Hyperspectral Imaging during Normothermic Machine Perfusion—A Functional Classification of Ex Vivo Kidneys Based on Convolutional Neural Networks

Facing an ongoing organ shortage in transplant medicine, strategies to increase the use of organs from marginal donors by objective organ assessment are being fostered. In this context, normothermic machine perfusion provides a platform for ex vivo organ evaluation during preservation. Consequently,...

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Main Authors: Florian Sommer, Bingrui Sun, Julian Fischer, Miriam Goldammer, Christine Thiele, Hagen Malberg, Wenke Markgraf
Format: Article
Language:English
Published: MDPI AG 2022-02-01
Series:Biomedicines
Subjects:
Online Access:https://www.mdpi.com/2227-9059/10/2/397
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author Florian Sommer
Bingrui Sun
Julian Fischer
Miriam Goldammer
Christine Thiele
Hagen Malberg
Wenke Markgraf
author_facet Florian Sommer
Bingrui Sun
Julian Fischer
Miriam Goldammer
Christine Thiele
Hagen Malberg
Wenke Markgraf
author_sort Florian Sommer
collection DOAJ
description Facing an ongoing organ shortage in transplant medicine, strategies to increase the use of organs from marginal donors by objective organ assessment are being fostered. In this context, normothermic machine perfusion provides a platform for ex vivo organ evaluation during preservation. Consequently, analytical tools are emerging to determine organ quality. In this study, hyperspectral imaging (HSI) in the wavelength range of 550–995 nm was applied. Classification of 26 kidneys based on HSI was established using KidneyResNet, a convolutional neural network (CNN) based on the ResNet-18 architecture, to predict inulin clearance behavior. HSI preprocessing steps were implemented, including automated region of interest (ROI) selection, before executing the KidneyResNet algorithm. Training parameters and augmentation methods were investigated concerning their influence on the prediction. When classifying individual ROIs, the optimized KidneyResNet model achieved 84% and 62% accuracy in the validation and test set, respectively. With a majority decision on all ROIs of a kidney, the accuracy increased to 96% (validation set) and 100% (test set). These results demonstrate the feasibility of HSI in combination with KidneyResNet for non-invasive prediction of ex vivo kidney function. This knowledge of preoperative renal quality may support the organ acceptance decision.
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spelling doaj.art-b291f36f0b5e4b17afa236f2de052adc2023-11-23T18:54:55ZengMDPI AGBiomedicines2227-90592022-02-0110239710.3390/biomedicines10020397Hyperspectral Imaging during Normothermic Machine Perfusion—A Functional Classification of Ex Vivo Kidneys Based on Convolutional Neural NetworksFlorian Sommer0Bingrui Sun1Julian Fischer2Miriam Goldammer3Christine Thiele4Hagen Malberg5Wenke Markgraf6Institute of Biomedical Engineering, Technische Universität Dresden, 01307 Dresden, GermanyInstitute of Biomedical Engineering, Technische Universität Dresden, 01307 Dresden, GermanyInstitute of Biomedical Engineering, Technische Universität Dresden, 01307 Dresden, GermanyInstitute of Biomedical Engineering, Technische Universität Dresden, 01307 Dresden, GermanyInstitute of Biomedical Engineering, Technische Universität Dresden, 01307 Dresden, GermanyInstitute of Biomedical Engineering, Technische Universität Dresden, 01307 Dresden, GermanyInstitute of Biomedical Engineering, Technische Universität Dresden, 01307 Dresden, GermanyFacing an ongoing organ shortage in transplant medicine, strategies to increase the use of organs from marginal donors by objective organ assessment are being fostered. In this context, normothermic machine perfusion provides a platform for ex vivo organ evaluation during preservation. Consequently, analytical tools are emerging to determine organ quality. In this study, hyperspectral imaging (HSI) in the wavelength range of 550–995 nm was applied. Classification of 26 kidneys based on HSI was established using KidneyResNet, a convolutional neural network (CNN) based on the ResNet-18 architecture, to predict inulin clearance behavior. HSI preprocessing steps were implemented, including automated region of interest (ROI) selection, before executing the KidneyResNet algorithm. Training parameters and augmentation methods were investigated concerning their influence on the prediction. When classifying individual ROIs, the optimized KidneyResNet model achieved 84% and 62% accuracy in the validation and test set, respectively. With a majority decision on all ROIs of a kidney, the accuracy increased to 96% (validation set) and 100% (test set). These results demonstrate the feasibility of HSI in combination with KidneyResNet for non-invasive prediction of ex vivo kidney function. This knowledge of preoperative renal quality may support the organ acceptance decision.https://www.mdpi.com/2227-9059/10/2/397normothermic machine perfusionorgan preservationkidneybiomedical optical imaginghyperspectral imagingmachine learning
spellingShingle Florian Sommer
Bingrui Sun
Julian Fischer
Miriam Goldammer
Christine Thiele
Hagen Malberg
Wenke Markgraf
Hyperspectral Imaging during Normothermic Machine Perfusion—A Functional Classification of Ex Vivo Kidneys Based on Convolutional Neural Networks
Biomedicines
normothermic machine perfusion
organ preservation
kidney
biomedical optical imaging
hyperspectral imaging
machine learning
title Hyperspectral Imaging during Normothermic Machine Perfusion—A Functional Classification of Ex Vivo Kidneys Based on Convolutional Neural Networks
title_full Hyperspectral Imaging during Normothermic Machine Perfusion—A Functional Classification of Ex Vivo Kidneys Based on Convolutional Neural Networks
title_fullStr Hyperspectral Imaging during Normothermic Machine Perfusion—A Functional Classification of Ex Vivo Kidneys Based on Convolutional Neural Networks
title_full_unstemmed Hyperspectral Imaging during Normothermic Machine Perfusion—A Functional Classification of Ex Vivo Kidneys Based on Convolutional Neural Networks
title_short Hyperspectral Imaging during Normothermic Machine Perfusion—A Functional Classification of Ex Vivo Kidneys Based on Convolutional Neural Networks
title_sort hyperspectral imaging during normothermic machine perfusion a functional classification of ex vivo kidneys based on convolutional neural networks
topic normothermic machine perfusion
organ preservation
kidney
biomedical optical imaging
hyperspectral imaging
machine learning
url https://www.mdpi.com/2227-9059/10/2/397
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