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一种全自动微 CT 深度学习方法,用于精确的临床前肺纤维化进展和治疗反应研究。

A fully automated micro‑CT deep learning approach for precision preclinical investigation of lung fibrosis progression and response to therapy.

机构信息

Department of Mathematical, Physical and Computer Sciences, University of Parma, Parma, Italy.

Experimental Pharmacology & Translational Science Department, Chiesi Farmaceutici S.P.A, 43122, Parma, Italy.

出版信息

Respir Res. 2023 May 9;24(1):126. doi: 10.1186/s12931-023-02432-3.

Abstract

Micro-computed tomography (µCT)-based imaging plays a key role in monitoring disease progression and response to candidate drugs in various animal models of human disease, but manual image processing is still highly time-consuming and prone to operator bias. Focusing on an established mouse model of bleomycin (BLM)-induced lung fibrosis we document, here, the ability of a fully automated deep-learning (DL)-based model to improve and speed-up lung segmentation and the precise measurement of morphological and functional biomarkers in both the whole lung and in individual lobes. µCT-DL whose results were overall highly consistent with those of more conventional, especially histological, analyses, allowed to cut down by approximately 45-fold the time required to analyze the entire dataset and to longitudinally follow fibrosis evolution and response to the human-use-approved drug Nintedanib, using both inspiratory and expiratory μCT. Particularly significant advantages of this µCT-DL approach, are: (i) its reduced experimental variability, due to the fact that each animal acts as its own control and the measured, operator bias-free biomarkers can be quantitatively compared across experiments; (ii) its ability to monitor longitudinally the spatial distribution of fibrotic lesions, thus eliminating potential confounding effects associated with the more severe fibrosis observed in the apical region of the left lung and the compensatory effects taking place in the right lung; (iii) the animal sparing afforded by its non-invasive nature and high reliability; and (iv) the fact that it can be integrated into different drug discovery pipelines with a substantial increase in both the speed and robustness of the evaluation of new candidate drugs. The µCT-DL approach thus lends itself as a powerful new tool for the precision preclinical monitoring of BLM-induced lung fibrosis and other disease models as well. Its ease of operation and use of standard imaging instrumentation make it easily transferable to other laboratories and to other experimental settings, including clinical diagnostic applications.

摘要

基于微计算机断层扫描(µCT)的成像在监测人类疾病各种动物模型中的疾病进展和候选药物反应方面发挥着关键作用,但手动图像处理仍然非常耗时且容易受到操作人员的偏见。我们专注于已建立的博来霉素(BLM)诱导的肺纤维化小鼠模型,记录了一种完全自动化的深度学习(DL)模型改善和加速肺分割以及精确测量整个肺和各个肺叶的形态和功能生物标志物的能力。µCT-DL 的结果与更传统的、特别是组织学分析的结果高度一致,使得分析整个数据集所需的时间减少了约 45 倍,并能够使用吸气和呼气µCT 来纵向跟踪纤维化的演变和对人用批准药物尼达尼布的反应。这种 µCT-DL 方法具有以下显著优势:(i)由于每个动物都作为自身对照,并且可以对无操作偏差的测量生物标志物进行定量比较,因此实验变异性降低;(ii)能够纵向监测纤维化病变的空间分布,从而消除与左肺尖区域观察到的更严重纤维化以及右肺代偿作用相关的潜在混杂效应;(iii)由于其非侵入性和高可靠性,节省了动物;(iv)它可以与不同的药物发现管道集成,从而大大提高新候选药物评估的速度和稳健性。因此,µCT-DL 方法本身可作为 BLM 诱导的肺纤维化和其他疾病模型的精准临床前监测的有力新工具。其易于操作和使用标准成像仪器使其易于转移到其他实验室和其他实验环境中,包括临床诊断应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b517/10170869/3e5bc796d565/12931_2023_2432_Fig1_HTML.jpg

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