The traditional histochemical staining of autopsy tissue samples usually suffers from staining artifacts due to autolysis caused by delayed fixation of cadaver tissues. Here, we introduce an autopsy virtual staining technique to digitally convert autofluorescence images of unlabeled autopsy tissue sections into their hematoxylin and eosin (H&E) stained counterparts through a trained neural network. This technique was demonstrated to effectively mitigate autolysis-induced artifacts inherent in histochemical staining, such as weak nuclear contrast and color fading in the cytoplasmic-extracellular matrix. As a rapid, reagent-efficient, and high-quality histological staining approach, the presented technique holds great potential for widespread application in the future.
KEYWORDS: Data modeling, Performance modeling, Image segmentation, Pathology, Picosecond phenomena, Clouds, Medicine, Tissues, Process modeling, Data archive systems
It is commonly known that diverse datasets of WSIs are beneficial when training convolutional neural networks, however sharing medical data between institutions is often hindered by regulatory concerns. We have developed a cloud-based tool for federated WSI segmentation, allowing collaboration between institutions without the need to directly share data. To show the feasibility of federated learning on pathology data in the real world, We demonstrate this tool by segmenting IFTA from three institutions and show that keeping the three datasets separate does not hinder segmentation performance. This pipeline is deployed in the cloud for easy access for data viewing and annotation by each site’s respective constituents.
We present a supervised learning approach to train a deep neural network which can transform images of H&E stained tissue sections into special stains (e.g., PAS, Jones silver stain and Masson’s Trichrome). We performed a diagnostic study using tissue sections from 58 subjects covering a variety of non-neoplastic kidney diseases to show that when the pathologists performed their diagnoses using the three virtually-created special stains in addition to H&E, a statistically significant diagnostic improvement was made over the use of H&E only. This virtual staining technique can be used to improve preliminary diagnoses while saving time and reducing costs.
Histologic examination of interstitial fibrosis and tubular atrophy (IFTA) is critical to determine the extent of irreversible kidney injury in renal disease. The current clinical standard involves pathologist’s visual assessment of IFTA, which is prone to inter-observer variability. To address this diagnostic variability, we designed two case studies (CSs), including seven pathologists, using HistomicsTK- a distributed system developed by Kitware Inc. (Clifton Park, NY). Twenty-five whole slide images (WSIs) were classified into a training set of 21 and a validation set of four. The training set was composed of seven unique subsets, each provided to an individual pathologist along with four common WSIs from the validation set. In CS 1, all pathologists individually annotated IFTA in their respective slides. These annotations were then used to train a deep learning algorithm to computationally segment IFTA. In CS 2, manual and computational annotations from CS 1 were first reviewed by the annotators to improve concordance of IFTA annotation. Both the manual and computational annotation processes were then repeated as in CS1. The inter-observer concordance in the validation set was measured by Krippendorff’s alpha (KA). The KA for the seven pathologists in CS1 was 0.62 with CI [0.57, 0.67], and after reviewing each other’s annotations in CS2, 0.66 with CI [0.60, 0.72]. The respective CS1 and CS2 KA were 0.58 with CI [0.52, 0.64] and 0.63 with CI [0.56, 0.69] when including the deep learner as an eighth annotator. These results suggest that our designed annotation framework refines agreement of spatial annotation of IFTA and demonstrates a human-AI approach to significantly improve the development of computational models.
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