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Optical coherence tomography and computer-aided diagnosis of a murine model of chronic kidney disease

DOI:10.1117/1.jbo.22.12.121706 期刊:Journal of Biomedical Optics 出版年份:2017 更新时间:2025-09-04 15:30:14
摘要: Chronic kidney disease (CKD) is characterized by a progressive loss of renal function over time. Histopathological analysis of the condition of glomeruli and the proximal convolutional tubules over time can provide valuable insights into the progression of CKD. Optical coherence tomography (OCT) is a technology that can analyze the microscopic structures of a kidney in a nondestructive manner. Recently, we have shown that OCT can provide real-time imaging of kidney microstructures in vivo without administering exogenous contrast agents. A murine model of CKD induced by intravenous Adriamycin (ADR) injection is evaluated by OCT. OCT images of the rat kidneys have been captured every week up to eight weeks. Tubular diameter and hypertrophic tubule population of the kidneys at multiple time points after ADR injection have been evaluated through a fully automated computer-vision system. Results revealed that mean tubular diameter and hypertrophic tubule population increase with time in post-ADR injection period. The results suggest that OCT images of the kidney contain abundant information about kidney histopathology. Fully automated computer-aided diagnosis based on OCT has the potential for clinical evaluation of CKD conditions.
作者: Bohan Wang,Hsing-Wen Wang,Hengchang Guo,Erik Anderson,Qinggong Tang,Tongtong Wu,Reuben Falola,Tikina Smith,Peter M. Andrews,Yu Chen
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To evaluate CKD in a murine model induced by intravenous Adriamycin (ADR) injection using OCT and to develop a CAD system based on ConvNet to automatically detect and quantify tubular diameter and hypertrophic tubule population from OCT images.

OCT is able to evaluate living kidney microstructure and function in CKD models. The CAD software can automatically detect, measure, and quantify features in the kidney images related to CKD progression, providing a useful tool for medical doctors to quickly scan through large image databases.

1. The animal experiment design to observe the progression of CKD can be improved by continuous monitoring of the same animal. 2. The selection of imaging locations on the kidney can be biased by the operator. 3. The OCT probe needs to be held closely to the kidney surface, which could be invasive.

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