Background and Objectives: Fluorescence-labeled cellular arbors provide readouts of neuronal and microglial morphology, but fine and weakly labeled processes are prone to fragmentation and false connections that bias skeleton-based measurements. We present MorphoBranch, a fine-structure-preserving, human-reviewable workbench for morphometry of branched cellular structures. Methods: MorphoBranch combines a deterministic Morphometry Engine with an LLM-assisted Refinement Engine. The Mor- phometry Engine implements an image-to-graph workflow integrating multiscale structural evidence extraction, hysteresis segmen- tation, evidence-constrained skeleton refinement, and graph-based morphometry. The Refinement Engine maps natural-language requests to registered actions for parameter adjustment, preview execution, metric reporting, and unsupported-request handling, while image processing and quantitative computation remain deterministic and reviewable. Results: MorphoBranch was evaluated on two public neuronal axon datasets, AxonMIP and AxonStack, and the in-house Cell- Morph dataset of microglial fluorescence images. It achieved the highest Skeleton F1 and clDice and the lowest length-estimation error among the evaluated methods on all three datasets, while also achieving the highest Dice and IoU on AxonMIP and Axon- Stack. Across 150 natural-language tasks, the Refinement Engine achieved a 94.0% end-to-end success rate. Conclusions: These results demonstrate that MorphoBranch provides a reproducible, human-reviewable workflow for mor- phometric analysis of branched cellular structures. It supports fine-structure-preserving quantification across neuronal axon and microglial fluorescence images while maintaining inspectable and reproducible analysis workflows.

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