Ontology highlight
ABSTRACT: Introduction
The number of glomeruli and glomerulosclerosis evaluated on kidney biopsy slides constitute standard components of a renal pathology report. Prevailing methods for glomerular assessment remain manual, labor intensive, and nonstandardized. We developed a deep learning framework to accurately identify and segment glomeruli from digitized images of human kidney biopsies.Methods
Trichrome-stained images (n = 275) from renal biopsies of 171 patients with chronic kidney disease treated at the Boston Medical Center from 2009 to 2012 were analyzed. A sliding window operation was defined to crop each original image to smaller images. Each cropped image was then evaluated by at least 3 experts into 3 categories: (i) no glomerulus, (ii) normal or partially sclerosed (NPS) glomerulus, and (iii) globally sclerosed (GS) glomerulus. This led to identification of 751 unique images representing nonglomerular regions, 611 images with NPS glomeruli, and 134 images with GS glomeruli. A convolutional neural network (CNN) was trained with cropped images as inputs and corresponding labels as output. Using this model, an image processing routine was developed to scan the test images to segment the GS glomeruli.Results
The CNN model was able to accurately discriminate nonglomerular images from NPS and GS images (performance on test data: Accuracy: 92.67% ± 2.02% and Kappa: 0.8681 ± 0.0392). The segmentation model that was based on the CNN multilabel classifier accurately marked the GS glomeruli on the test data (Matthews correlation coefficient = 0.628).Conclusion
This work demonstrates the power of deep learning for assessing complex histologic structures from digitized human kidney biopsies.
SUBMITTER: Kannan S
PROVIDER: S-EPMC6612039 | biostudies-literature | 2019 Jul
REPOSITORIES: biostudies-literature
Kannan Shruti S Morgan Laura A LA Liang Benjamin B Cheung McKenzie G MG Lin Christopher Q CQ Mun Dan D Nader Ralph G RG Belghasem Mostafa E ME Henderson Joel M JM Francis Jean M JM Chitalia Vipul C VC Kolachalama Vijaya B VB
Kidney international reports 20190415 7
<h4>Introduction</h4>The number of glomeruli and glomerulosclerosis evaluated on kidney biopsy slides constitute standard components of a renal pathology report. Prevailing methods for glomerular assessment remain manual, labor intensive, and nonstandardized. We developed a deep learning framework to accurately identify and segment glomeruli from digitized images of human kidney biopsies.<h4>Methods</h4>Trichrome-stained images (<i>n</i> = 275) from renal biopsies of 171 patients with chronic ki ...[more]