="bibr" rid="B334">334</xref>). Because of the richness of the Python environment, in terms of availability of packages, many bioimage analysis solutions have been developed as Jupyter notebooks, especially in the context of machine learning (ML) and deep learning (DL), where code modification might enhance the adaptation to specific image data (<xref ref-type="bibr" rid="B118">118</xref>, <xref ref-type="bibr" rid="B335">335</xref>, <xref ref-type="bibr" rid="B336">336</xref>). The availability of complete notebooks where all the steps of a workflow are explained with code comments facilitates the execution by the end user, learning, and reproducibility (<xref ref-type="bibr" rid="B335">335</xref>).</p>
<p>The integration between the full control of microscope motorisation (<xref ref-type="bibr" rid="B337">337</xref>), image acquisition, real-time (or offline) image analysis, and the possibility to drive a new image acquisition, based on the result of the analysis, constitutes the backbone of what is called feedback microscopy (<xref ref-type="bibr" rid="B338">338</xref>), also referred to as smart microscopy (<xref ref-type="bibr" rid="B339">339</xref>). The purpose of such integration is to allow the adaptive imaging of the biological sample in the spatial and temporal dimensions (<xref ref-type="bibr" rid="B340">340</xref>).</p>
<p>In <xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2</bold>
</xref>, we present a possible workflow of feedback-based microscopy to identify infected cells and acquire them at higher resolution, minimising the overall acquisition time. A multichannel fluorescence image, including a nuclear marker and an infection reporter (<xref ref-type="fig" rid="f2">
<bold>Figures&#xa0;2A&#x2013;C</bold>
</xref>), is used to identify all the cells in the field of view (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2D</bold>
</xref>) and measure the level of an infection reporter (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2E</bold>
</xref>). Using a ML clustering algorithm (e.g. k-means clustering), cells are classified based on their infection state (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2F</bold>
</xref>). Then, cells are selected depending on their level of infection (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2G</bold>
</xref>), and the microscope is instructed to navigate to the cell position (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2H</bold>
</xref>), switch objective (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2I</bold>
</xref>), and acquire a higher-resolution image (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2J</bold>
</xref>). This type of workflow presents the advantage of scanning larger areas to increase the number of inspected cells and use higher resolution imaging only for the infected ones, which are identified with an unsupervised ML algorithm.</p>
<fig id="f2" position="float">
<label>Figure&#xa0;2</label>
<caption>
<p>Example of feedback microscopy based on machine learning to analyse infected cells. An application of feedback microscopy to detect infected cells and trigger the acquisition at higher resolution. <bold>(A)</bold> Fluorescence image showing a nuclear marker (grey) and infection reporter (red). <bold>(B)</bold> The nuclear marker channel is used to identify all the cells, while <bold>(C)</bold> the infection reporter is used to detect the infected cells. <bold>(D)</bold> Binary mask obtained by thresholding the nuclear marker image in <bold>(B, E)</bold> The segmentation outlines are used to measure the fluorescence in the second channel (red) and assess the level of the infection reporter. <bold>(F)</bold> K-means clustering can be used to identify cell populations and drive the acquisition of infected cells at higher resolution. In this image, the k-means clustering is initialised by assuming 3 cell populations corresponding to possible levels of infection. After clustering, the cell centroids are labelled with coloured dots, according to the level of infection: uninfected (dark blue dots), infected cells (yellow dots), and highly infected (green dots). <bold>(G)</bold> The infected cells classified by the k-means clustering show a higher level of fluorescence, and cells with a specific value of fluorescence reporter can be identified to trigger a <bold>(H)</bold> repositioning of the stage at a specific location (X,Y), executed through a script (e.g. Micro-Manager beanshell script) and a <bold>(I)</bold> change of objective lens. Finally, <bold>(J)</bold> the identified cell can be acquired at higher resolution.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-16-1610345-g002.tif">
<alt-text content-type="machine-generated">Composite image illustrating a workflow for analyzing infected cells. Panel A shows an overlay of stained cell nuclei and infection markers. Panels B and C separate these into grayscale nuclei and red infection markers. Panel D displays a binary mask, while panel E overlays segmented cells. Panel F uses K-means clustering to categorize cells based on infection status, with color codes. Panel G presents a histogram of fluorescence intensity, indicating infection levels. Panel H shows a code snippet for microscope control. Panels I and J depict microscope objective details and a close-up of an infected cell.</alt-text>
</graphic>
</fig>
<p>Examples of software tools for feedback-based microscopy include AutoscanJ, for the detection of mitotic cells or chromosomal anomalies, based on the same principle of rescanning cells of interest, previously detected with lower magnification (<xref ref-type="bibr" rid="B341">341</xref>) or the real-time drift correction in intravital movies (<xref ref-type="bibr" rid="B342">342</xref>). In the field of RT-EM, a similar approach has been developed by SerialEM software (<xref ref-type="bibr" rid="B14">14</xref>) and its Python interface pyEM (<xref ref-type="bibr" rid="B343">343</xref>). This approach was used in the contests of immunological research to show, with tomographic reconstructions, that plasma cells in patients with multiple myeloma display elongated centrioles (<xref ref-type="bibr" rid="B344">344</xref>). Another application has been developed for combining light microscopy and FIB-SEM (<xref ref-type="bibr" rid="B336">336</xref>). In single-particle cryo-EM, automatic acquisition is even more important because thousands of images are needed to perform a structural reconstruction (<xref ref-type="bibr" rid="B17">17</xref>, <xref ref-type="bibr" rid="B345">345</xref>). In cryo-ET, machine learning approaches were used to fully automate <italic>in-situ</italic> cryo-ET workflow (<xref ref-type="bibr" rid="B346">346</xref>).</p>
<p>While some scripting tools, such as ImageJ macro language, are very popular in the bioimage analysis community (<xref ref-type="bibr" rid="B347">347</xref>), the complexity of back-end programming languages (e.g. C or Java) to develop software plugins may hinder the quick implementation of novel ideas. To facilitate the use of feedback microscopy, projects like Pycro-Manager (<xref ref-type="bibr" rid="B348">348</xref>) or pymmcore<xref ref-type="fn" rid="fn2">
<sup>2</sup>
</xref> have been created to implement translation layers between programming languages (in this case, Python can be used to write scripts rather than Java). On the other hand, the Open-Source Hardware (OSH) movement has allowed the implementation of cheaper solutions for image acquisition compared to proprietary microscopy software. Projects like Micro-Manager (<xref ref-type="bibr" rid="B349">349</xref>) to control microscope hardware have revolutionised the field, decoupling the need for commercial licences to operate devices from the mere possession of the equipment. In addition to gaining control of microscopy equipment, the possibility to trigger and modulate the image acquisition with plug-in electronics, for example based on Arduino<xref ref-type="fn" rid="fn3">
<sup>3</sup>
</xref> or Raspberry Pi<xref ref-type="fn" rid="fn4">
<sup>4</sup>
</xref> development boards, has widened the possibilities to customise every microscopy platform. However, technology development requires the developers or early adopters to carry the risks of investing resources in technologies that might have limited or delayed benefits. Then, the advantage has to be identified either in the reduced cost of existing open technology or in access to bleeding-edge techniques, which might be rewarded in terms of scientific publications (<xref ref-type="bibr" rid="B350">350</xref>).</p>
