Evidence map›Paper›PMID 35441256›Full record

SynthesisJournal of nephrology2022

Artificial intelligence applications for pre-implantation kidney biopsy pathology practice: a systematic review.

Ilaria Girolami, Liron Pantanowitz, Stefano Marletta, Meyke Hermsen, Jeroen van der Laak, Enrico Munari, Lucrezia Furian, Fabio Vistoli, Gianluigi Zaza, Massimo Cardillo and 3 more

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Journal of nephrology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 2 pooled it
6.8field-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

30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 46 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Digital pathology structure and deployment in Veneto: a proof-of-concept study.Virchows Archiv : an international journal of pathology · 2024
    Article
  11. Review
  12. Review
  13. Cutting-edge technology and automation in the pathology laboratory.Virchows Archiv : an international journal of pathology · 2024
    Review
  14. Review
  15. Article
  16. Artificial Intelligence Advances in Transplant Pathology.Bioengineering (Basel, Switzerland) · 2023
    Review
  17. Review
  18. Review
  19. Article
  20. Article
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

13 authors at 9 institutions in 3 countries.

Ilaria GirolamiDivision of Pathology, Central Hospital Bolzano, Bolzano, Italy.
Liron PantanowitzDepartment of Pathology and Clinical Labs, University of Michigan, Ann Arbor, MI, USA.
Stefano MarlettaDepartment of Diagnostics and Public Health, University and Hospital Trust of Verona, Verona, Italy.
Meyke HermsenDepartment of Pathology, Radboud University Medical Center, Nijmegen, The Netherlands.
Jeroen van der LaakDepartment of Pathology, Radboud University Medical Center, Nijmegen, The Netherlands.
Enrico MunariPathology Unit, Department of Molecular and Translational Medicine, Spedali Civili-University of Brescia, Brescia, Italy.
Lucrezia FurianDepartment of Surgical, Oncological and Gastroenterological Sciences, Unit of Kidney and Pancreas Transplantation, University of Padua, Padua, Italy.
Fabio VistoliDivision of General and Transplant Surgery, University of Pisa, Pisa, Italy.
Gianluigi ZazaDepartment of Nephro-Urology, Nephrology, Dialysis and Transplant Unit, University of Foggia, Foggia, Italy.
Massimo CardilloNational Transplant Center, Rome, Italy.
Loreto GesualdoNephrology, Dialysis, and Transplantation Unit, Department of Emergency and Organ Transplantation, University of Bari Aldo Moro, Bari, Italy.
Giovanni GambaroDepartment of General Medicine, Renal Unit, University and Hospital Trust of Verona, Verona, Italy.
Albino EccherDepartment of Pathology and Diagnostics, University and Hospital Trust of Verona, P.le Stefani n. 1, 37126, Verona, Italy. albino.eccher@aovr.veneto.it.ORCID 0000-0002-9992-5550
Radboud University Nijmegen · NLUniversity of Verona · ITAzienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia · ITOspedale di Bolzano · ITUniversity of Bari Aldo Moro · ITUniversity of Foggia · ITUniversity of Michigan · USUniversity of Padua · ITUniversity of Pisa · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTransplant nephropathology is a highly specialized field of pathology comprising both the evaluation of organ donor biopsy for organ allocation and post-transplant graft biopsy for assessment of rejection or graft damage. The introduction of digital pathology with whole-slide imaging (WSI) in clinical research, trials and practice has catalyzed the application of artificial intelligence (AI) for histopathology, with development of novel machine-learning models for tissue interrogation and discovery. We aimed to review the literature for studies specifically applying AI algorithms to WSI-digitized pre-implantation kidney biopsy.

methodsA systematic search was carried out in the electronic databases PubMed-MEDLINE and Embase until 25th September, 2021 with a combination of the key terms "kidney", "biopsy", "transplantation" and "artificial intelligence" and their aliases. Studies dealing with the application of AI algorithms coupled with WSI in pre-implantation kidney biopsies were included. The main theme addressed was detection and quantification of tissue components. Extracted data were: author, year and country of the study, type of biopsy features investigated, number of cases, type of algorithm deployed, main results of the study in terms of diagnostic outcome, and the main limitations of the study.

resultsOf 5761 retrieved articles, 7 met our inclusion criteria. All studies focused largely on AI-based detection and classification of glomerular structures and to a lesser extent on tubular and vascular structures. Performance of AI algorithms was excellent and promising.

conclusionAll studies highlighted the importance of expert pathologist annotation to reliably train models and the need to acknowledge clinical nuances of the pre-implantation setting. Close cooperation between computer scientists and practicing as well as expert renal pathologists is needed, helping to refine the performance of AI-based models for routine pre-implantation kidney biopsy clinical practice.

Indexed as

AlgorithmsArtificial IntelligenceBiopsyHumansIntelligenceKidneyArtificial intelligenceDigital pathologyKidney biopsyPre-implantation biopsyReviewTransplantation

Identifiers

PMID35441256
PMCPMC9458558
OpenAlexW4224217689

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.