Computational Pipeline for Glomerular Segmentation and Association of the Quantified Regions with Prognosis of Kidney Function in IgA Nephropathy

The histopathological findings of the glomeruli from whole slide images (WSIs) of a renal biopsy play an important role in diagnosing and grading kidney disease. This study aimed to develop an automated computational pipeline to detect glomeruli and to segment the histopathological regions inside of the glomerulus in a WSI. In order to assess the significance of this pipeline, we conducted a multivariate regression analysis to determine whether the quantified regions were associated with the prognosis of kidney function in 46 cases of immunoglobulin A nephropathy (IgAN). The developed pipelines showed a mean intersection over union (IoU) of 0.670 and 0.693 for five classes (i.e., background, Bowman's space, glomerular tuft, crescentic, and sclerotic regions) against the WSI of its facility, and 0.678 and 0.609 against the WSI of the external facility. The multivariate analysis revealed that the predicted sclerotic regions, even those that were predicted by the external model, had a significant negative impact on the slope of the estimated glomerular filtration rate after biopsy. This is the first study to demonstrate that the quantified sclerotic regions that are predicted by an automated computational pipeline for the segmentation of the histopathological glomerular components on WSIs impact the prognosis of kidney function in patients with IgAN.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:12

Enthalten in:

Diagnostics (Basel, Switzerland) - 12(2022), 12 vom: 25. Nov.

Sprache:

Englisch

Beteiligte Personen:

Kawazoe, Yoshimasa [VerfasserIn]
Shimamoto, Kiminori [VerfasserIn]
Yamaguchi, Ryohei [VerfasserIn]
Nakamura, Issei [VerfasserIn]
Yoneda, Kota [VerfasserIn]
Shinohara, Emiko [VerfasserIn]
Shintani-Domoto, Yukako [VerfasserIn]
Ushiku, Tetsuo [VerfasserIn]
Tsukamoto, Tatsuo [VerfasserIn]
Ohe, Kazuhiko [VerfasserIn]

Links:

Volltext

Themen:

Computer vision
Deep learning
Digital pathology
Glomerular sclerosis
IgA nephropathy
Journal Article
Kidney disease
Object detection
Renal prognosis
Segmentation
Whole slide imaging (WSI)

Anmerkungen:

Date Revised 25.12.2022

published: Electronic

Citation Status PubMed-not-MEDLINE

doi:

10.3390/diagnostics12122955

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM350644845