<p>Finally, Computer-Aided Design (CAD) for machining or 3D printing of microscope components or auxiliary devices has improved the use of resources to run microscopy experiments. Examples include the open optical setup of light-sheet system openSPIM (<xref ref-type="bibr" rid="B351">351</xref>), the possibility of fully 3D printing experimental tools or the wide database of open hardware projects developed by the imaging community (for example, by the LIBRE hub<xref ref-type="fn" rid="fn5">
<sup>5</sup>
</xref>). These can include accessories such as syringe injection motors, sample supports, frames for optical filters, enabling components based on electronics (<xref ref-type="bibr" rid="B352">352</xref>), or even part of the microscope body, etc. (<xref ref-type="bibr" rid="B353">353</xref>). The adoption of OSS or OSH solutions is also strictly dependent on their discoverability, modularity, and the standardisation of the software interface (<xref ref-type="bibr" rid="B354">354</xref>).</p>
<p>The revolution of openness in scientific software and hardware is not necessarily in opposition to the business model of microscopy companies (<xref ref-type="bibr" rid="B355">355</xref>). In fact, at the request of bioimaging researchers, many companies offer support for the use of open software, such as OMERO (supported by Glencoe<xref ref-type="fn" rid="fn6">
<sup>6</sup>
</xref>
<xref ref-type="bibr" rid="B356">356</xref>), or have opened part of the software by offering an API to interact with some of the GUI modules, such as Zeiss<xref ref-type="fn" rid="fn7">
<sup>7</sup>
</xref> with APEER platform for deep learning (<xref ref-type="bibr" rid="B357">357</xref>) or Abberior<xref ref-type="fn" rid="fn8">
<sup>8</sup>
</xref> with the possibility to reprogram the hardware configuration (<xref ref-type="bibr" rid="B358">358</xref>). In addition to the highly beneficial effect on the broader research community, we believe that companies can also benefit from the openness of both software and hardware. This applies whether resources for science are scarce or research is well funded, because there is always a business model that can be adapted to provide a service for less experienced users (<xref ref-type="bibr" rid="B355">355</xref>), and the wide adoption of open imaging solutions by companies enlarges potential customer markets.</p>
<p>The need for openness is even more pressing when AI solutions are implemented, as AI methods are inherently based on probability and as such not prone to reproducibility, and often the general audience employs such methods without a thorough understanding of their applicability and limitations. The second part of this Review aims to clarify some of the concepts and uses of AI for microscopy and immunology.</p>
</sec>
</sec>
<sec id="s3">
<label>3</label>
<title>Artificial intelligence for microscopy with applications in immunology and virology</title>
<sec id="s3_1">
<label>3.1</label>
<title>Historical introduction to AI</title>
<p>The concept of artificial intelligence takes root in Leibniz&#x2019;s <italic>characteristica universalis</italic>, a common unified language of pure thought in which every language could be translated, and in <italic>calculus ratiocinator</italic>, a machine capable of replicating that language (<xref ref-type="bibr" rid="B359">359</xref>). Computers were meant to take a set of rules and input data and return some output, but could they think autonomously or even generate novel ideas (<xref ref-type="bibr" rid="B360">360</xref>)? This question is still guiding research in the AI field. In the 1940s and 1950s, progress in computational capacity motivated people to explore applications in the domain of pattern recognition, where the human brain excelled. In a seminal paper, McCulloch and Pitts (<xref ref-type="bibr" rid="B361">361</xref>) proposed the model of a network that took inspiration from the structure of the brain. This network was composed of a single input and output neuron, with an activation state that would contribute to the final output of the network. Later, developments on this original idea extended network complexity to a multi-layer network (<xref ref-type="bibr" rid="B362">362</xref>) and developed algorithms to train networks with more than one layer (backpropagation, <xref ref-type="bibr" rid="B363">363</xref>&#x2013;<xref ref-type="bibr" rid="B365">365</xref>).</p>
<p>In today&#x2019;s technologies, artificial Neural Networks (NN) are built from a collection of nodes (neurons), operating a set of transformations on the input data to learn different representations of it. Nodes can be aggregated in layers and are connected by activation functions (synapses) computing a weighted sum of their input data. When the NN is trained, some connections get stronger, causing them to acquire a higher weight, while others get weaker, thus reducing their weight. So, NN training is essentially a problem of optimisation of parameters (<xref ref-type="bibr" rid="B366">366</xref>, <xref ref-type="bibr" rid="B367">367</xref>). Training occurs iteratively: at each cycle, the network&#x2019;s weights are optimised, and a loss function &#x2014; an objective measure of training success &#x2014; is measured (<xref ref-type="bibr" rid="B368">368</xref>). This process continues until a stopping point, such as reaching a specified value of the loss function or after a certain number of iterations. A network may perform poorly because of lack of convergence to validation data (underfitting) or lack of generalizability (overfitting). The choice of loss function is an important part of model design (<xref ref-type="bibr" rid="B369">369</xref>), along with the definition of layers and their connection types, which are collectively referred to as network architecture. For example, annotated tumour areas in tissue slices are used as ground truth, and the NN predicts which areas could be classified as tumour in the same slice (<xref ref-type="bibr" rid="B370">370</xref>). The loss function estimates how precisely the network predicts tumour areas. After the training phase, the network is applied to predict labels (tumour or healthy) on new tissue slices.</p>
</sec>
<sec id="s3_2">
<label>3.2</label>
<title>Machine learning or deep learning?</title>
<p>Machine learning (ML) is a subfield of AI (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3A</bold>
</xref>) that enables systems to learn from data without being explicitly programmed. It focuses on building models or algorithms that can make predictions or decisions by identifying patterns in the data and using them to improve performance over time (<xref ref-type="bibr" rid="B378">378</xref>). There are four main types of ML approaches: supervised, unsupervised, self-supervised, and reinforcement learning. Supervised learning is trained on a previously labelled data set that represents <italic>bona fide</italic> the desired outcome, so both the input and desired output are known. This highlights the importance of preparing a training data set that is most representative of the desired outcome, a simple task in principle but one that should be performed with great care (<xref ref-type="bibr" rid="B379">379</xref>). By contrast, unsupervised learning finds a structure from the data itself without any prior labelling information. This is a commonly employed technique when unbiasedly clustering information (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3B</bold>
</xref>: middle row) and grouping differences in classes. For example, k-means clustering or Principal Component Analysis (PCA, <xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3B</bold>
</xref>: middle row) belong to this category. Self-supervised learning finds a classification by predicting or completing parts of its input, creating labels automatically from unlabelled data. For example, a self-supervised model has been developed to automatically learn semantic relationships between genomic data and improve tasks such as gene annotation or the role of polymorphisms (<xref ref-type="bibr" rid="B380">380</xref>). Lastly, Reinforcement Learning (RL, <xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3B</bold>
