Evidence map›Paper›PMID 33808978›Full record

ArticleSensors (Basel, Switzerland)2021

Efficiency of Machine Learning Algorithms for the Determination of Macrovesicular Steatosis in Frozen Sections Stained with Sudan to Evaluate the Quality of the Graft in Liver Transplantation.

Fernando Pérez-Sanz, Miriam Riquelme-Pérez, Enrique Martínez-Barba, Jesús de la Peña-Moral, Alejandro Salazar Nicolás, Marina Carpes-Ruiz, Angel Esteban-Gil, María Del Carmen Legaz-García, María Antonia Parreño-González, Pablo Ramírez and 1 more

Abstract read
In one paragraph

Article in Sensors (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

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

  1. Pooled it
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  12. Artificial Intelligence: Present and Future Potential for Solid Organ Transplantation.Transplant international : official journal of the European Society for Organ Transplantation · 2022
    Review
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

11 authors.

Fernando Pérez-SanzBiomedical Informatics & Bioinformatics Service, Institute for Biomedical Research of Murcia (IMIB), 30120 Murcia, Spain.ORCID 0000-0002-8143-7794
Miriam Riquelme-PérezCNRS-CEA, University Paris-Saclay, MIRCen, 92265 Paris, France.ORCID 0000-0002-9204-3088
Enrique Martínez-BarbaPathology Service, University Clinical Hospital Virgen de la Arrixaca-Biomedical Research Institute of Murcia (IMIB), 30120 Murcia, Spain.
Jesús de la Peña-MoralPathology Service, University Clinical Hospital Virgen de la Arrixaca-Biomedical Research Institute of Murcia (IMIB), 30120 Murcia, Spain.
Alejandro Salazar NicolásPathology Service, University Clinical Hospital Virgen de la Arrixaca-Biomedical Research Institute of Murcia (IMIB), 30120 Murcia, Spain.
Marina Carpes-RuizExperimental Pathology Service, Institute for Biomedical Research of Murcia (IMIB), 30120 Murcia, Spain.
Angel Esteban-GilBiomedical Informatics & Bioinformatics Service, Institute for Biomedical Research of Murcia (IMIB), 30120 Murcia, Spain.ORCID 0000-0002-9777-1906
María Del Carmen Legaz-GarcíaBiomedical Informatics & Bioinformatics Service, Institute for Biomedical Research of Murcia (IMIB), 30120 Murcia, Spain.ORCID 0000-0003-3560-6646
María Antonia Parreño-GonzálezBiomedical Informatics & Bioinformatics Service, Institute for Biomedical Research of Murcia (IMIB), 30120 Murcia, Spain.ORCID 0000-0002-9027-4050
Pablo RamírezGeneral and Digestive Surgery Service, University Clinical Hospital Virgen de la Arrixaca-Biomedical Research Institute of Murcia (IMIB), 30120 Murcia, Spain.
Carlos M MartínezExperimental Pathology Service, Institute for Biomedical Research of Murcia (IMIB), 30120 Murcia, Spain.ORCID 0000-0003-3307-1326

Funding

Fundación Séneca 21104/PDC/19
6 · The paper itself

Abstract

Liver transplantation is the only curative treatment option in patients diagnosed with end-stage liver disease. The low availability of organs demands an accurate selection procedure based on histological analysis, in order to evaluate the allograft. This assessment, traditionally carried out by a pathologist, is not exempt from subjectivity. In this sense, new tools based on machine learning and artificial vision are continuously being developed for the analysis of medical images of different typologies. Accordingly, in this work, we develop a computer vision-based application for the fast and automatic objective quantification of macrovesicular steatosis in histopathological liver section slides stained with Sudan stain. For this purpose, digital microscopy images were used to obtain thousands of feature vectors based on the RGB and CIE L*a*b* pixel values. These vectors, under a supervised process, were labelled as fat vacuole or non-fat vacuole, and a set of classifiers based on different algorithms were trained, accordingly. The results obtained showed an overall high accuracy for all classifiers (>0.99) with a sensitivity between 0.844 and 1, together with a specificity >0.99. In relation to their speed when classifying images, KNN and Naïve Bayes were substantially faster than other classification algorithms. Sudan stain is a convenient technique for evaluating ME in pre-transplant liver biopsies, providing reliable contrast and facilitating fast and accurate quantification through the machine learning algorithms tested.

Indexed as

Liver TransplantationAlgorithmsBayes TheoremFrozen SectionsHumansMachine LearningSudancomputer visionliver transplantationmachine learningmacrovesicular steatosissudan stain

Identifiers

PMID33808978
PMCPMC8001362

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Registered trials

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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.