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Team members: In-Pyo Baek, Sumanth Devarasetty, Yang Han, Suhas Katari Chaluva Kumar, Nicholas Lucarelli
What is the Problem?
The similarities and differences between AKI and CKD are not entirely known in the kidney community. The interplay and overlap between the conditions is not well understood. Qualitative studies also contain inherent biases in training and fatigue.
Why are we trying to solve it?
AKI is an acute condition, meaning that it can recover back to normal, or progress to chronicity. Identifying markers that can distinguish the different conditions could be the key to understanding these two conditions. Quantitative measures can also improve research speed and objectivity in image analysis. Additionally, healthy tissue samples are difficult to procure, since healthy patients aren't typically biopsied.
How are we trying to solve it?
We are analyzing two different multi-institutional datasets: 1 from healthy reference patients (no discernable kidney disease), and 1 containing AKI and CKD patients. We are analyzing pathology images with segmented functional tissue units, and quantifying physical features that may be indicative of healthy or diseased tissues.
We observe that there tend to be more sclerosed glomeruli in diseased samples. The ratio between functional and sclerosed glomeruli may be a predictor between diseased and non-diseased. Notebooks: Aim1-2.Ratio_AvgDist_from_csv.ipynb, Aim1-1.Ratio_AvgDist_from_xml.ipynb
Future Aim: Identifying and quantifying interstitial fibrosis between healthy and diseased samples
Aim 2
We qualitatively observe that there is more white space between tubules in AKI samples vs CKD. Using the segmented tubules, we further segment the white space within the tubules, and measure the ratio of luminal area to total tubular area. Notebook can be found at: Aim2_luminal_fraction.ipynb A boxplot of the results are shown below.
0 = Healthy, 1 = AKI, 2 = CKD
We also seek to use deep learning methods to analyze image data. We used the CLAM github repository to run multiple instance learning on image patches from healthy, AKI, and CKD samples, with the slide level labels as ground truth. We achieved an accuracy of 0.92.
From original CLAM github repository
In the future, we will generate heatmaps for high gradient patches.