</xref>: bottom row) involves an agent interacting with an environment and learning through trial and error. It&#x2019;s often used in broad AI tasks, such as AI-assisted game-playing and autonomous driving systems (<xref ref-type="bibr" rid="B376">376</xref>). Any ML workflow comprises a set of input data, a model architecture, and one or more loss functions. ML models can range from low-complexity models with few layers of data transformation &#x2013; shallow learning &#x2013; to higher complexity models involving many layers and many connections between them &#x2013; deep learning.</p>
<fig id="f3" position="float">
<label>Figure&#xa0;3</label>
<caption>
<p>Difference between Artificial Intelligence, Machine Learning, and Deep Learning and examples of methods applicable to microscopy and image analysis. <bold>(A)</bold> The field of Artificial Intelligence <bold>(AI)</bold> builds on several disciplines, such as mathematics, physics, biology, and electronics. AI includes a vast collection of computational methods and includes methods categorised as Machine Learning (ML). The latter includes a subcategory defined as Deep Learning (DL). The boundaries between AI, ML, and DL categories should be considered quite permeable as techniques are shared and new hybrid methods are developed. <bold>(B)</bold> Examples of DL, ML, and AI methods (text on top of the squares) with application to immunological imaging (text on the bottom of the squares). in this figure, the same acronym is used for the singular and plural names of each method. From left to right, for DL: Convolutional Neural Networks (CNN) such as StarDist (<xref ref-type="bibr" rid="B371">371</xref>) can be used for crowded nuclei segmentation, Feed-Forward Neural Networks (FFNN) that have been adopted for cell counting (<xref ref-type="bibr" rid="B372">372</xref>), Autoencoder networks (AE) that have been used for several analytical tasks such as denoising and spatial interpolation in spatial omics data (<xref ref-type="bibr" rid="B373">373</xref>). For ML, from left to right: Clustering methods such as DBSCAN for Single Molecule Localisation Microscopy, Decision Tree methods like random forest for cell classification (<xref ref-type="bibr" rid="B322">322</xref>), Principal Components Analysis (PCA) for dimensionality reduction in data analysis including multiple cell measurements (<xref ref-type="bibr" rid="B374">374</xref>). For AI, from left to right: Natural Language Processing (NLP) for data mining and code generation (<xref ref-type="bibr" rid="B375">375</xref>), Reinforcement Learning (RL) for autonomous improvement of AI models and hardware control (<xref ref-type="bibr" rid="B376">376</xref>), and Generative Adversarial Networks (GAN) used for data augmentation to improve the efficiency of image segmentation and interpolation of imaging data sets (<xref ref-type="bibr" rid="B377">377</xref>).</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-16-1610345-g003.tif">
<alt-text content-type="machine-generated">Diagram illustrating the hierarchy and applications of AI, ML, and DL. Part A shows AI encompassing ML, which includes DL. Part B lists applications: DL methods (CNN, FFNN, AE) for tasks like nuclear segmentation and cell counting; ML techniques (Clustering, Decision Tree, PCA) used for microscopy and classification; AI methods (NLP, RL, GAN) for code generation, robotic handling, and data augmentation.</alt-text>
</graphic>
</fig>
<p>Deep learning (DL) is a subfield of machine learning (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3A</bold>
</xref>) where many layers of data representation are connected to create a complex model with multiple levels of abstraction. Even though many foundational concepts and algorithms have been developed in the twentieth century, practical advancements in DL are relatively recent. Three practical steps have contributed to these advancements and to a general renaissance in the field of AI (<xref ref-type="bibr" rid="B368">368</xref>). First, the development of small yet significant algorithms enhanced how these deep stacks of layers can be interconnected (<xref ref-type="bibr" rid="B366">366</xref>, <xref ref-type="bibr" rid="B367">367</xref>). Second, bigger storage was available to host the growing training data sets. Lastly, cheaper hardware increased computational power. In fact, DL models are based on simple additions and multiplications of big multi-dimensional arrays of data (called &#x201c;tensors&#x201d; in mathematics), and these operations can be easily parallelised. The development of powerful graphical units (GPUs), originally designed to improve the gaming experience but with the ability to be programmed for massively parallelised calculations and scientific computing, led to the implementation of GPU-based NNs (<xref ref-type="bibr" rid="B381">381</xref>, <xref ref-type="bibr" rid="B382">382</xref>). Today, along with gaming GPUs, researchers can also leverage dedicated GPUs, optimised for DL tasks, and specialised hardware such as tensor processing units (TPUs), with the potential for requiring less computational resources and becoming an integral part of all domains of science, including microscopy. However, practical implementation of these networks still requires programming skills, with Python being the primary development language; popular frameworks include Tensorflow/Keras (<xref ref-type="bibr" rid="B368">368</xref>) and Pytorch (<xref ref-type="bibr" rid="B383">383</xref>). DL algorithms are affected by hardware bottlenecks in steps that are not hardware accelerated, therefore some attempts have been made to leverage alternative electronics boards like field-programmable gate array (FPGA, <xref ref-type="bibr" rid="B384">384</xref>), which offer the flexibility of reconfigurable circuitry. For applications requiring low power consumption, FPGA have shown to be from 3 to 5 times more efficient than GPU per processed image, for tasks such as image compression (<xref ref-type="bibr" rid="B385">385</xref>). The advent of &#x201c;liquid&#x201d; and more efficient hardware such as FPGA will dictate the pace by which AI methods are implemented in microscopy and other fields.</p>
<p>To conclude, ML and DL techniques include computational systems capable of learning from data. Shallow ML systems continue to be utilised for their rapid training, minimal computational resource requirements, and low complexity, allowing for a complete understanding of how they operate. In contrast, DL systems require significantly more computing resources but have considerably higher capabilities, thus aiding all areas of microscopy, from experimental design to image acquisition, analysis, and data mining (<xref ref-type="bibr" rid="B386">386</xref>). These two types of systems are often used together in algorithms mixing classic programming, traditional ML, and DL according to the task (this permeability is reflected in the dashed lines of <xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3A</bold>
</xref>).</p>
</sec>
<sec id="s3_3">
<label>3.3</label>
<title>Image-based machine learning</title>
<p>Image-based ML methods can preprocess images or segment, detect, and track objects within multidimensional microscopy images. The most used approach is supervised learning, which employs a manually segmented data set to train the model. Traditional, shallow ML techniques for image segmentation include Support Vector Machines (SVM) and Decision Tree classification (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3B</bold>
</xref>: middle row). Such ML models can yield good results across various applications and are featured in numerous open-source image analysis platforms (ilastik (<xref ref-type="bibr" rid="B322">322</xref>), Fiji/ImageJ with WEKA (<xref ref-type="bibr" rid="B387">387</xref>) and LABKIT plugins (<xref ref-type="bibr" rid="B388">388</xref>), QuPath (<xref ref-type="bibr" rid="B332">332</xref>), CellProfiler (<xref ref-type="bibr" rid="B323">323</xref>), MIB (<xref ref-type="bibr" rid="B389">389</xref>). They are user-friendly, can be used even without programming experience, and demand fewer computational resources compared to DL (<xref ref-type="bibr" rid="B388">388</xref>).</p>
<p>On the other hand, DL approaches for image processing have expanded the range of problems that can be solved (<xref ref-type="bibr" rid="B366">366</xref>). In the case of image-based methods, they are primarily employing a type of NN called Convolutional Neural Network (CNN, <xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3B</bold>
