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Published on: June 18, 2020
Artificial intelligence-assisted quantification and assessment of whole slide images for pediatric kidney disease
Chunyue Feng1,2, Kokhaur Ong3, David M Young4,5
1Department of Nephrology, Children's Hospital, Zhejiang University School of Medicine, Hangzhou 310000, China.
Insights
An AI tool, AI-based Pediatric Kidney Diagnosis (APKD), aids pathologists in diagnosing pediatric kidney disease by accurately segmenting and classifying kidney structures. APKD achieves high accuracy and is significantly faster than manual detection.
Area of Science:
- Nephrology
- Pathology
- Artificial Intelligence
- Medical Imaging
Background:
- Pediatric kidney disease significantly impacts child development and often requires invasive renal biopsies for diagnosis.
- Pathological evaluation of kidney biopsies is labor-intensive and susceptible to human error.
- Accurate segmentation and classification of pediatric kidney structures are crucial for timely diagnosis and treatment.
Purpose of the Study:
- To develop and validate an artificial intelligence (AI) method, AI-based Pediatric Kidney Diagnosis (APKD), for assisting pathologists in analyzing pediatric kidney biopsies.
- To improve the accuracy and efficiency of diagnosing pediatric kidney diseases through automated analysis of histological structures.
- To enable early identification of glomerular abnormalities for improved patient outcomes.
Main Methods:
- Development of the AI-based Pediatric Kidney Diagnosis (APKD) model using a dataset of 2935 pediatric kidney disease patients.
- Manual annotation of 93,932 histological structures by three expert nephropathologists for model training and validation.
- Quantitative evaluation of APKD's performance using accuracy metrics, Spearman correlation coefficient, and intraclass correlation coefficient (ICC).
Main Results:
- APKD achieved an average accuracy of 94% across all kidney structure categories, with 99% accuracy for glomeruli.
- Strong correlation was observed between APKD and manual detection for glomeruli (Spearman's r = 0.98, ICC = 0.98).
- APKD demonstrated a 5.5-fold increase in speed for glomeruli segmentation compared to manual methods and identified key pathological features.
Conclusions:
- The AI-based Pediatric Kidney Diagnosis (APKD) system shows high accuracy and efficiency in segmenting and classifying pediatric kidney structures.
- APKD can assist pathologists by reducing diagnostic time and potential errors, facilitating earlier and more accurate diagnosis of pediatric kidney diseases.
- The AI model's ability to identify specific pathological features aids in the early detection of glomerular capillary wall abnormalities, improving diagnostic capabilities.
Motivation:
Pediatric kidney disease is a widespread, progressive condition that severely impacts growth and development of children. Chronic kidney disease is often more insidious in children than in adults, usually requiring a renal biopsy for diagnosis. Biopsy evaluation requires copious examination by trained pathologists, which can be tedious and prone to human error. In this study, we propose an artificial intelligence (AI) method to assist pathologists in accurate segmentation and classification of pediatric kidney structures, named as AI-based Pediatric Kidney Diagnosis (APKD).
Results:
We collected 2935 pediatric patients diagnosed with kidney disease for the development of APKD. The dataset comprised 93 932 histological structures annotated manually by three skilled nephropathologists. APKD scored an average accuracy of 94% for each kidney structure category, including 99% in the glomerulus. We found strong correlation between the model and manual detection in detected glomeruli (Spearman correlation coefficient r = 0.98, P < .001; intraclass correlation coefficient ICC = 0.98, 95% CI = 0.96-0.98). Compared to manual detection, APKD was approximately 5.5 times faster in segmenting glomeruli. Finally, we show how the pathological features extracted by APKD can identify focal abnormalities of the glomerular capillary wall to aid in the early diagnosis of pediatric kidney disease.
Availability And Implementation:
https://github.com/ChunyueFeng/Kidney-DataSet.
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