Deep Learning Enables Automated Segmentation and Quantification of Ultrastructure from Transmission Electron Microscopy Images.

Transmission electron microscopy (TEM) has become an essential technique for observing subcellular ultrastructure, and is widely used in both clinical diagnosis and biomedical research. However, analysis of TEM data remains extremely labor-intensive and often inconsistent across operators due to the lack of dedicated computational methods. Here, we present TEAMKidney, a deep learning framework for accurate and scalable measurement of ultrastructures in TEM images across species, magnifications, and instrument platforms. We collected 12,991 TEM images from patients with multiple kidney diseases and from different animal models. By combining a self-training-based semantic segmentation stage with a TEM-tailored panoptic segmentation model, we address two major challenges in TEM data analysis: the lack of accurately labeled training data and the difficulty of achieving high segmentation accuracy for complex ultrastructure. Application of TEAMKidney to both human and animal images successfully reveals disease-associated changes in two critical glomerular ultrastructures: the glomerular basement membrane and podocyte foot processes. In addition to significantly outperforming existing tools, TEAMKidney shows close agreement with pathological expert measurements used in clinical assessment protocols. By reducing dependence on manual tracing while preserving expert-level accuracy, TEAMKidney demonstrates that deep learning can substantially reduce the burden of image analysis in both clinical pathology and biomedical research settings.