</xref>: top row, <xref ref-type="bibr" rid="B359">359</xref>, <xref ref-type="bibr" rid="B379">379</xref>). CNNs use layers to extract hierarchical representations of input data, in a way similar to how we learn information on an object by viewing it from different distances or angles. These layers implement two data processing functions: the convolutional filter (hence the name) and the max pooling function. Convolutional filters act like a magnifying glass that scans an input image while applying different kernels (a small matrix) to the image at each position. These kernels help identify specific features within the image, such as edges or corners. The result of this operation is referred to as a feature map, which highlights where these features exist in the image. Max Pool operations are used after convolutional layers to reduce the spatial size of the data while retaining important information, thereby making the network more efficient for computational analysis. Here, we will survey the landscape of current applications of image-based DL methods to the microscopy modalities that we previously discussed, highlighting, where existing, their applications to immunology or virology (<xref ref-type="table" rid="T1">
<bold>Table&#xa0;1</bold>
</xref>).</p>
<p>A major theme in DL applications to many microscopy techniques has been finding ways to increase the wealth of extracted information and overcoming the limitations of the specific techniques, such as increasing resolution without sacrificing acquisition speed. In cryo-ET, DL has been used to learn structural information from single-particle cryo-ET analysis (<xref ref-type="bibr" rid="B390">390</xref>) or to achieve isotropic resolution without the need for sub-tomogram averaging (<xref ref-type="bibr" rid="B391">391</xref>). In single-particle cryo-EM, DL aided particle model-building by creation of intermediate-resolution maps (<xref ref-type="bibr" rid="B392">392</xref>) or model building automation (<xref ref-type="bibr" rid="B393">393</xref>). In virology, DL with single-particle cryo-EM has been instrumental to the characterization of tegument architecture in human cytomegalovirus (<xref ref-type="bibr" rid="B394">394</xref>). In super-resolution, and specifically in localisation microscopy, DL has been used to increase the acquisition speed, by reducing the number of images needed to reconstruct the structures of interest (<xref ref-type="bibr" rid="B109">109</xref>), or to help in localising multiple adjacent emitters in 3D, thus improving volumetric reconstructions (<xref ref-type="bibr" rid="B110">110</xref>). In immunology, DL with STED has been applied to identify Zika virus reorganization of the endoplasmic reticulum (<xref ref-type="bibr" rid="B111">111</xref>). In SIM microscopy, DL can increase resolution and speed (<xref ref-type="bibr" rid="B395">395</xref>&#x2013;<xref ref-type="bibr" rid="B397">397</xref>), thus better capturing live-cell events with lower phototoxicity. In confocal and spinning-disk microscopy, DL can increase image resolution (<xref ref-type="bibr" rid="B113">113</xref>, <xref ref-type="bibr" rid="B117">117</xref>), reduce optical aberrations (<xref ref-type="bibr" rid="B114">114</xref>), and improve FLIM lifetime determination with low photon budget, as in fast live-cell imaging (<xref ref-type="bibr" rid="B115">115</xref>). In TIRF, DL helped in improving single molecule FRET (smFRET) by analysing single molecule traces (<xref ref-type="bibr" rid="B112">112</xref>). In wide-field microscopy, DL was used to enhance the resolution and optical sectioning capabilities (<xref ref-type="bibr" rid="B30">30</xref>, <xref ref-type="bibr" rid="B123">123</xref>, <xref ref-type="bibr" rid="B124">124</xref>), yielding confocal resolution while improving speed. In intravital, microscopy, DL approaches combined with two-photon excitation and adaptive-optics aberration correction have improved subcellular resolution without sacrificing acquisition speed (<xref ref-type="bibr" rid="B133">133</xref>). Finally, DL has been applied to light-sheet microscopy for physics-informed deconvolution, i.e. a combination of DL with optical information on the microscope setup (<xref ref-type="bibr" rid="B134">134</xref>). In light-sheet and confocal microscopy, DL also provided axial resolution enhancement, by learning from unpaired high-resolution, 2D confocal images and low-resolution 2D images from other planes (<xref ref-type="bibr" rid="B113">113</xref>).</p>
<p>Methods to improve resolution, signal or speed often apply to a specific imaging modality and do not translate well to other image modalities. Recent DL models have tried to provide a more general approach, for example when restoring fluorescence images from all imaging modalities (<xref ref-type="bibr" rid="B398">398</xref>), improving resolution without additional data acquisition (<xref ref-type="bibr" rid="B399">399</xref>), interpolating images between frames (<xref ref-type="bibr" rid="B400">400</xref>) or when performing object detection (<xref ref-type="bibr" rid="B401">401</xref>).</p>
<p>Major limitations of fluorescence microscopy are photobleaching, phototoxicity and limited speed when acquiring multiple channels. DL methods can overcome these limitations by providing <italic>in-silico</italic> labelling of transmitted light images (<xref ref-type="bibr" rid="B126">126</xref>&#x2013;<xref ref-type="bibr" rid="B129">129</xref>). For example, DL with <italic>in-silico</italic> labelling of brightfield images has been used to improve the tracking in chemotaxis experiments (<xref ref-type="bibr" rid="B131">131</xref>), or to predict the lineage choice of differentiating hematopoietic progenitors (<xref ref-type="bibr" rid="B130">130</xref>). Finally, DL has been applied to phase, label-free imaging (<xref ref-type="bibr" rid="B125">125</xref>), or to achieve fast, volumetric live-cell microscopy of bioluminescent probes (<xref ref-type="bibr" rid="B402">402</xref>). In immunology, DL with optical diffraction tomography has been instrumental for label-free tracking of immunological synapse of CAR-T cells (<xref ref-type="bibr" rid="B403">403</xref>).</p>
<p>DL methods are now widely used for preprocessing, segmentation, detection and tracking tasks (<xref ref-type="bibr" rid="B379">379</xref>, <xref ref-type="bibr" rid="B404">404</xref>). In image preprocessing, DL models are extensively used to denoise fluorescence images, as indicated by the many examples in the literature (<xref ref-type="bibr" rid="B290">290</xref>, <xref ref-type="bibr" rid="B398">398</xref>, <xref ref-type="bibr" rid="B405">405</xref>&#x2013;<xref ref-type="bibr" rid="B414">414</xref>). In immunology, DL denoising was instrumental to improve contrast in Imaging Mass Cytometry, thus helping in characterizing the phenotype of immune populations in human bone marrow samples (<xref ref-type="bibr" rid="B415">415</xref>). DL helped in separating channels for filter-free imaging (<xref ref-type="bibr" rid="B125">125</xref>, <xref ref-type="bibr" rid="B416">416</xref>, <xref ref-type="bibr" rid="B417">417</xref>), and to assist tracking by improving linking accuracy (<xref ref-type="bibr" rid="B316">316</xref>, <xref ref-type="bibr" rid="B320">320</xref>, <xref ref-type="bibr" rid="B418">418</xref>). Also, DL is aiding cell phenotyping from multiplex immunohistochemistry images, for example to characterize tumour microenvironment in lung cancer (<xref ref-type="bibr" rid="B121">121</xref>) or pancreatic ductal adenocarcinoma (<xref ref-type="bibr" rid="B122">122</xref>). Finally, DL models can assess the quality of fluorescence images and identify artefacts (<xref ref-type="bibr" rid="B419">419</xref>). Moreover, DL has been applied to denoise low-dose cryo-TEM images (<xref ref-type="bibr" rid="B420">420</xref>).</p>
