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Computer-assisted Large-scale Visualization and Quantification of Pancreatic Islet Mass, Size Distribution and Architecture
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Leveraging pre-trained machine learning models for islet quantification in type 1 diabetes.

Sanghoon Kang1, Jesus D Penaloza Aponte2,3, Omar Elashkar1

  • 1Department of Pharmaceutics, Center for Pharmacometrics and Systems Pharmacology, Intelligent Critical Care Center, College of Pharmacy, University of Florida, Orlando, FL, USA.

Journal of Pathology Informatics
|December 25, 2024
PubMed
Summary
This summary is machine-generated.

This study developed an AI-powered workflow to analyze pancreatic islet cell heterogeneity in type 1 diabetes (T1D) using whole slide images. The tool enhances understanding of T1D pathogenesis by quantifying endocrine cell composition and inflammation.

Keywords:
Digital pathologyIslet heterogeneityMachine learningType 1 diabetesWhole slide images

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Area of Science:

  • * Endocrinology and Diabetes Research
  • * Computational Pathology
  • * Immunohistochemistry and Digital Pathology

Background:

  • * Human islets exhibit significant heterogeneity in size, cell composition, and architecture.
  • * The Network for Pancreatic Organ donors with Diabetes (nPOD) program provides extensive immunohistochemistry-stained whole slide images (WSIs).
  • * Understanding islet heterogeneity is crucial for deciphering the natural history and pathogenesis of type 1 diabetes (T1D).

Purpose of the Study:

  • * To develop an enhanced machine learning-assisted workflow for analyzing WSI data from the nPOD resource.
  • * To quantify endocrine cell heterogeneity and T-cell infiltration in human islets from donors with and without T1D.
  • * To create a user-friendly, open-source tool for high-throughput analysis of islet pathology.

Main Methods:

  • * Utilized QuPath software as the primary interface for WSI analysis.
  • * Employed the Segment Anything Model (SAM) for precise cell boundary segmentation and an artificial neural network-based pixel classifier for endocrine cell segmentation.
  • * Developed a script to quantify CD3+ T-cell infiltration within and around islets, identifying inflamed islets.

Main Results:

  • * The workflow achieved an average quality score of 0.91 per slide for cell boundary definition using SAM.
  • * The pixel classifier accurately segmented insulin- and glucagon-stained cytoplasmic regions.
  • * The developed methods enable rapid, high-throughput quantification of endocrine cells and islet inflammation.

Conclusions:

  • * An open-source, machine learning-assisted workflow was successfully developed for analyzing islet heterogeneity in WSIs.
  • * This workflow facilitates rapid and high-throughput determination of endocrine cell characteristics and inflammation.
  • * The tool is expected to accelerate research into T1D endotypes and pathogenesis by providing deeper insights into islet heterogeneity.