Evidence map›Paper›PMID 36709324›Full record

ArticleNature communications2023

Next-Generation Morphometry for pathomics-data mining in histopathology.

David L Hölscher, Nassim Bouteldja, Mehdi Joodaki, Maria L Russo, Yu-Chia Lan, Alireza Vafaei Sadr, Mingbo Cheng, Vladimir Tesar, Saskia V Stillfried, Barbara M Klinkhammer and 7 more

Abstract read
In one paragraph

Article in Nature communications, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 87 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
87citing papers in PubMed, 2 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

87 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Incorporating Pathomics Into IgAN Risk Prediction.Kidney international reports · 2026
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  14. Graph neural networks for computational nephrology.Nature reviews. Nephrology · 2026
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  19. Artificial Intelligence for Diagnostic Pathology in Nephrology.Journal of the American Society of Nephrology : JASN · 2026
    Article
  20. Article

27 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors.

David L Hölscher *Institute of Pathology, RWTH Aachen University Clinic, Aachen, Germany.ORCID 0000-0001-8595-0694
Nassim Bouteldja *Institute of Pathology, RWTH Aachen University Clinic, Aachen, Germany.
Mehdi JoodakiInstitute for Computational Genomics, RWTH Aachen University Clinic, Aachen, Germany.
Maria L RussoFondazione Ricerca Molinette, Torino, Italy.
Yu-Chia LanInstitute of Pathology, RWTH Aachen University Clinic, Aachen, Germany.
Alireza Vafaei SadrInstitute of Pathology, RWTH Aachen University Clinic, Aachen, Germany.
Mingbo ChengInstitute for Computational Genomics, RWTH Aachen University Clinic, Aachen, Germany.
Vladimir TesarDepartment of Nephrology, 1st Faculty of Medicine and General University Hospital, Charles University, Prague, Czech Republic.ORCID 0000-0001-6982-0689
Saskia V StillfriedInstitute of Pathology, RWTH Aachen University Clinic, Aachen, Germany.
Barbara M KlinkhammerInstitute of Pathology, RWTH Aachen University Clinic, Aachen, Germany.ORCID 0000-0002-1566-7129
Jonathan BarrattJohn Walls Renal Unit, University Hospital of Leicester National Health Service Trust, Leicester, United Kingdom.
Jürgen FloegeDepartment of Nephrology and Immunology, RWTH Aachen University Clinic, Aachen, Germany.
Ian S D RobertsDepartment of Cellular Pathology, Oxford University Hospitals National Health Services Foundation Trust, Oxford, United Kingdom.
Rosanna CoppoFondazione Ricerca Molinette, Torino, Italy.
Ivan G CostaInstitute for Computational Genomics, RWTH Aachen University Clinic, Aachen, Germany.ORCID 0000-0003-2890-8697
Roman D BülowInstitute of Pathology, RWTH Aachen University Clinic, Aachen, Germany.ORCID 0000-0002-8527-7353
Peter BoorInstitute of Pathology, RWTH Aachen University Clinic, Aachen, Germany. pboor@ukaachen.de.ORCID 0000-0001-9921-4284

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pathology diagnostics relies on the assessment of morphology by trained experts, which remains subjective and qualitative. Here we developed a framework for large-scale histomorphometry (FLASH) performing deep learning-based semantic segmentation and subsequent large-scale extraction of interpretable, quantitative, morphometric features in non-tumour kidney histology. We use two internal and three external, multi-centre cohorts to analyse over 1000 kidney biopsies and nephrectomies. By associating morphometric features with clinical parameters, we confirm previous concepts and reveal unexpected relations. We show that the extracted features are independent predictors of long-term clinical outcomes in IgA-nephropathy. We introduce single-structure morphometric analysis by applying techniques from single-cell transcriptomics, identifying distinct glomerular populations and morphometric phenotypes along a trajectory of disease progression. Our study provides a concept for Next-generation Morphometry (NGM), enabling comprehensive quantitative pathology data mining, i.e., pathomics.

Indexed as

KidneyKidney Glomerulus

Identifiers

PMID36709324
PMCPMC9884209

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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.