<p>DL is employed in supervised cell segmentation, such as in the case of general models U-Net (<xref ref-type="bibr" rid="B421">421</xref>), StarDist (<xref ref-type="bibr" rid="B371">371</xref>), Cellpose (<xref ref-type="bibr" rid="B422">422</xref>) and Segment-Anything Model (SAM) models (<xref ref-type="bibr" rid="B423">423</xref>, <xref ref-type="bibr" rid="B424">424</xref>), which are available as plugins in many open-source and proprietary image analysis software. Specialised models tackle intracellular organelle segmentation (<xref ref-type="bibr" rid="B327">327</xref>, <xref ref-type="bibr" rid="B425">425</xref>), segmentation of extracellular vesicles in TEM (<xref ref-type="bibr" rid="B103">103</xref>), HIV-1 virions in TEM (<xref ref-type="bibr" rid="B104">104</xref>) or mitochondria in FIB-SEM (<xref ref-type="bibr" rid="B426">426</xref>). In immunology and virology, DL has been applied to FIB-SEM images of SARS-CoV2 patient-derived platelets to segment &#x3b1;-granules or mitochondria (<xref ref-type="bibr" rid="B105">105</xref>). Ligh-sheet microscopy of lungs together with DL-based analysis allowed the spatial profiling of nanoparticle delivery to alveolar macrophages (<xref ref-type="bibr" rid="B135">135</xref>). Image segmentation is a challenging part of image analysis in multiplex imaging, where cells are often densely packed. In this case, DL was employed to perform cell segmentation, thus improving single-cell feature extraction (<xref ref-type="bibr" rid="B118">118</xref>, <xref ref-type="bibr" rid="B119">119</xref>), or to perform a detection-based classification, therefore providing phenotypic analysis without segmentation (<xref ref-type="bibr" rid="B120">120</xref>).</p>
<p>In detection tasks from fluorescence images, DL helped in recognizing apoptotic cells from intravital multiphoton movies (<xref ref-type="bibr" rid="B427">427</xref>), phototoxicity in widefield time-lapse experiments (<xref ref-type="bibr" rid="B428">428</xref>) or, together with widefield high-content screening, to detect virus-infected cells and predict if they will follow a lytic or non-lytic infection (<xref ref-type="bibr" rid="B429">429</xref>). Furthermore, DL with confocal microscopy helped in classifying expression of TLRs from PBMCs of HIV-positive patients under ART therapy (<xref ref-type="bibr" rid="B430">430</xref>). In cryo-ET, CNNs are helping annotation and feature extraction for <italic>in situ</italic> identification of structures of the molecular components of interest (<xref ref-type="bibr" rid="B431">431</xref>), or template matching, i.e. detection of objects with an arbitrary shape, which is the most widely used approach in cryo-ET for particle picking (<xref ref-type="bibr" rid="B106">106</xref>). Still in cryo-ET, DL has been applied for finding macromolecules in cellular 3D tomograms (<xref ref-type="bibr" rid="B28">28</xref>). DL detection algorithms can also support feedback microscopy in real time (<xref ref-type="bibr" rid="B432">432</xref>) by automatically detecting events to guide acquisition, generate feedback, and predict cell fate.</p>
<p>In tracking, CNNs with intravital multiphoton microscopy have been used to accurately measure the position and shape of CD4+ T cells interacting with plasmacytoid dendritic cells <italic>in vivo</italic>, aiming to study interaction differences in lupus nephritis (<xref ref-type="bibr" rid="B132">132</xref>) or to link cell tracks in intravital imaging of leukocytes (<xref ref-type="bibr" rid="B433">433</xref>).</p>
<p>One of the limitations of supervised learning is the generation of accurate training data sets, which is, in most cases, a manual task that can be time-consuming and still prone to bias. A possible approach to overcoming this limitation is the use of self-supervised methods. For example, information from the OpenCell database was used to cluster proteins into organelles and individual protein complexes (<xref ref-type="bibr" rid="B434">434</xref>). Similarly, in another study DL was used to segment mitochondria, based on a training data set that was generated with DL (<xref ref-type="bibr" rid="B435">435</xref>). Such simulation-supervised approach could be, in principle, generalisable to other organelles or even to cellular segmentation in tissues. Self-supervised or weakly supervised models are also employed for cancer prognosis and diagnosis in pathology slides (<xref ref-type="bibr" rid="B436">436</xref>).</p>
<p>Overall, image-based DL methods are assisting a wide range of microscopy techniques in tasks from acquisition to image analysis and data extraction (<xref ref-type="table" rid="T2">
<bold>Table&#xa0;2</bold>
</xref>). Many of the above examples are widely applicable to different types of samples, including those related to immunology or virology.</p>
<table-wrap id="T2" position="float">
<label>Table&#xa0;2</label>
<caption>
<p>Examples of AI approaches for selected tasks.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="middle" align="left">Task</th>
<th valign="middle" align="left">Examples of AI approaches</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">User-friendly segmentation of cells or organelles</td>
<td valign="top" align="left">Traditional ML techniques (<xref ref-type="bibr" rid="B322">322</xref>, <xref ref-type="bibr" rid="B332">332</xref>, <xref ref-type="bibr" rid="B387">387</xref>&#x2013;<xref ref-type="bibr" rid="B389">389</xref>) or DL plugins (<xref ref-type="bibr" rid="B371">371</xref>, <xref ref-type="bibr" rid="B422">422</xref>, <xref ref-type="bibr" rid="B423">423</xref>) within common image analysis platforms</td>
</tr>
<tr>
<td valign="top" align="left">
<italic>In-silico</italic> labelling of transmitted light images</td>
<td valign="top" align="left">(<xref ref-type="bibr" rid="B126">126</xref>&#x2013;<xref ref-type="bibr" rid="B129">129</xref>, <xref ref-type="bibr" rid="B131">131</xref>)</td>
</tr>
<tr>
<td valign="top" align="left">Cell segmentation in multiplex imaging</td>
<td valign="top" align="left">Segmentation-based approaches (<xref ref-type="bibr" rid="B118">118</xref>, <xref ref-type="bibr" rid="B437">437</xref>) or segmentation-free phenotyping (<xref ref-type="bibr" rid="B120">120</xref>)</td>
</tr>
<tr>
<td valign="top" align="left">Resolution enhancement</td>
<td valign="top" align="left">In confocal (<xref ref-type="bibr" rid="B113">113</xref>) or super-resolution localisation microscopy (<xref ref-type="bibr" rid="B109">109</xref>, <xref ref-type="bibr" rid="B110">110</xref>), and SIM microscopy (<xref ref-type="bibr" rid="B299">299</xref>, <xref ref-type="bibr" rid="B395">395</xref>&#x2013;<xref ref-type="bibr" rid="B397">397</xref>, <xref ref-type="bibr" rid="B411">411</xref>)</td>
</tr>
<tr>
<td valign="top" align="left">Increasing acquisition speed</td>
<td valign="top" align="left">DL to reduce the number of acquired planes (<xref ref-type="bibr" rid="B202">202</xref>, <xref ref-type="bibr" rid="B438">438</xref>) or provide virtual optical sectioning from widefield microscopy (<xref ref-type="bibr" rid="B30">30</xref>, <xref ref-type="bibr" rid="B123">123</xref>, <xref ref-type="bibr" rid="B124">124</xref>)</td>
</tr>
<tr>
<td valign="top" align="left">Detection of phototoxicity in live-cell imaging experiments</td>
<td valign="top" align="left">Detection of apoptotic cells (<xref ref-type="bibr" rid="B427">427</xref>), evaluation of phototoxicity (<xref ref-type="bibr" rid="B428">428</xref>)</td>
</tr>
<tr>
<td valign="top" align="left">Denoising of fluorescent images</td>
<td valign="top" align="left">(<xref ref-type="bibr" rid="B290">290</xref>, <xref ref-type="bibr" rid="B398">398</xref>, <xref ref-type="bibr" rid="B405">405</xref>&#x2013;<xref ref-type="bibr" rid="B414">414</xref>)</td>
</tr>
<tr>
<td valign="top" align="left">Improving linking accuracy in tracking</td>
<td valign="top" align="left">(<xref ref-type="bibr" rid="B316">316</xref>, <xref ref-type="bibr" rid="B320">320</xref>, <xref ref-type="bibr" rid="B418">418</xref>)</td>
</tr>
<tr>
<td valign="top" align="left">Clustering of phenotypes or behaviours of immune cells</td>
<td valign="top" align="left">Traditional ML for phenotyping multiplex images (<xref ref-type="bibr" rid="B206">206</xref>, <xref ref-type="bibr" rid="B439">439</xref>). DL for clustering phenotypes in high-content screening (<xref ref-type="bibr" rid="B374">374</xref>). DL to cluster behaviours from intravital cell dynamics (<xref ref-type="bibr" rid="B440">440</xref>)</td>
</tr>
<tr>
<td valign="top" align="left">Integrating microscopy data with multi-omics</td>
<td valign="top" align="left">(<xref ref-type="bibr" rid="B29">29</xref>, <xref ref-type="bibr" rid="B441">441</xref>, <xref ref-type="bibr" rid="B442">442</xref>)</td>
</tr>
<tr>
<td valign="top" align="left">Dialoguing with imaging data and software</td>
<td valign="top" align="left">(<xref ref-type="bibr" rid="B443">443</xref>)</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>The table summarises the main approaches employing traditional ML or DL for selected tasks in image analysis and immune phenotyping.</p>
