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Next-Generation Morphometry for pathomics-data mining in histopathology.

David L Hölscher1, Nassim Bouteldja1, Mehdi Joodaki2

  • 1Institute of Pathology, RWTH Aachen University Clinic, Aachen, Germany.

Nature Communications
|January 28, 2023
PubMed
Summary
This summary is machine-generated.

We developed a framework for large-scale histomorphometry (FLASH) using deep learning to extract quantitative features from kidney histology. These features predict clinical outcomes and reveal disease progression patterns, enabling next-generation morphometry (NGM) for pathomics.

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Area of Science:

  • Computational pathology
  • Digital pathology
  • Nephrology

Background:

  • Pathology diagnostics heavily rely on subjective, qualitative morphological assessment by experts.
  • Current methods lack quantitative, large-scale analysis of histological features.

Purpose of the Study:

  • To develop a deep learning framework for quantitative histomorphometry in kidney pathology.
  • To extract interpretable, quantitative morphometric features from non-tumour kidney histology.
  • To establish a concept for Next-generation Morphometry (NGM) for comprehensive pathomics.

Main Methods:

  • Developed a framework for large-scale histomorphometry (FLASH) using deep learning-based semantic segmentation.
  • Applied FLASH to over 1000 kidney biopsies and nephrectomies across multiple cohorts.
  • Utilized single-structure morphometric analysis techniques inspired by single-cell transcriptomics.

Main Results:

  • Extracted interpretable, quantitative morphometric features from kidney histology.
  • Associated morphometric features with clinical parameters, confirming known and revealing novel relationships.
  • Demonstrated that extracted features are independent predictors of long-term clinical outcomes in IgA-nephropathy.
  • Identified distinct glomerular populations and morphometric phenotypes along disease progression trajectories.

Conclusions:

  • FLASH provides a robust method for quantitative analysis in kidney pathology.
  • NGM enables comprehensive quantitative pathology data mining (pathomics).
  • Quantitative morphometric features offer valuable insights into disease mechanisms and clinical outcomes.