Microarray integrated spatial transcriptomics (MIST) for affordable and robust digital pathology

Abstract

10X Visium, a popular Spatial transcriptomics (ST) method, faces limited adoption due to its high cost and restricted sample usage per slide. To address these issues, we propose Microarray Integrated Spatial Transcriptomics (MIST), combining conventional tissue microarray (TMA) with Visium, using laser-cutting and 3D printing to enhance slide throughput. Our design facilitates independent replication and customization in individual labs to suit specific experimental needs. We provide a step-by-step guide from designing TMAs to the library preparation step. We demonstrate MIST's cost-effectiveness and technical benefits over Visium and GeoMx Nanostring. We also introduce 'AnnotateMap', a novel computational tool for efficient analysis of multiple ROIs processed through MIST.