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.

PubMed

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.
Abstract

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