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开发一种用于量化潜在供体肝脏肝脂肪变性的便携式设备。

Development of a portable device to quantify hepatic steatosis in potential donor livers.

作者信息

Klinkachorn Mac, Tsoi-A-Sue Christian, Narayan Raja R, Kadri Haaris, Tam Taylor, Melcher Marc L

机构信息

Department of Engineering, Stanford University, Stanford, CA, United States.

Department of Surgery, Stanford University, Stanford, CA, United States.

出版信息

Front Transplant. 2023 Jun 23;2:1206085. doi: 10.3389/frtra.2023.1206085. eCollection 2023.

DOI:10.3389/frtra.2023.1206085
PMID:38993883
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11235317/
Abstract

An accurate estimation of liver fat content is necessary to predict how a donated liver will function after transplantation. Currently, a pathologist needs to be available at all hours of the day, even at remote hospitals, when an organ donor is procured. Even among expert pathologists, the estimation of liver fat content is operator-dependent. Here we describe the development of a low-cost, end-to-end artificial intelligence platform to evaluate liver fat content on a donor liver biopsy slide in real-time. The hardware includes a high-resolution camera, display, and GPU to acquire and process donor liver biopsy slides. A deep learning model was trained to label and quantify fat globules in liver tissue. The algorithm was deployed on the device to enable real-time quantification and characterization of fat content for transplant decision-making. This information is displayed on the device and can also be sent to a cloud platform for further analysis.

摘要

准确估计肝脏脂肪含量对于预测捐赠肝脏在移植后的功能至关重要。目前,即使在偏远医院获取器官捐赠者时,一天中的任何时候都需要有病理学家在场。即使在专家病理学家中,肝脏脂肪含量的估计也依赖于操作人员。在此,我们描述了一种低成本的端到端人工智能平台的开发,用于实时评估供体肝脏活检切片上的肝脏脂肪含量。硬件包括高分辨率相机、显示器和GPU,用于获取和处理供体肝脏活检切片。训练了一个深度学习模型来标记和量化肝组织中的脂肪球。该算法部署在设备上,以便实时量化和表征脂肪含量,用于移植决策。此信息显示在设备上,也可以发送到云平台进行进一步分析。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edd5/11235317/3b2f645f4a88/frtra-02-1206085-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edd5/11235317/40be98987323/frtra-02-1206085-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edd5/11235317/63cef731097e/frtra-02-1206085-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edd5/11235317/3b2f645f4a88/frtra-02-1206085-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edd5/11235317/40be98987323/frtra-02-1206085-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edd5/11235317/63cef731097e/frtra-02-1206085-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edd5/11235317/3b2f645f4a88/frtra-02-1206085-g003.jpg

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本文引用的文献

1
Digital imaging software versus the "eyeball" method in quantifying steatosis in a liver biopsy.数字成像软件与“肉眼观察”方法在肝活检中脂肪变性定量分析中的比较
Liver Transpl. 2023 Mar 1;29(3):268-278. doi: 10.1097/LVT.0000000000000064. Epub 2023 Jan 19.
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A Novel Digital Algorithm for Identifying Liver Steatosis Using Smartphone-Captured Images.一种使用智能手机拍摄图像识别肝脂肪变性的新型数字算法。
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Artificial intelligence for prediction of donor liver allograft steatosis and early post-transplantation graft failure.
人工智能预测供体肝移植脂肪变性和移植后早期移植物失功。
HPB (Oxford). 2022 May;24(5):764-771. doi: 10.1016/j.hpb.2021.10.004. Epub 2021 Nov 1.
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The Impact of Steatosis on the Outcome of Liver Transplantation: A Meta-Analysis.脂肪变性对肝移植结局的影响:荟萃分析。
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Donor Hepatic Steatosis and Outcome After Liver Transplantation: a Systematic Review.供体肝脂肪变性与肝移植后的结局:一项系统综述
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Hepatic steatosis estimated microscopically versus digital image analysis.肝脂肪变性的显微镜评估与数字图像分析。
Liver Int. 2013 Jul;33(6):926-35. doi: 10.1111/liv.12162. Epub 2013 Apr 7.