Evidence map›Paper›PMID 33705360›Full record

ArticleJCI insight2021

Deep learning-based molecular morphometrics for kidney biopsies.

Marina Zimmermann, Martin Klaus, Milagros N Wong, Ann-Katrin Thebille, Lukas Gernhold, Christoph Kuppe, Maurice Halder, Jennifer Kranz, Nicola Wanner, Fabian Braun and 9 more

Open access · goldAbstract read
In one paragraph

Article in JCI insight, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
7.9field-weighted citation impact, top 2% of its field
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

22 citing papers in PubMed, 47 citations in OpenAlex.

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  9. [Advances in computational quantitative nephropathology].Pathologie (Heidelberg, Germany) · 2024
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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

19 authors at 4 institutions in 2 countries.

Marina ZimmermannIII. Department of Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Martin KlausIII. Department of Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Milagros N WongIII. Department of Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Ann-Katrin ThebilleInstitute of Medical Systems Biology, Center for Biomedical AI (bAIome), Center for Molecular Neurobiology (ZMNH), University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Lukas GernholdIII. Department of Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Christoph KuppeDepartment of Nephrology and Clinical Immunology and.
Maurice HalderDepartment of Nephrology and Clinical Immunology and.
Jennifer KranzSt.-Antonius Hospital Eschweiler, Department of Urology, Eschweiler, Germany.
Nicola WannerIII. Department of Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Fabian BraunIII. Department of Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Sonia WulfDepartment of Pathology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Thorsten WiechDepartment of Pathology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Ulf PanzerIII. Department of Medicine, Division of Translational Immunology, and.
Christian F KrebsIII. Department of Medicine, Division of Translational Immunology, and.
Elion HoxhaIII. Department of Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Rafael KramannDepartment of Nephrology and Clinical Immunology and.
Tobias B HuberIII. Department of Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Stefan BonnInstitute of Medical Systems Biology, Center for Biomedical AI (bAIome), Center for Molecular Neurobiology (ZMNH), University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Victor G PuellesIII. Department of Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Universität Hamburg · DERWTH Aachen University · DEErasmus MC · NLSankt-Antonius-Hospital Eschweiler · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Morphologic examination of tissue biopsies is essential for histopathological diagnosis. However, accurate and scalable cellular quantification in human samples remains challenging. Here, we present a deep learning-based approach for antigen-specific cellular morphometrics in human kidney biopsies, which combines indirect immunofluorescence imaging with U-Net-based architectures for image-to-image translation and dual segmentation tasks, achieving human-level accuracy. In the kidney, podocyte loss represents a hallmark of glomerular injury and can be estimated in diagnostic biopsies. Thus, we profiled over 27,000 podocytes from 110 human samples, including patients with antineutrophil cytoplasmic antibody-associated glomerulonephritis (ANCA-GN), an immune-mediated disease with aggressive glomerular damage and irreversible loss of kidney function. We identified previously unknown morphometric signatures of podocyte depletion in patients with ANCA-GN, which allowed patient classification and, in combination with routine clinical tools, showed potential for risk stratification. Our approach enables robust and scalable molecular morphometric analysis of human tissues, yielding deeper biological insights into the human kidney pathophysiology.

Indexed as

Deep LearningAnti-Neutrophil Cytoplasmic Antibody-Associated VasculitisBiopsyCase-Control StudiesDiagnosis, Computer-AssistedHumansImage Processing, Computer-AssistedKidneyPathology, ClinicalPodocytesBioinformaticsMolecular pathologyNephrology

Identifiers

PMID33705360
PMCPMC8119189
OpenAlexW3134520547

What OpenQuestion holds

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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.