Evidence map›Paper›PMID 31092819›Full record

ArticleNature communications2019

Interpretable classification of Alzheimer's disease pathologies with a convolutional neural network pipeline.

Ziqi Tang, Kangway V Chuang, Charles DeCarli, Lee-Way Jin, Laurel Beckett, Michael J Keiser, Brittany N Dugger

Abstract read
In one paragraph

Article in Nature communications, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 102 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
102citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Digital neuropathology of neurodegenerative disorders: Foundations, research advances, and future directions.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Review
  15. Celebrating neuropathology's contributions to Alzheimer's Disease Research Centers.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  16. Comparison of multiple quantitative strategies for neuropathologic image analyses.Journal of neuropathology and experimental neurology · 2025
    Article
  17. Article
  18. Article
  19. Article
  20. bioRxiv : the preprint server for biology · 2025
    Article

42 more citing papers are in PubMed but not listed here.

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

7 authors.

Ziqi TangDepartment of Pharmaceutical Chemistry, Department of Bioengineering and Therapeutic Sciences, Institute for Neurodegenerative Diseases, and Bakar Computational Health Sciences Institute, University of California, San Francisco, 675 Nelson Rising Ln Box 0518, San Francisco, CA, 94143, USA.ORCID http://orcid.org/0000-0003-0425-0173
Kangway V ChuangDepartment of Pharmaceutical Chemistry, Department of Bioengineering and Therapeutic Sciences, Institute for Neurodegenerative Diseases, and Bakar Computational Health Sciences Institute, University of California, San Francisco, 675 Nelson Rising Ln Box 0518, San Francisco, CA, 94143, USA.ORCID http://orcid.org/0000-0002-0652-8071
Charles DeCarliDepartment of Neurology, University of California-Davis School of Medicine, 4860 Y Street Suite 3700, Sacramento, CA, 95817, USA.
Lee-Way JinDepartment of Pathology and Laboratory Medicine, University of California-Davis School of Medicine, 2805 50th Street, Sacramento, CA, 95817, USA.ORCID http://orcid.org/0000-0001-9729-1032
Laurel BeckettDepartment of Public Health Sciences, University of California-Davis, Medical Science, 1C One Shields Avenue, Davis, CA, 95616, USA.ORCID http://orcid.org/0000-0002-2418-9843
Michael J KeiserDepartment of Pharmaceutical Chemistry, Department of Bioengineering and Therapeutic Sciences, Institute for Neurodegenerative Diseases, and Bakar Computational Health Sciences Institute, University of California, San Francisco, 675 Nelson Rising Ln Box 0518, San Francisco, CA, 94143, USA. keiser@keiserlab.org.ORCID http://orcid.org/0000-0002-1240-2192
Brittany N DuggerDepartment of Pathology and Laboratory Medicine, University of California-Davis School of Medicine, 3400A Research Building III Sacramento, Davis, CA, 95817, USA. bndugger@ucdavis.edu.ORCID http://orcid.org/0000-0003-2141-8855

Funding

UC Davis Alzheimer's Disease Core CenterP30AG010129 · NIA · UNIVERSITY OF CALIFORNIA DAVIS · PI DECARLI, CHARLES · 1991 to 2020
$28.3M
China Scholarship Council (CSC) N/ANIA NIH HHS P30 AG010129
6 · The paper itself

Abstract

Neuropathologists assess vast brain areas to identify diverse and subtly-differentiated morphologies. Standard semi-quantitative scoring approaches, however, are coarse-grained and lack precise neuroanatomic localization. We report a proof-of-concept deep learning pipeline that identifies specific neuropathologies-amyloid plaques and cerebral amyloid angiopathy-in immunohistochemically-stained archival slides. Using automated segmentation of stained objects and a cloud-based interface, we annotate > 70,000 plaque candidates from 43 whole slide images (WSIs) to train and evaluate convolutional neural networks. Networks achieve strong plaque classification on a 10-WSI hold-out set (0.993 and 0.743 areas under the receiver operating characteristic and precision recall curve, respectively). Prediction confidence maps visualize morphology distributions at high resolution. Resulting network-derived amyloid beta (Aβ)-burden scores correlate well with established semi-quantitative scores on a 30-WSI blinded hold-out. Finally, saliency mapping demonstrates that networks learn patterns agreeing with accepted pathologic features. This scalable means to augment a neuropathologist's ability suggests a route to neuropathologic deep phenotyping.

Indexed as

Deep LearningAgedAged, 80 and overAlzheimer DiseaseBrainCohort StudiesDatasets as TopicFemaleHumansImage Processing, Computer-AssistedMaleROC Curve

Identifiers

PMID31092819
PMCPMC6520374

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.