</fn>
</table-wrap-foot>
</table-wrap>
</sec>
<sec id="s3_4">
<label>3.4</label>
<title>Data-based machine learning</title>
<p>Data-based ML can analyse, interpret, and learn from data. In this Review, we refer to data-based methods as the ones that can be applied generally to numerical or categorical data without the specific need for data to be generated with imaging techniques. For example, data-based ML is used in microscopy when clustering data extracted from images with the previously described image-based methods (<xref ref-type="bibr" rid="B442">442</xref>, <xref ref-type="bibr" rid="B444">444</xref>), or when combining information from microscopy with text data generated with other methodologies, such as genomics or proteomics data (<xref ref-type="bibr" rid="B445">445</xref>). These tasks can be approached using traditional, shallow ML or DL.</p>
<p>Techniques using traditional ML include linear regression, logistic regression, and decision trees, such as Random Forest. For example, logistic regression was employed to predict MHC ligand, where a binding model and an antigen processing model were combined, and results were classified according to logistic regression score (<xref ref-type="bibr" rid="B446">446</xref>). Random forest was applied to analyse T cell-dendritic cell interaction in a lupus nephritis model (<xref ref-type="bibr" rid="B132">132</xref>).</p>
<p>Instead, unsupervised learning techniques are employed when the desired outcome is unknown or input data are not labelled. In this case, unsupervised learning can help clustering data in groups. Notable examples are the K-means, DBSCAN, and an unsupervised version of random forest algorithms (<xref ref-type="bibr" rid="B378">378</xref>). Clustering techniques have been used in high-throughput screenings to highlight differences between biological conditions when segmenting and measuring cells (<xref ref-type="bibr" rid="B374">374</xref>), or, in immunology, to cluster signatures and perform neighbourhood analysis in multiplex imaging in tissues (<xref ref-type="bibr" rid="B206">206</xref>, <xref ref-type="bibr" rid="B439">439</xref>, <xref ref-type="bibr" rid="B447">447</xref>) and single cells (<xref ref-type="bibr" rid="B246">246</xref>).</p>
<p>Another set of techniques, called dimensionality reduction, is used to group variables into &#x201c;super variables&#x201d;. Techniques falling in this category are PCA, t-SNE, and UMAP (<xref ref-type="bibr" rid="B378">378</xref>). Dimensionality reduction has been used to classify cell cycle and disease progression after feature extraction with CNNs (<xref ref-type="bibr" rid="B448">448</xref>), to segment touching cells in confocal and two-photon microscopy (<xref ref-type="bibr" rid="B449">449</xref>), to group clonal distribution of CD4+ T cells in gut epithelium following <italic>Listeria monocytogenes</italic> infection (<xref ref-type="bibr" rid="B450">450</xref>), or to obtain behavioural signatures of immune cells in intravital inflammation models, guiding the discrimination between pathogenic and non-pathogenic phenotypes (<xref ref-type="bibr" rid="B440">440</xref>). Also, dimensionality reduction techniques are essential in multiplex imaging when grouping cell phenotypes (<xref ref-type="bibr" rid="B240">240</xref>, <xref ref-type="bibr" rid="B451">451</xref>).</p>
<p>DL for data-based methods can employ different types of architecture depending on the purpose. An Autoencoder Network (AE) is a type of NN that learns to encode input data into a lower-dimensional representation and then decode it back into the original form, thus learning meaningful representations from the data. This can be helpful for tasks like dimensionality reduction or feature extraction. AE (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3B</bold>
</xref>: top row) has been used to combine low-dimensional representations of scRNA data, generated using large language models, with actual single-cell scRNA-seq data from different species to create a supergene classification that can bridge differences between individual single-cell experiments and different species (<xref ref-type="bibr" rid="B452">452</xref>), or to create deep generative models for spatial-omics analysis that can take into account the spatial relationship information (<xref ref-type="bibr" rid="B373">373</xref>). A Feed-forward neural network (FFNN, <xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3B</bold>
</xref>: top row) is another type of NN where information flows only in one direction (forward) through layers of interconnected nodes. FFNNs are commonly applied to regression and classification tasks, as they can learn complex non-linear relationships between inputs and outputs. For example, a feedforward network was used to classify cell tracks in 3D biomimetic gels of immune cells co-cultured with breast cancer cells in organ-on-chip (<xref ref-type="bibr" rid="B453">453</xref>).</p>
<p>Recurrent Neural Networks (RNNs) excel at processing sequential data like natural language text, where the context of previous words influences the use of subsequent ones. After dividing data into small chunks &#x2013; called tokens &#x2013;, RNNs process them recursively to generate the most likely information based on the previous information. For example, this type of network could predict the cell lineage of hematopoietic cells from brightfield images by extracting time signatures of cells from image features extracted with a CNN (<xref ref-type="bibr" rid="B130">130</xref>).</p>
<p>On the other hand, transformer networks weigh the importance of input tokens to construct a connection map without requiring sequential processing (<xref ref-type="bibr" rid="B454">454</xref>). They are at the basis of the Natural Language Processing (NLP, <xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3B</bold>
</xref>: bottom row) chatbots used today, such as ChatGPT, and are also called Large Language Models (LLMs). These tools can serve as a valuable resource aiding researchers in designing microscopy experiments (<xref ref-type="bibr" rid="B455">455</xref>) or drafting algorithms to implement the ML techniques described here. LLMs can be applied to data mining in scientific data sets, such as those generated from single-cell omics (as reviewed in <xref ref-type="bibr" rid="B456">456</xref>), and some attempts exist to apply it to bioimage analysis (<xref ref-type="bibr" rid="B443">443</xref>, <xref ref-type="bibr" rid="B457">457</xref>). We also foresee that these techniques will be increasingly integrated in microscopy hardware, for AI-assisted sample exploration and acquisition.</p>
<p>Another type of generative network is called Generative Adversarial Network (GAN, <xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3B</bold>
</xref>: bottom row). This network comprises two networks, one generating new data and the other evaluating its suitability as output. The generating network challenges the evaluating network, thus introducing an element of randomness and &#x201c;creativity&#x201d; in the output (<xref ref-type="bibr" rid="B458">458</xref>). This broad class of networks can be used to generate models of protein structures (the general AlphaFold (<xref ref-type="bibr" rid="B459">459</xref>) and its open version OpenFold (<xref ref-type="bibr" rid="B460">460</xref>), or a more specific version for proteins of the immune system (<xref ref-type="bibr" rid="B461">461</xref>)) or to reconstruct molecules from cryo-ET tomograms (<xref ref-type="bibr" rid="B390">390</xref>, <xref ref-type="bibr" rid="B462">462</xref>). Generative neural networks informed on the features of highly metastatic melanoma by &#x201c;reverse engineering&#x201d; a supervised CNN for cell classification. In this example, a CNN is initially trained on patient-derived melanoma xenografts to classify them based on their metastatic capability. Then, a generative neural network is used to create <italic>in silico</italic> cell images with exaggerated features, which are then used to analyse which features in the CNN are most prevalent (<xref ref-type="bibr" rid="B463">463</xref>). This approach is particularly intriguing as it uncovers new quantitative insights within the hidden features of DL, thereby providing information that could potentially lead to the generation of new scientific hypotheses.</p>
