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Table 1.

Animal studies overview.

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Fig 1.

Fibrosis features used for morphometric detection.

Digitalized slides of Masson’s tri-chrome stained lung paraffin sections. Collagen is stained in blue and cell nuclei in red. A: alveolar thickening by collagen deposition. B: fibrotic masses composed of collagen, fibroblasts, and other components.

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Fig 2.

Fibrosis feature detection.

Masson’s trichrome stained lung sections from study 3, Bleomycin (A, C, E, F) and Saline (B, D, F, H) animals, A and B at low magnification, scale bar 2.5mm E and F alveolar structure at high magnification, scale bar 50μm. Upper right square: zoom in one alveola. C and D: low scale detection model; false colour image indicates areas of dense fibrosis (green), alveolar tissue (blue), bronchi (red), background (yellow). G and H: high magnification detection; false colour image indicates collagen (blue), lung tissue (red), background (yellow). Upper right square: zoom in one alveola collagen detection.

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Fig 3.

Inter study reproducibility of the quantification method.

Automated image analysis was applied to five independent studies, performed over 2 years (3 independent studies for each time point: D14 and D28). A: percentage of fibrotic masses per lung (excluding bronchi for normalization), B: percentage of alveolar collagen deposition. Mean with +/- SEM, Mann-Whitney statistical test. Each dot represents an individual animal and color represents independent studies. Study 2: red, study 3: purple, study 4: dark blue, study 5: green, and study 6: light blue.

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Fig 4.

Quantitative analysis of anti-fibrotic compound effects.

Lungs from Wistar rats treated with bleomycin in combination with pirfenidone (0,50%) and BIBF-1120 (50mg/kg) were collected at Day 14 and a Masson’s trichrome staining was performed for fibrosis parameter assessment using automated image analysis. A: percentage of fibrotic masses, B: percentage of alveolar collagen. Mean with +/- SEM, Mann-Whitney statistical test. Each dot represents an individual animal and color represents independent studies. Study 2 in red, and study 6 in blue.

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