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DigitAb: Domain-Adaptive Cell Type Prediction Method from Light Microscopy Images
Nicholas Lucarelli1, Seth Winfree2, Angela Sabo3
1Department of Medicine - Section of Quantitative Health, University of Florida, Gainesville, FL, USA.
Biorxiv : the Preprint Server for Biology
|June 4, 2026
Summary
DigitAb, a deep learning tool, identifies kidney cell types from standard H&E stains, eliminating costly immunostaining. This accessible technology aids disease diagnosis and research in kidney transplant rejection and diabetic nephropathy.
Area of Science:
- Computational pathology
- Digital pathology
- Artificial intelligence in medicine
Background:
- Histological stains like H&E are crucial for disease diagnosis and research.
- Immunostaining enhances cellular detail but is costly and complex.
- Multiplex imaging offers broad cellular coverage but faces accessibility challenges.
Purpose of the Study:
- To develop an accessible deep learning framework (DigitAb) for cell type classification directly from H&E stained kidney biopsy slides.
- To eliminate the need for specialized immunostaining or multiplex imaging assays in routine diagnostics.
- To enable scalable and cost-effective cellular segmentation for research and clinical pathology.
Main Methods:
- Trained a semantic segmentation model using DigitAb on ~3.5 million cells from 29 human kidney samples with Phenocycler-generated ground truths.
- Utilized adversarial domain adaptation to test DigitAb on unlabeled biopsy samples.
- Validated cell type predictions against the Banff schema for kidney transplant rejection and diabetic nephropathy characteristics.
Main Results:
- Achieved a balanced accuracy of 0.78 in classifying 10 cell types from H&E slides.
- DigitAb successfully predicted cell types from unlabeled kidney biopsy samples.
- Demonstrated high concordance with clinical gold standards for kidney transplant rejection and diabetic nephropathy.
Conclusions:
- DigitAb provides a scalable, accessible, and label-free solution for cellular segmentation using standard histology.
- The framework significantly reduces reliance on specialized assays, making advanced cellular analysis more widely available.
- This deep learning approach holds promise for improving kidney disease diagnosis and research.

