Evidence map›Paper›PMID 34419154›Full record

ArticleActa neuropathologica communications2021

Deep learning assisted quantitative assessment of histopathological markers of Alzheimer's disease and cerebral amyloid angiopathy.

Valentina Perosa, Ashley A Scherlek, Mariel G Kozberg, Lindsey Smith, Thomas Westerling-Bui, Corinne A Auger, Serge Vasylechko, Steven M Greenberg, Susanne J van Veluw

Open access · goldAbstract read
In one paragraph

Article in Acta neuropathologica communications, 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
2.3field-weighted citation impact, top 11% 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, 36 citations in OpenAlex.

  1. Article
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  6. Celebrating neuropathology's contributions to Alzheimer's Disease Research Centers.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  7. Article
  8. Review
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  11. Sex differences in histopathological markers of cerebral amyloid angiopathy and related hemorrhage.International journal of stroke : official journal of the International Stroke Society · 2024
    Article
  12. Three-dimensional histology reveals dissociable human hippocampal long-axis gradients of Alzheimer's pathology.Alzheimer's & dementia : the journal of the Alzheimer's Association · 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

9 authors at 4 institutions in 2 countries.

Valentina Perosa *J. Philip Kistler Stroke Research Center, Department of Neurology, Massachusetts General Hospital, Harvard Medical School, Cambridge Str. 175, Suite 300, Boston, MA, 02114, USA. VPEROSA@mgh.harvard.edu.ORCID 0000-0002-3551-5237
Ashley A Scherlek *Rush Alzheimer Disease Center, Rush University Medical Center, Chicago, IL, USA.
Mariel G KozbergMassGeneral Institute for Neurodegenerative Disease, Massachusetts General Hospital, Charlestown, MA, USA.
Lindsey SmithAiforia Inc, Cambridge, MA, USA.
Thomas Westerling-BuiAiforia Inc, Cambridge, MA, USA.
Corinne A AugerMassGeneral Institute for Neurodegenerative Disease, Massachusetts General Hospital, Charlestown, MA, USA.
Serge VasylechkoComputational Radiology Laboratory, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Steven M GreenbergJ. Philip Kistler Stroke Research Center, Department of Neurology, Massachusetts General Hospital, Harvard Medical School, Cambridge Str. 175, Suite 300, Boston, MA, 02114, USA.
Susanne J van VeluwJ. Philip Kistler Stroke Research Center, Department of Neurology, Massachusetts General Hospital, Harvard Medical School, Cambridge Str. 175, Suite 300, Boston, MA, 02114, USA. SVANVELUW@mgh.harvard.edu.ORCID 0000-0002-7957-8643
Massachusetts General Hospital · USHarvard University · USBoston Children's Hospital · USRush University Medical Center · US

Funding

Unraveling the mechanisms of microhemorrhages in cerebral amyloid angiopathyR00AG059893 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI VAN VELUW, SUSANNE JANNEKE · 2020 to 2022
$745k
Medical Research Council G0501033NIA NIH HHS R00 AG059893
6 · The paper itself

Abstract

Traditionally, analysis of neuropathological markers in neurodegenerative diseases has relied on visual assessments of stained sections. Resulting semiquantitative scores often vary between individual raters and research centers, limiting statistical approaches. To overcome these issues, we have developed six deep learning-based models, that identify some of the most characteristic markers of Alzheimer's disease (AD) and cerebral amyloid angiopathy (CAA). The deep learning-based models are trained to differentially detect parenchymal amyloid β (Aβ)-plaques, vascular Aβ-deposition, iron and calcium deposition, reactive astrocytes, microglia, as well as fibrin extravasation. The models were trained on digitized histopathological slides from brains of patients with AD and CAA, using a workflow that allows neuropathology experts to train convolutional neural networks (CNNs) on a cloud-based graphical interface. Validation of all models indicated a very good to excellent performance compared to three independent expert human raters. Furthermore, the Aβ and iron models were consistent with previously acquired semiquantitative scores in the same dataset and allowed the use of more complex statistical approaches. For example, linear mixed effects models could be used to confirm the previously described relationship between leptomeningeal CAA severity and cortical iron accumulation. A similar approach enabled us to explore the association between neuroinflammation and disparate Aβ pathologies. The presented workflow is easy for researchers with pathological expertise to implement and is customizable for additional histopathological markers. The implementation of deep learning-assisted analyses of histopathological slides is likely to promote standardization of the assessment of neuropathological markers across research centers, which will allow specific pathophysiological questions in neurodegenerative disease to be addressed in a harmonized way and on a larger scale.

Indexed as

Neural Networks, ComputerAlzheimer DiseaseAstrocytesBrainCerebral Amyloid AngiopathyDeep LearningHumansMicrogliaAlzheimer’s diseaseArtificial intelligenceCerebral amyloid angiopathyDeep learningHistopathology

Identifiers

PMID34419154
PMCPMC8380352
OpenAlexW3195555725

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.