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Orbit image analysis machine learning software can be used for the histological quantification of acute ischemic stroke blood clots.


ABSTRACT: Our aim was to assess the utility of a novel machine learning software (Orbit Image Analysis) in the histological quantification of acute ischemic stroke (AIS) clots. We analyzed 50 AIS blood clots retrieved using mechanical thrombectomy procedures. Following H&E staining, quantification of clot components was performed by two different methods: a pathologist using a reference standard method (Adobe Photoshop CC) and an experienced researcher using Orbit Image Analysis. Following quantification, the clots were categorized into 3 types: RBC dominant (?60% RBCs), Mixed and Fibrin dominant (?60% Fibrin). Correlations between clot composition and Hounsfield Units density on Computed Tomography (CT) were assessed. There was a significant correlation between the components of clots as quantified by the Orbit Image Analysis algorithm and the reference standard approach (? = 0.944**, p < 0.001, n = 150). A significant relationship was found between clot composition (RBC-Rich, Mixed, Fibrin-Rich) and the presence of a Hyperdense artery sign using the algorithmic method (X2(2) = 6.712, p = 0.035*) but not using the reference standard method (X2(2) = 3.924, p = 0.141). Orbit Image Analysis machine learning software can be used for the histological quantification of AIS clots, reproducibly generating composition analyses similar to current reference standard methods.

SUBMITTER: Fitzgerald S 

PROVIDER: S-EPMC6894878 | biostudies-literature | 2019

REPOSITORIES: biostudies-literature

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Orbit image analysis machine learning software can be used for the histological quantification of acute ischemic stroke blood clots.

Fitzgerald Seán S   Wang Shunli S   Dai Daying D   Murphree Dennis H DH   Pandit Abhay A   Douglas Andrew A   Rizvi Asim A   Kadirvel Ramanathan R   Gilvarry Michael M   McCarthy Ray R   Stritt Manuel M   Gounis Matthew J MJ   Brinjikji Waleed W   Kallmes David F DF   Doyle Karen M KM  

PloS one 20191205 12


Our aim was to assess the utility of a novel machine learning software (Orbit Image Analysis) in the histological quantification of acute ischemic stroke (AIS) clots. We analyzed 50 AIS blood clots retrieved using mechanical thrombectomy procedures. Following H&E staining, quantification of clot components was performed by two different methods: a pathologist using a reference standard method (Adobe Photoshop CC) and an experienced researcher using Orbit Image Analysis. Following quantification,  ...[more]

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