Vitoantonio Bevilacqua

Huy Q. Vo, Pietro A. Cicalese, Surya Seshan et al.

The thrombotic microangiopathies (TMAs) manifest in renal biopsy histology with a broad spectrum of acute and chronic findings. Precise diagnostic criteria for a renal biopsy diagnosis of TMA are missing. As a first step towards a machine learning- and computer vision-based analysis of wholes slide images from renal biopsies, we trained a segmentation model for the decisive diagnostic kidney tissue compartments artery, arteriole, glomerulus on a set of whole slide images from renal biopsies with TMAs and Mimickers (distinct diseases with a similar nephropathological appearance as TMA like severe benign nephrosclerosis, various vasculitides, Bevacizumab-plug glomerulopathy, arteriolar light chain deposition disease). Our segmentation model combines a U-Net-based tissue detection with a Shifted windows-transformer architecture to reach excellent segmentation results for even the most severely altered glomeruli, arterioles and arteries, even on unseen staining domains from a different nephropathology lab. With accurate automatic segmentation of the decisive renal biopsy compartments in human renal vasculopathies, we have laid the foundation for large-scale compartment-specific machine learning and computer vision analysis of renal biopsy repositories with TMAs.

Gijs Luijten, Roberto Maria Scardigno, Lisle Faray de Paiva et al.

Ultrasound (US) is widely accessible and radiation-free but has a steep learning curve due to its dynamic nature and non-standard imaging planes. Additionally, the constant need to shift focus between the US screen and the patient poses a challenge. To address these issues, we integrate deep learning (DL)-based semantic segmentation for real-time (RT) automated kidney volumetric measurements, which are essential for clinical assessment but are traditionally time-consuming and prone to fatigue. This automation allows clinicians to concentrate on image interpretation rather than manual measurements. Complementing DL, augmented reality (AR) enhances the usability of US by projecting the display directly into the clinician's field of view, improving ergonomics and reducing the cognitive load associated with screen-to-patient transitions. Two AR-DL-assisted US pipelines on HoloLens-2 are proposed: one streams directly via the application programming interface for a wireless setup, while the other supports any US device with video output for broader accessibility. We evaluate RT feasibility and accuracy using the Open Kidney Dataset and open-source segmentation models (nnU-Net, Segmenter, YOLO with MedSAM and LiteMedSAM). Our open-source GitHub pipeline includes model implementations, measurement algorithms, and a Wi-Fi-based streaming solution, enhancing US training and diagnostics, especially in point-of-care settings.