Image analysis steps used in ImageJ to calculate bacterial viability from a confocal image of biofilm with LIVE/DEAD stain. Images taken from a representative S. sanguinis biofilm cultured for 48 h (20 µm scale bar). See Supplementary Information to implement the automated analysis.

Image analysis steps used in ImageJ to calculate bacterial viability from a confocal image of biofilm with LIVE/DEAD stain. Images taken from a representative S. sanguinis biofilm cultured for 48 h (20 µm scale bar). See Supplementary Information to implement the automated analysis.

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Quantifying biofilm formation on surfaces is challenging because traditional microbiological methods, such as total colony-forming units (CFUs), often rely on manual counting. These are laborious, resource intensive techniques, more susceptible to human error. Confocal laser scanning microscopy (CLSM) is a high-resolution technique that allows 3D v...

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... assess the reliability and accuracy of the automated protocol developed (Fig. 1), a series of analyses were performed. This included sensitivity and specificity analysis 28 , a comparison with traditional microbiological techniques and the application of the protocol to a variety of bacterial species with varying morphologies (Fig. ...
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... and materials scientists. Therefore, the analysis protocol was written in the open-source software ImageJ and the method requires no preliminary image preparation or modification. The ImageJ macro, alongside a fully detailed description of how to execute the algorithm to enable researchers to implement this protocol, is available in Fig. 1 and the Supplementary Information. The algorithm was effective and accurate on a range of biofilms, including different bacterial morphologies, such as cocci (S. sanguinis) and rod-shaped (L. casei) bacteria, and different biofilm ages (from 24 h up to 7 days). A full workflow is provided alongside a series of validation methods in ...
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... studies that use open-source software have not included the code to allow for easy replication by other scientists wishing to use their method. One of the key strengths of this work is that a copy of the code, instructions on how to implement it and an overview of the image analysis protocol are all provided to ensure reproducibility (see Fig. 1 and Supplementary Information) 14 . This allows for users to understand the code and easily modify it to fit the data being analysed. For example, if a different staining protocol is used, the pre-processing steps can be removed or adjusted so as not to account for the issues identified with the FilmTracer™ LIVE/DEAD® Biofilm Viability ...
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... with the dead (red) bacteria in the image, and finally subtracting to find the number of pixels corresponding with live bacteria. The live bacteria were quantified as a percentage of the total bacteria in each image. The image analysis method was carried out using Fiji (ImageJ, US National Institutes of Health, Bethesda, Maryland, USA) ( Fig. 1). This was chosen due to it being open-source software, and therefore freely available. It should be noted that this macro calculates viability based on the assumption that the image contains a single-species biofilm, and therefore the area of red and green bacteria are proportional to the number of red and green bacteria, respectively. ...

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