<p>In summary, we outlined some applications of data-based ML techniques for microscopy (<xref ref-type="table" rid="T2">
<bold>Table&#xa0;2</bold>
</xref>). The field is vibrant and complex, and evolving at a fast pace. Shallow ML and DL can be employed to cluster information and combine microscopy data with multi-omics data (<xref ref-type="bibr" rid="B29">29</xref>, <xref ref-type="bibr" rid="B441">441</xref>, <xref ref-type="bibr" rid="B442">442</xref>), or to predict molecular biomarkers from pathology images (<xref ref-type="bibr" rid="B464">464</xref>). These technologies could aid vaccine design, as outlined in Hederman and Ackerman (<xref ref-type="bibr" rid="B465">465</xref>) or to improve antibody design (<xref ref-type="bibr" rid="B466">466</xref>). As such, a dialogue between computer scientists, microscopists and immunologists is fundamental.</p>
</sec>
<sec id="s3_5">
<label>3.5</label>
<title>Impact of open-source software in AI deployment and democratization</title>
<p>AI can hugely facilitate the analysis of large image data sets and the characterisation of rare biological events. Because OSS solutions can rely on the contribution and critical judgement of the wide imaging community, they are indispensable for the development of trustable AI applications for bioimage analysis. In this regard, several software tools have been deployed during the past years, both as plugins for the major software GUI such as FIJI (StarDist (<xref ref-type="bibr" rid="B371">371</xref>), Cellpose (<xref ref-type="bibr" rid="B467">467</xref>), DeepImageJ (<xref ref-type="bibr" rid="B468">468</xref>)) or napari (SAM (<xref ref-type="bibr" rid="B423">423</xref>)), or as code notebooks (ZeroCostDL4Microscopy (<xref ref-type="bibr" rid="B335">335</xref>)).</p>
<p>In the previous sections, we outlined the main DL applications to analyse bioimage data, many of which are distributed as open-source software. Although some of these applications were not specifically developed with immunology in mind, their usage can significantly benefit immunological imaging. For instance, existing code can be adapted for specific biological questions, or their training data can be used to enhance other domain-specific DL models.</p>
<p>Furthermore, publicly available image databases are key in truly open-source AI models (<xref ref-type="bibr" rid="B469">469</xref>), as outlined by the Open-Source AI Definition<xref ref-type="fn" rid="fn9">
<sup>9</sup>
</xref>. In this sense, data sets specific to the immunological field (<xref ref-type="bibr" rid="B319">319</xref>), or for broader imaging purposes, such as the ones hosted on BioImage Archive (<xref ref-type="bibr" rid="B470">470</xref>), can constitute a valuable resource of image data to test AI software tools and foster immunological research. These data sets should follow the &#x201c;Findable, Accessible, Interoperable, Reusable&#x201d; (FAIR) principles (<xref ref-type="bibr" rid="B471">471</xref>).</p>
<p>Finally, the use of LLMs or other AI methods to aid software creation (<xref ref-type="bibr" rid="B443">443</xref>) will constitute an essential part of AI deployment and democratisation, as it empowers every scientist, even without programming experience, with the &#x201c;wisdom of the crowd&#x201d; provided by AI training data sets that can summarise a vast amount of human knowledge.</p>
</sec>
<sec id="s3_6">
<label>3.6</label>
<title>AI for instrument control</title>
<p>The role of AI for instrument control and automation can be delineated in at least two different ways: the first being the support of AI in automating the development of open-source code (<xref ref-type="bibr" rid="B443">443</xref>) for feedback microscopy, while the second involves utilising the AI-based methods described above to interpret the image data, thereby revealing information that can be used to redirect the acquisition process.</p>
<p>The use of open-source platforms Micro-Manager (<xref ref-type="bibr" rid="B349">349</xref>) or Pycro-Manager (<xref ref-type="bibr" rid="B348">348</xref>) for microscope control can be integrated with Python packages such as Scikit-Image<xref ref-type="fn" rid="fn10">
<sup>10</sup>
</xref> (<xref ref-type="bibr" rid="B472">472</xref>) for image segmentation and Scikit-Learn<xref ref-type="fn" rid="fn11">
<sup>11</sup>
</xref> (<xref ref-type="bibr" rid="B473">473</xref>) to run ML tasks and feed results back into the acquisition software. As a practical example, DL segmentation methods have been used to identify cells and set the correct acquisition parameters (<xref ref-type="bibr" rid="B474">474</xref>) or switch microscopy modality (<xref ref-type="bibr" rid="B31">31</xref>) to image immunological synapses. Furthermore, cost-effective open hardware facilitates possible integrations of the acquisition microscope with AI feedback tools, for example to control anaesthesia, temperature, and humidity in intravital imaging (similarly to approaches tested in the clinics, <xref ref-type="bibr" rid="B475">475</xref>, <xref ref-type="bibr" rid="B476">476</xref>), or correcting the state of the optical system by acting on adaptive optics to minimise the loss of signal (<xref ref-type="bibr" rid="B238">238</xref>).</p>
<p>The implementation of AI for instrument control is automating the execution of precise and complex hardware tasks, shifting the troublesome duties from the human to the machine. In our view, rather than totally delegating the control of the experiment and the handling of expensive instruments to the automatic agents (as a kind of hardware/software AI-equipped decision maker), the implementation of AI tools should work as advanced technology to help the human researcher in steering the course of the experiment. In this regard, the integration of large language models and feedback microscopy is foreseen as the future evolution of microscopy, where the user doesn&#x2019;t necessarily need to be highly skilled in all the aspects of microscope acquisition, hardware control, bioimage analysis: a microscopy platform could accept human language instructions and convert these into hardware control operations to provide the requested type of data sets (<xref ref-type="bibr" rid="B477">477</xref>).</p>
</sec>
</sec>
<sec id="s4" sec-type="discussion">
<label>4</label>
<title>Discussion</title>
<p>In this Review, we surveyed the primary applications of light and electron microscopy in immunology and virology for preclinical research, outlined the concepts of AI, ML, and DL, and explored their current uses in microscopy, image analysis, data analysis, and feedback microscopy. Although we mentioned studies employing microscopy and AI in immunology, the intersection of these fields remains largely unexplored. For instance, many of the tools discussed are designed for specific applications, and few attempt to integrate multiple imaging modalities or tasks. Lack of generalizability, when not due to training issues, is a major challenge in the current research on DL and microscopy. On this topic, Kawaguchi et&#xa0;al. showed that analytical insights into building more generalizable architectures could be drawn when using specific loss functions and concluded on the importance of human reasoning on the physical properties and engineering principles of the specific problem at hand (<xref ref-type="bibr" rid="B478">478</xref>). We believe this capability could arise either through AI-assisted multimodal visualisation or through a combination of direct visualisation and AI computational modelling of structures or dynamic events.</p>
<p>DL networks concatenate many hidden layers to generate a rich output, and although these layers are just composed of numbers and simple operations, understanding how the output relates with their inner functioning is exceptionally challenging. Also, the mathematical structure of DL makes it prone to hallucinations, i.e. the generation of plausible but incorrect output (<xref ref-type="bibr" rid="B479">479</xref>). These two problems could be seen as epistemically relevant if we treated the output as scientific knowledge in its own right, without further experimental verification (<xref ref-type="bibr" rid="B480">480</xref>). Rather than seeing this as a problem, we think that integrating DL with additional local data, for example from microscopy or other techniques, could enhance our ability to interrogate data and generate additional perspectives (<xref ref-type="bibr" rid="B27">27</xref>, <xref ref-type="bibr" rid="B481">481</xref>), potentially inspiring new scientific ideas, to be later supported by rigorous verification, or highlighting the limitations of current theories (<xref ref-type="bibr" rid="B482">482</xref>). Finally, the use of AI in real-time contexts requires an evaluation of the possible outcomes of AI hallucinations, with respect to model reliability and consistency. In this regard, the openness of the AI-decision making process, the integration with traditional techniques and a dialogue with the human researcher still have a prominent role.</p>
