Evidence map›Paper›PMID 29132399›Full record

ArticleDiagnostic pathology2017

Automated quantification of steatosis: agreement with stereological point counting.

André Homeyer, Patrik Nasr, Christiane Engel, Stergios Kechagias, Peter Lundberg, Mattias Ekstedt, Henning Kost, Nick Weiss, Tim Palmer, Horst Karl Hahn and 2 more

Abstract read
In one paragraph

Article in Diagnostic pathology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Recommendations on compiling test datasets for evaluating artificial intelligence solutions in pathology.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2022
    Review
  5. Article
  6. Review
  7. LIVER STEATOSIS SEGMENTATION WITH DEEP LEARNING METHODS.Proceedings. IEEE International Symposium on Biomedical Imaging · 2019
    Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

André HomeyerFraunhofer MEVIS, Am Fallturm 1, 28359, Bremen, Germany. andre.homeyer@mevis.fraunhofer.de.
Patrik NasrDepartment of Medical and Health Sciences, Linköping University, 581 83, Linköping, Sweden.
Christiane EngelFraunhofer MEVIS, Am Fallturm 1, 28359, Bremen, Germany.
Stergios KechagiasDepartment of Medical and Health Sciences, Linköping University, 581 83, Linköping, Sweden.
Peter LundbergDepartment of Medical and Health Sciences, Linköping University, 581 83, Linköping, Sweden.
Mattias EkstedtDepartment of Medical and Health Sciences, Linköping University, 581 83, Linköping, Sweden.
Henning KostFraunhofer MEVIS, Am Fallturm 1, 28359, Bremen, Germany.
Nick WeissFraunhofer MEVIS, Am Fallturm 1, 28359, Bremen, Germany.
Tim PalmerInstitute of Cancer and Pathology, University of Leeds, Beckett Street, Leeds, LS9 7TF, UK.
Horst Karl HahnFraunhofer MEVIS, Am Fallturm 1, 28359, Bremen, Germany.
Darren TreanorCenter for Medical Image Science and Visualization, Linköping University, 581 83, Linköping, Sweden.
Claes LundströmCenter for Medical Image Science and Visualization, Linköping University, 581 83, Linköping, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSteatosis is routinely assessed histologically in clinical practice and research. Automated image analysis can reduce the effort of quantifying steatosis. Since reproducibility is essential for practical use, we have evaluated different analysis methods in terms of their agreement with stereological point counting (SPC) performed by a hepatologist.

methodsThe evaluation was based on a large and representative data set of 970 histological images from human patients with different liver diseases. Three of the evaluated methods were built on previously published approaches. One method incorporated a new approach to improve the robustness to image variability.

resultsThe new method showed the strongest agreement with the expert. At 20× resolution, it reproduced steatosis area fractions with a mean absolute error of 0.011 for absent or mild steatosis and 0.036 for moderate or severe steatosis. At 10× resolution, it was more accurate than and twice as fast as all other methods at 20× resolution. When compared with SPC performed by two additional human observers, its error was substantially lower than one and only slightly above the other observer.

conclusionsThe results suggest that the new method can be a suitable automated replacement for SPC. Before further improvements can be verified, it is necessary to thoroughly assess the variability of SPC between human observers.

Indexed as

Electronic Data ProcessingBiopsyFatty LiverHumansImage Processing, Computer-AssistedLiverLiver DiseasesReproducibility of ResultsAgreementAutomated image analysisHistologySteatosisStereological point countingStereology

Identifiers

PMID29132399
PMCPMC5683532

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.