Hou Xiangyu, Tian Chongxuan, Liu Wen, Li Yang, Li Wei, Wang Zunsong
Department of Nephrology, Shandong Institute of Nephrology, The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital, No. 16766 Jingshi Road, Jinan, Shandong 250014, China.
Department of biomedical Engineering Institute, School of Control Science and Engineering, Shandong University, Jinan, Shandong, 250016, China.
Photodiagnosis Photodyn Ther. 2023 Dec;44:103736. doi: 10.1016/j.pdpdt.2023.103736. Epub 2023 Aug 18.
To develop a non-invasive fluid biopsy assisted diagnosis model for glomerular diseases based on hyperspectral, so as to solve the problem of poor compliance of patients with invasive examination and improve the early diagnosis rate of glomerular diseases.
A total of 65 urine samples from patients who underwent renal biopsy from November 2020 to January 2022 in Qianfoshan Hospital of Shandong Province were collected.By simultaneously capturing spectral information of the above urine samples in the 400-1000 nm range, more obvious differences were found in the spectra of urine from patients with glomerular diseases between 650 nm and 680 nm. We obtained the original hyperspectral images in this wavelength range through digital scanning, and sampled pixel points at intervals on the original images. The two-dimensional digital image generated from each pixel point served as a member of the subsequent training and test sets. . After manually labeling the images according to different biopsy pathological types, they were randomly divided into training set (n = 58,800) and test set (n = 25,200). The training set was used for training learning and parameter iteration of artificial intelligence non-invasive liquid diagnosis model, and the test set for model recognition and interpretation. The evaluation indexes such as accuracy, sensitivity and specificity were calculated to evaluate the performance of the diagnosis model.
The model has an accuracy rate of 96% for early diagnosis of four glomerular diseases.
The auxiliary diagnosis model system has high accuracy. It is expected to be used as a non-invasive diagnostic method for glomerular diseases in clinic.
基于高光谱技术开发一种用于肾小球疾病的非侵入性液体活检辅助诊断模型,以解决侵入性检查患者依从性差的问题,提高肾小球疾病的早期诊断率。
收集2020年11月至2022年1月在山东省千佛山医院接受肾活检患者的65份尿液样本。通过同时采集上述尿液样本在400-1000nm范围内的光谱信息,发现肾小球疾病患者尿液光谱在650nm至680nm之间存在更明显差异。我们通过数字扫描获得该波长范围内的原始高光谱图像,并在原始图像上间隔采样像素点。从每个像素点生成的二维数字图像作为后续训练集和测试集的成员。根据不同的活检病理类型对图像进行手动标注后,将其随机分为训练集(n = 58800)和测试集(n = 25200)。训练集用于人工智能非侵入性液体诊断模型的训练学习和参数迭代,测试集用于模型识别和解释。计算准确率、灵敏度和特异性等评估指标,以评估诊断模型的性能。
该模型对四种肾小球疾病早期诊断的准确率为96%。
该辅助诊断模型系统具有较高的准确性。有望作为肾小球疾病的非侵入性诊断方法应用于临床。