Kim Hyun-Ji, Baek Eun Bok, Hwang Ji-Hee, Lim Minyoung, Jung Won Hoon, Bae Myung Ae, Son Hwa-Young, Cho Jae-Woo
Toxicological Pathology Research Group, Department of Advanced Toxicology Research, Korea Institute of Toxicology, 141 Gajeong-ro, Yuseong-gu, Daejeon 34114, Republic of Korea.
College of Veterinary Medicine, Chungnam National University, 99 Daehak-ro, Yuseong-gu, Daejeon 34134, Republic of Korea.
J Toxicol Pathol. 2023 Jan;36(1):21-30. doi: 10.1293/tox.2022-0066. Epub 2022 Oct 13.
Recently, with the development of computer vision using artificial intelligence (AI), clinical research on diagnosis and prediction using medical image data has increased. In this study, we applied AI methods to analyze hepatic fibrosis in mice to determine whether an AI algorithm can be used to analyze lesions. Whole slide image (WSI) Sirius Red staining was used to examine hepatic fibrosis. The Xception network, an AI algorithm, was used to train normal and fibrotic lesion identification. We compared the results from two analyses, that is, pathologists' grades and researchers' annotations, to observe whether the automated algorithm can support toxicological pathologists efficiently as a new apparatus. The accuracies of the trained model computed from the training and validation datasets were greater than 99%, and that obtained by testing the model was 100%. In the comparison between analyses, all analyses showed significant differences in the results for each group. Furthermore, both normalized fibrosis grades inferred from the trained model annotated the fibrosis area, and the grades assigned by the pathologists showed significant correlations. Notably, the deep learning algorithm derived the highest correlation with the pathologists' average grade. Owing to the correlation outcomes, we conclude that the trained model might produce results comparable to those of the pathologists' grading of the Sirius Red-stained WSI fibrosis. This study illustrates that the deep learning algorithm can potentially be used for analyzing fibrotic lesions in combination with Sirius Red-stained WSIs as a second opinion tool in non-clinical research.
近年来,随着利用人工智能(AI)的计算机视觉技术的发展,使用医学图像数据进行诊断和预测的临床研究有所增加。在本研究中,我们应用AI方法分析小鼠肝纤维化,以确定AI算法是否可用于分析病变。使用全玻片图像(WSI)天狼星红染色检查肝纤维化。采用AI算法Xception网络训练正常和纤维化病变识别模型。我们比较了两种分析结果,即病理学家的分级和研究人员的标注,以观察自动算法是否能作为一种新工具有效地辅助毒理病理学家。从训练集和验证集计算得到的训练模型的准确率均大于99%,测试模型得到的准确率为100%。在分析比较中,所有分析在每组结果中均显示出显著差异。此外,从训练模型推断出的两种标准化纤维化分级均标注了纤维化区域,且病理学家给出的分级显示出显著相关性。值得注意的是,深度学习算法与病理学家的平均分级具有最高的相关性。基于这些相关性结果,我们得出结论,训练模型可能产生与病理学家对天狼星红染色的WSI纤维化分级结果相当的结果。本研究表明,深度学习算法有可能作为非临床研究中的第二种意见工具,与天狼星红染色的WSIs结合用于分析纤维化病变。