Evidence map›Paper›PMID 35318420›Full record

ArticleScientific reports2022

Unsupervised machine learning for identifying important visual features through bag-of-words using histopathology data from chronic kidney disease.

Joonsang Lee, Elisa Warner, Salma Shaikhouni, Markus Bitzer, Matthias Kretzler, Debbie Gipson, Subramaniam Pennathur, Keith Bellovich, Zeenat Bhat, Crystal Gadegbeku and 10 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
5.2field-weighted citation impact, top 4% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. A brief review of some artificial intelligence methods in nephrology.Pediatric nephrology (Berlin, Germany) · 2026
    Review
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  8. Artificial Intelligence-Driven Multi-Omics Approaches in Glioblastoma.International journal of molecular sciences · 2025
    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

20 authors at 5 institutions in 1 country.

Joonsang LeeDepartment of Computational Medicine and Bioinformatics, University of Michigan, Ann Arbor, MI, USA.
Elisa WarnerDepartment of Computational Medicine and Bioinformatics, University of Michigan, Ann Arbor, MI, USA.
Salma ShaikhouniDepartment of Internal Medicine, Nephrology, University of Michigan, Ann Arbor, MI, USA.
Markus BitzerDepartment of Internal Medicine, Nephrology, University of Michigan, Ann Arbor, MI, USA.
Matthias KretzlerDepartment of Internal Medicine, Nephrology, University of Michigan, Ann Arbor, MI, USA.
Debbie GipsonDepartment of Pediatrics, Pediatric Nephrology, University of Michigan, Ann Arbor, MI, USA.
Subramaniam PennathurDepartment of Internal Medicine, Nephrology, University of Michigan, Ann Arbor, MI, USA.
Keith BellovichDepartment of Internal Medicine, Nephrology, St. Clair Nephrology Research, Detroit, MI, USA.
Zeenat BhatDepartment of Internal Medicine, Nephrology, Wayne State University, Detroit, MI, USA.
Crystal GadegbekuDepartment of Internal Medicine, Nephrology, Cleveland Clinic, Cleveland, OH, USA.
Susan MassengillDepartment of Pediatrics, Pediatric Nephrology, Levine Children's Hospital, Charlotte, NC, USA.
Kalyani PerumalDepartment of Internal Medicine, Nephrology, Department of JH Stroger Hospital, Chicago, IL, USA.
Jharna SahaDepartment of Pathology, University of Michigan, Ann Arbor, MI, USA.
Yingbao YangDepartment of Pathology, University of Michigan, Ann Arbor, MI, USA.
Jinghui LuoDepartment of Pathology, University of Michigan, Ann Arbor, MI, USA.
Xin ZhangDepartment of Computational Medicine and Bioinformatics, University of Michigan, Ann Arbor, MI, USA.
Laura MarianiDepartment of Internal Medicine, Nephrology, University of Michigan, Ann Arbor, MI, USA.
Jeffrey B Hodgin *Department of Pathology, University of Michigan, Ann Arbor, MI, USA. jhodgin@med.umich.edu.
Arvind Rao *Department of Computational Medicine and Bioinformatics, University of Michigan, Ann Arbor, MI, USA. ukarvind@med.umich.edu.
C-PROBE Study
University of Michigan–Ann Arbor · USCleveland Clinic · USJohn H. Stroger, Jr. Hospital of Cook County · USLevine Children's Hospital · USWayne State University · US

Funding

University of Michigan O'Brien Kidney Translational Core CenterP30DK081943 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BROSIUS, FRANK C · 2008 to 2022
$12.9M
Synthesizing Image-derived Heterogeneity with Genomic measurements for Assessing Disease Aggressiveness in Lower Grade GliomasR37CA214955 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI KURTEK, SEBASTIAN, RAO, ARVIND · 2018 to 2024
$3.9M
Deep learning and topological approaches to identify kidney tissue features associated with adverse outcomes after nephrectomyR21DK126329 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BITZER, MARKUS, SHEDDEN, KERBY · 2021 to 2022
$429k
NCI NIH HHS R37 CA214955NIDDK NIH HHS P30 DK081943NIDDK NIH HHS R21 DK126329
6 · The paper itself

Abstract

Pathologists use visual classification to assess patient kidney biopsy samples when diagnosing the underlying cause of kidney disease. However, the assessment is qualitative, or semi-quantitative at best, and reproducibility is challenging. To discover previously unknown features which predict patient outcomes and overcome substantial interobserver variability, we developed an unsupervised bag-of-words model. Our study applied to the C-PROBE cohort of patients with chronic kidney disease (CKD). 107,471 histopathology images were obtained from 161 biopsy cores and identified important morphological features in biopsy tissue that are highly predictive of the presence of CKD both at the time of biopsy and in one year. To evaluate the performance of our model, we estimated the AUC and its 95% confidence interval. We show that this method is reliable and reproducible and can achieve 0.93 AUC at predicting glomerular filtration rate at the time of biopsy as well as predicting a loss of function at one year. Additionally, with this method, we ranked the identified morphological features according to their importance as diagnostic markers for chronic kidney disease. In this study, we have demonstrated the feasibility of using an unsupervised machine learning method without human input in order to predict the level of kidney function in CKD. The results from our study indicate that the visual dictionary, or visual image pattern, obtained from unsupervised machine learning can predict outcomes using machine-derived values that correspond to both known and unknown clinically relevant features.

Indexed as

Renal Insufficiency, ChronicUnsupervised Machine LearningBiopsyFemaleGlomerular Filtration RateHumansMaleReproducibility of Results

Identifiers

PMID35318420
PMCPMC8941143
OpenAlexW4220662059

What OpenQuestion holds

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LicenceCC BY
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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.