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Mola, N.

Publications and source records attributed to Mola, N..

2 recordsLinked to original sources

Morphometry-based detection of deep learning faults in glomerular segmentation

Deep learning-based segmentation has evolved to a powerful strategy for automatically annotating glomeruli in kidney biopsy images. However, since any artificial intelligence can make mistakes, strategies for identifying and correcting faulty annotations are often indispensable. Yet, how can such a validation be achieved without the laborious task of a pathologist manually checking every single image? To address this issue, the current project performed an extensive study on the use of shape analysis to automatically evaluate the glomerular annotations produced by deep-learning segmentation. Examining a large repertoire of shape descriptors on over 168000 glomerular predictions, the study found that morphometry could successfully highlight and distinguish between three different types of segmentation inconsistencies. In addition, using shape descriptors to rank segmentation annotations, it was possible to obtain a distinct enrichment of errors on the leading edge of the ranking, implying that pathologists would only have to inspect and correct the most suspicious fraction of all annotations. Ultimately, the study suggested a panel of three shape descriptors that enabled an efficient enrichment of all errors, respective or irrespective of error type. In summary, the work demonstrates the methodological aspects and benefits of shape analysis for evaluating glomerular segmentation results. We are convinced that, by applying such a strategy for detecting segmentation errors, it will be possible to approach a more time-efficient correction of deep learning-derived glomerular annotations.

pathology↗

Image Analysis for Non-Neoplastic Kidney Disease: Utilizing Morphological Segmentation to Improve Quantification of Interstitial Fibrosis

Interstitial fibrosis (IF) is a hallmark of chronic kidney disease (CKD) and a strong predictor of progression to end-stage kidney disease (ESKD). Current biopsy-based IF assessments rely on subjective visual estimations, limiting reproducibility. Sirius Red staining is widely used for visualizing fibrotic tissue, yet its application in digital pathology is limited by non-specific staining. This study investigates the impact of cortical structure segmentation on fibrosis quantification in Sirius Red-stained, non-neoplastic kidney biopsies. Fibrosis measurements before and after segmentation were compared using two image analysis methods (stain deconvolution and red-green), with ground truth fibrosis measured by point counting and expert pathologist grading. Excluding non-interstitial structures led to a significant reduction of quantified fibrosis and improved correlation with pathology grading and point counting for both the stain deconvolution and the red green method. Bland-Altman analysis showed reduced bias after segmentation: for the deconvolution method, mean difference decreased from +2.5% (95% LoA: -8% to +13%) to +1% (-7% to +9%); for the red-green method, from +3% (-10% to +16%) to +1% (-8% to +10%). Correlation with pathology grading also improved (Spearmans {rho} rose from 0.55 to 0.58 for deconvolution and from 0.53 to 0.59 for red-green). These findings confirm that targeted segmentation enhances the accuracy and consistency of automated fibrosis assessment, supporting its integration into digital pathology workflows as a critical step toward reliable quantification of fibrosis in kidney disease.

pathology↗