<p>While one might be tempted to attribute some level of understanding to AI models, it is essential to recognise that these models merely process numerical representations of data generated through mathematical transformations (<xref ref-type="bibr" rid="B368">368</xref>). As such, their ability to think is as limited as the size of the data set and the types of possible transformations. This highlights the importance of dataset preparation to achieve reliable outcomes, as well as the need of a community effort for more curated, freely accessible, &#x201c;FAIR&#x201d; (<xref ref-type="bibr" rid="B471">471</xref>) microscopy data. The careful evaluation of possible cognitive biases during curation of training datasets is very important (<xref ref-type="bibr" rid="B483">483</xref>). For example, researchers can assess the imbalance between classes, i.e. the under-representation of certain types of conditions during data generation, the uniformity of data acquisition across instruments or laboratories, the quality of annotations or the methods used for data augmentation (<xref ref-type="bibr" rid="B484">484</xref>). Also, the application of AI might require considerations about data privacy and the openness of AI models, especially when relying on external services for the AI processing. Steps to make AI more accessible and broaden its usage include creating efficient models that require less hardware resources and could be used on low-cost computers, or designing better user interfaces to guide the user in all the phases of AI implementation, such as with data quality assessment and data preparation, with the choice of NN architecture, with model validation and during model usage. For example, projects like DeepImageJ (<xref ref-type="bibr" rid="B468">468</xref>) and its model sharing platform BioImage Model Zoo<xref ref-type="fn" rid="fn12">
<sup>12</sup>
</xref> are going in this direction. Finally, a rigorous determination of the amount of scientific data needed to obtain reliable training is required, as well as techniques for performing automatic choice of DL architecture and training (<xref ref-type="bibr" rid="B485">485</xref>).</p>
<p>A cross-disciplinary approach that includes skills in biology, microscopy, electronics, and software programming is necessary for implementing AI-based hardware and software tools. This approach could help shaping open, local models with efficient use of hardware resources, to the benefit of real-time hardware control. To achieve this fully integrated use of AI tools, LLMs can help in data mining and code drafting tasks but are still limited in their capabilities to precisely manipulate factual knowledge, for example to provide advice on microscopy. A step towards more specific and fact-based AI tools is represented by Retrieval-Augmented Generation (RAG) models (<xref ref-type="bibr" rid="B486">486</xref>). Ideally a general model, for instance a chatbot such as BioImage.IO (<xref ref-type="bibr" rid="B455">455</xref>), could understand better the initial request for help posed by a human researcher (e.g. &#x201c;find the organelle in these cells&#x201d;) and could drive a more specialised model, for example a CNN, to perform specific tasks (e.g. segmenting specifically mitochondria).</p>
<p>Looking ahead, we can imagine a future where multiple AI models, or agents, could act on specific parts of the microscopy process (<xref ref-type="bibr" rid="B487">487</xref>). New DL agents could integrate fact-checked advice on experiment design with code generation models, AI-based hardware control and analysis models, to assist the user across the whole research cycle. Integrating AI, imaging data science and microscopy automation will allow the automatic monitoring of the sample, the detection of anomalies, and the adaptive change of hardware to guide the acquisition of key biological events, thus enhancing our visualisation capabilities across scales and our systemic understanding of the immune system.</p>
</sec>
</body>
<back>
<sec id="s5" sec-type="author-contributions">
<title>Author contributions</title>
<p>DM: Writing &#x2013; review &amp; editing, Writing &#x2013; original draft, Conceptualization. RD: Conceptualization, Writing &#x2013; review &amp; editing, Writing &#x2013; original draft.</p>
</sec>
<sec id="s6" sec-type="funding-information">
<title>Funding</title>
<p>The author(s) declare that financial support was received for the research and/or publication of this article. This work was supported by the Institute for Research in Biomedicine, which receives core funding from the Helmut Horten Foundation. This work was supported by the Francis Crick Institute, which receives its core funding from Cancer Research UK (CC1069), the UK Medical Research Council (CC1069) and the Wellcome Trust (CC1069).</p>
</sec>
<ack>
<title>Acknowledgments</title>
<p>We would like to thank our reviewers and Tess Brodie, Jakson Luk, Andrea Raimondi, Laura Sironi, Marcus Thelen for critical reading and feedback on this manuscript. We apologise to the many authors whose studies we could not cite due to space constraints. This Review was written by humans, based on the rewarding form of reinforcement learning that is working as facility staff in a microscopy unit. We thank all our numerous users for proposing us new challenges in microscopy and bioimage analysis every day. At the same time, we would like to thank all the colleagues and supervisors that we met during our careers for what they taught us. We hope that they also got something in exchange for the human interaction, which we think will always be fundamental in science.</p>
</ack>
<sec id="s7" sec-type="COI-statement">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec id="s8" sec-type="ai-statement">
<title>Generative AI statement</title>
<p>The author(s) declare that no Generative AI was used in the creation of this manuscript.</p>
<p>Any alternative text (alt text) provided alongside figures in this article has been generated by Frontiers with the support of artificial intelligence and reasonable efforts have been made to ensure accuracy, including review by the authors wherever possible. If you identify any issues, please contact us.</p>
</sec>
<sec id="s9" sec-type="disclaimer">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<fn-group>
<fn id="fn1">
<label>1</label>
<p>
<ext-link ext-link-type="uri" xlink:href="https://www.rstudio.com">https://www.rstudio.com</ext-link>
</p>
</fn>
<fn id="fn2">
<label>2</label>
<p>
<ext-link ext-link-type="uri" xlink:href="https://github.com/micro-manager/pymmcore">https://github.com/micro-manager/pymmcore</ext-link>
</p>
</fn>
<fn id="fn3">
<label>3</label>
<p>
<ext-link ext-link-type="uri" xlink:href="https://www.arduino.cc">https://www.arduino.cc</ext-link>
</p>
</fn>
<fn id="fn4">
<label>4</label>
<p>
<ext-link ext-link-type="uri" xlink:href="https://www.raspberrypi.com">https://www.raspberrypi.com</ext-link>
</p>
</fn>
<fn id="fn5">
<label>5</label>
<p>
<ext-link ext-link-type="uri" xlink:href="https://librehub.github.io">https://librehub.github.io</ext-link>
</p>
</fn>
<fn id="fn6">
<label>6</label>
<p>
<ext-link ext-link-type="uri" xlink:href="https://www.glencoesoftware.com">https://www.glencoesoftware.com</ext-link>
</p>
</fn>
<fn id="fn7">
<label>7</label>
<p>
<ext-link ext-link-type="uri" xlink:href="https://www.zeiss.co.uk/microscopy/home.html">https://www.zeiss.co.uk/microscopy/home.html</ext-link>
</p>
</fn>
<fn id="fn8">
<label>8</label>
<p>
<ext-link ext-link-type="uri" xlink:href="https://abberior.rocks/superresolution-confocal-systems/imspector">https://abberior.rocks/superresolution-confocal-systems/imspector</ext-link>
</p>
</fn>
<fn id="fn9">
<label>9</label>
<p>
<ext-link ext-link-type="uri" xlink:href="https://opensource.org/ai">https://opensource.org/ai</ext-link>
</p>
</fn>
<fn id="fn10">
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