Evidence map›Paper›PMID 34829330›Full record

ArticleDiagnostics (Basel, Switzerland)2021

Deep Learning-Based Artificial Intelligence System for Automatic Assessment of Glomerular Pathological Findings in Lupus Nephritis.

Zhaohui Zheng, Xiangsen Zhang, Jin Ding, Dingwen Zhang, Jihong Cui, Xianghui Fu, Junwei Han, Ping Zhu

Open access · goldAbstract read
In one paragraph

Article in Diagnostics (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
3.2field-weighted citation impact, top 7% 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.

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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

8 authors at 3 institutions in 1 country.

Zhaohui ZhengDepartment of Clinical Immunology, Xijing Hospital, Fourth Military Medical University, Xi'an 710032, China.
Xiangsen ZhangSchool of Automation, Northwestern Polytechnical University, Xi'an 710072, China.
Jin DingDepartment of Clinical Immunology, Xijing Hospital, Fourth Military Medical University, Xi'an 710032, China.ORCID 0000-0003-3585-6063
Dingwen ZhangSchool of Automation, Northwestern Polytechnical University, Xi'an 710072, China.
Jihong CuiLab of Tissue Engineering, College of Life Sciences, Northwest University, Xi'an 710069, China.
Xianghui FuDepartment of Clinical Immunology, Xijing Hospital, Fourth Military Medical University, Xi'an 710032, China.
Junwei HanSchool of Automation, Northwestern Polytechnical University, Xi'an 710072, China.
Ping ZhuDepartment of Clinical Immunology, Xijing Hospital, Fourth Military Medical University, Xi'an 710032, China.
Xijing Hospital · CNNorthwestern Polytechnical University · CNNorthwest University · CN

Funding

Xijing Hospital XJZT19ML55
6 · The paper itself

Abstract

Accurate assessment of renal histopathology is crucial for the clinical management of patients with lupus nephritis (LN). However, the current classification system has poor interpathologist agreement. This paper proposes a deep convolutional neural network (CNN)-based system that detects and classifies glomerular pathological findings in LN. A dataset of 349 renal biopsy whole-slide images (WSIs) (163 patients with LN, periodic acid-Schiff stain, 3906 glomeruli) annotated by three expert nephropathologists was used. The CNN models YOLOv4 and VGG16 were employed to localise the glomeruli and classify glomerular lesions (slight/severe impairments or sclerotic lesions). An additional 321 unannotated WSIs from 161 patients were used for performance evaluation at the per-patient kidney level. The proposed model achieved an accuracy of 0.951 and Cohen's kappa of 0.932 (95% CI 0.915-0.949) for the entire test set for classifying the glomerular lesions. For multiclass detection at the glomerular level, the mean average precision of the CNN was 0.807, with 'slight' and 'severe' glomerular lesions being easily identified (F1: 0.924 and 0.952, respectively). At the per-patient kidney level, the model achieved a high agreement with nephropathologist (linear weighted kappa: 0.855, 95% CI: 0.795-0.916,

Indexed as

artificial intelligencedeep learninghistopathologylupus nephritisrenal biopsy

Identifiers

PMID34829330
PMCPMC8621095
OpenAlexW3210405915

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.