Automated quantification of steatosis: agreement with stereological point counting

Abstract Background Steatosis is routinely assessed histologically in clinical practice and research. Automated image analysis can reduce the effort of quantifying steatosis. Since reproducibility is essential for practical use, we have evaluated different analysis methods in terms of their agreemen...

Full description

Bibliographic Details
Main Authors: André Homeyer, Patrik Nasr, Christiane Engel, Stergios Kechagias, Peter Lundberg, Mattias Ekstedt, Henning Kost, Nick Weiss, Tim Palmer, Horst Karl Hahn, Darren Treanor, Claes Lundström
Format: Article
Language:English
Published: BMC 2017-11-01
Series:Diagnostic Pathology
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13000-017-0671-y
_version_ 1819155868464185344
author André Homeyer
Patrik Nasr
Christiane Engel
Stergios Kechagias
Peter Lundberg
Mattias Ekstedt
Henning Kost
Nick Weiss
Tim Palmer
Horst Karl Hahn
Darren Treanor
Claes Lundström
author_facet André Homeyer
Patrik Nasr
Christiane Engel
Stergios Kechagias
Peter Lundberg
Mattias Ekstedt
Henning Kost
Nick Weiss
Tim Palmer
Horst Karl Hahn
Darren Treanor
Claes Lundström
author_sort André Homeyer
collection DOAJ
description Abstract Background Steatosis is routinely assessed histologically in clinical practice and research. Automated image analysis can reduce the effort of quantifying steatosis. Since reproducibility is essential for practical use, we have evaluated different analysis methods in terms of their agreement with stereological point counting (SPC) performed by a hepatologist. Methods The evaluation was based on a large and representative data set of 970 histological images from human patients with different liver diseases. Three of the evaluated methods were built on previously published approaches. One method incorporated a new approach to improve the robustness to image variability. Results The new method showed the strongest agreement with the expert. At 20× resolution, it reproduced steatosis area fractions with a mean absolute error of 0.011 for absent or mild steatosis and 0.036 for moderate or severe steatosis. At 10× resolution, it was more accurate than and twice as fast as all other methods at 20× resolution. When compared with SPC performed by two additional human observers, its error was substantially lower than one and only slightly above the other observer. Conclusions The results suggest that the new method can be a suitable automated replacement for SPC. Before further improvements can be verified, it is necessary to thoroughly assess the variability of SPC between human observers.
first_indexed 2024-12-22T15:43:49Z
format Article
id doaj.art-48c031e72778412b8c262afebf33acce
institution Directory Open Access Journal
issn 1746-1596
language English
last_indexed 2024-12-22T15:43:49Z
publishDate 2017-11-01
publisher BMC
record_format Article
series Diagnostic Pathology
spelling doaj.art-48c031e72778412b8c262afebf33acce2022-12-21T18:21:03ZengBMCDiagnostic Pathology1746-15962017-11-0112111010.1186/s13000-017-0671-yAutomated quantification of steatosis: agreement with stereological point countingAndré Homeyer0Patrik Nasr1Christiane Engel2Stergios Kechagias3Peter Lundberg4Mattias Ekstedt5Henning Kost6Nick Weiss7Tim Palmer8Horst Karl Hahn9Darren Treanor10Claes Lundström11Fraunhofer MEVISDepartment of Medical and Health Sciences, Linköping UniversityFraunhofer MEVISDepartment of Medical and Health Sciences, Linköping UniversityDepartment of Medical and Health Sciences, Linköping UniversityDepartment of Medical and Health Sciences, Linköping UniversityFraunhofer MEVISFraunhofer MEVISInstitute of Cancer and Pathology, University of LeedsFraunhofer MEVISCenter for Medical Image Science and Visualization, Linköping UniversityCenter for Medical Image Science and Visualization, Linköping UniversityAbstract Background Steatosis is routinely assessed histologically in clinical practice and research. Automated image analysis can reduce the effort of quantifying steatosis. Since reproducibility is essential for practical use, we have evaluated different analysis methods in terms of their agreement with stereological point counting (SPC) performed by a hepatologist. Methods The evaluation was based on a large and representative data set of 970 histological images from human patients with different liver diseases. Three of the evaluated methods were built on previously published approaches. One method incorporated a new approach to improve the robustness to image variability. Results The new method showed the strongest agreement with the expert. At 20× resolution, it reproduced steatosis area fractions with a mean absolute error of 0.011 for absent or mild steatosis and 0.036 for moderate or severe steatosis. At 10× resolution, it was more accurate than and twice as fast as all other methods at 20× resolution. When compared with SPC performed by two additional human observers, its error was substantially lower than one and only slightly above the other observer. Conclusions The results suggest that the new method can be a suitable automated replacement for SPC. Before further improvements can be verified, it is necessary to thoroughly assess the variability of SPC between human observers.http://link.springer.com/article/10.1186/s13000-017-0671-ySteatosisHistologyStereologyStereological point countingAutomated image analysisAgreement
spellingShingle André Homeyer
Patrik Nasr
Christiane Engel
Stergios Kechagias
Peter Lundberg
Mattias Ekstedt
Henning Kost
Nick Weiss
Tim Palmer
Horst Karl Hahn
Darren Treanor
Claes Lundström
Automated quantification of steatosis: agreement with stereological point counting
Diagnostic Pathology
Steatosis
Histology
Stereology
Stereological point counting
Automated image analysis
Agreement
title Automated quantification of steatosis: agreement with stereological point counting
title_full Automated quantification of steatosis: agreement with stereological point counting
title_fullStr Automated quantification of steatosis: agreement with stereological point counting
title_full_unstemmed Automated quantification of steatosis: agreement with stereological point counting
title_short Automated quantification of steatosis: agreement with stereological point counting
title_sort automated quantification of steatosis agreement with stereological point counting
topic Steatosis
Histology
Stereology
Stereological point counting
Automated image analysis
Agreement
url http://link.springer.com/article/10.1186/s13000-017-0671-y
work_keys_str_mv AT andrehomeyer automatedquantificationofsteatosisagreementwithstereologicalpointcounting
AT patriknasr automatedquantificationofsteatosisagreementwithstereologicalpointcounting
AT christianeengel automatedquantificationofsteatosisagreementwithstereologicalpointcounting
AT stergioskechagias automatedquantificationofsteatosisagreementwithstereologicalpointcounting
AT peterlundberg automatedquantificationofsteatosisagreementwithstereologicalpointcounting
AT mattiasekstedt automatedquantificationofsteatosisagreementwithstereologicalpointcounting
AT henningkost automatedquantificationofsteatosisagreementwithstereologicalpointcounting
AT nickweiss automatedquantificationofsteatosisagreementwithstereologicalpointcounting
AT timpalmer automatedquantificationofsteatosisagreementwithstereologicalpointcounting
AT horstkarlhahn automatedquantificationofsteatosisagreementwithstereologicalpointcounting
AT darrentreanor automatedquantificationofsteatosisagreementwithstereologicalpointcounting
AT claeslundstrom automatedquantificationofsteatosisagreementwithstereologicalpointcounting