Evidence map›Paper›PMID 32661341›Full record

ArticleLaboratory investigation; a journal of technical methods and pathology2020

Deep-learning-based accurate hepatic steatosis quantification for histological assessment of liver biopsies.

Mousumi Roy, Fusheng Wang, Hoang Vo, Dejun Teng, George Teodoro, Alton B Farris, Eduardo Castillo-Leon, Miriam B Vos, Jun Kong

Abstract readEvaluation StudyValidation Study
In one paragraph

Article in Laboratory investigation; a journal of technical methods and pathology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing 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

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

  1. Pooled it
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  9. Digital pathology for nonalcoholic steatohepatitis assessment.Nature reviews. Gastroenterology & hepatology · 2024
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  18. [New advances of artificial intelligence in the diagnosis of non-alcoholic fatty liver disease].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2022
    Review
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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

9 authors.

Mousumi RoyDepartment of Computer Science, Stony Brook University, Stony Brook, NY, 11794, USA.
Fusheng WangDepartment of Computer Science, Stony Brook University, Stony Brook, NY, 11794, USA. fusheng.wang@stonybrook.edu.ORCID http://orcid.org/0000-0002-9369-9361
Hoang VoDepartment of Computer Science, Stony Brook University, Stony Brook, NY, 11794, USA.
Dejun TengDepartment of Computer Science, Stony Brook University, Stony Brook, NY, 11794, USA.
George TeodoroDepartment of Computer Science, Federal University of Minas Gerais, Belo Horizonte, MG, 31270, USA.
Alton B FarrisDepartment of Pathology and Laboratory Medicine, Emory University School of Medicine, Atlanta, GA, 30322, USA.ORCID http://orcid.org/0000-0001-5534-7763
Eduardo Castillo-LeonDivision of Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics, Emory University, Atlanta, GA, 30322, USA.ORCID http://orcid.org/0000-0001-7010-2043
Miriam B VosDivision of Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics, Emory University, Atlanta, GA, 30322, USA.
Jun KongDepartment of Mathematics and Statistics, Georgia State University, Atlanta, GA, 30303, USA. jkong@gsu.edu.

Funding

The RPE and Recovery of the Blood Retina BarrierR01EY028450 · NEI · EMORY UNIVERSITY · PI BOATRIGHT, JEFFREY H, GROSSNIKLAUS, HANS E. · 2018 to 2022
$2.4M
Computational pathology software for integrative cancer research with three-dimensional digital slidesU01CA242936 · NCI · GEORGIA STATE UNIVERSITY · PI KONG, JUN, WANG, FUSHENG · 2019 to 2021
$1.1M
Quantitative Analysis of GBM Invasion Mechanisms with New Imaging ProtocolK25CA181503 · NCI · GEORGIA STATE UNIVERSITY · PI KONG, JUN · 2014 to 2018
$592k
NCI NIH HHS K25 CA181503NCI NIH HHS U01 CA242936NEI NIH HHS R01 EY028450
6 · The paper itself

Abstract

Hepatic steatosis droplet quantification with histology biopsies has high clinical significance for risk stratification and management of patients with fatty liver diseases and in the decision to use donor livers for transplantation. However, pathology reviewing processes, when conducted manually, are subject to a high inter- and intra-reader variability, due to the overwhelmingly large number and significantly varying appearance of steatosis instances. This process is challenging as there is a large number of overlapped steatosis droplets with either missing or weak boundaries. In this study, we propose a deep-learning-based region-boundary integrated network for precise steatosis quantification with whole slide liver histopathology images. The proposed model consists of two sequential steps: a region extraction and a boundary prediction module for foreground regions and steatosis boundary prediction, followed by an integrated prediction map generation. Missing steatosis boundaries are next recovered from the predicted map and assembled from adjacent image patches to generate results for the whole slide histopathology image. The resulting steatosis measures both at the pixel level and steatosis object-level present strong correlation with pathologist annotations, radiology readouts and clinical data. In addition, the segregated steatosis object count is shown as a promising alternative measure to the traditional metrics at the pixel level. These results suggest a high potential of artificial intelligence-assisted technology to enhance liver disease decision support using whole slide images.

Indexed as

Deep LearningAlgorithmsBiopsyFatty LiverHumansImage Interpretation, Computer-AssistedLiverRadiographic Image Interpretation, Computer-AssistedSoftware

Identifiers

PMID32661341
PMCPMC7502534

What OpenQuestion holds

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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.