AI models for automated segmentation of engineered polycystic kidney tubules.

Autosomal dominant polycystic kidney disease (ADPKD) is a monogenic, rare disease, characterized by the formation of multiple cysts that grow out of the renal tubules. Despite intensive attempts to develop new drugs or repurpose existing ones, there is currently no definitive cure for ADPKD. This is primarily due to the complex and variable pathogenesis of the disease and the lack of models that can faithfully reproduce the human phenotype. Therefore, the development of models that allow automated detection of cysts' growth directly on human kidney tissue is a crucial step in the search for efficient therapeutic solutions. Artificial Intelligence methods, and deep learning algorithms in particular, can provide powerful and effective solutions to such tasks, and indeed various architectures have been proposed in the literature in recent years. Here, we comparatively review state-of-the-art deep learning segmentation models, using as a testbed a set of sequential RGB immunofluorescence images from 4 in vitro experiments with 32 engineered polycystic kidney tubules. To gain a deeper understanding of the detection process, we implemented both pixel-wise and cyst-wise performance metrics to evaluate the algorithms. Overall, two models stand out as the best performing, namely UNet++ and UACANet: the latter uses a self-attention mechanism introducing some explainability aspects that can be further exploited in future developments, thus making it the most promising algorithm to build upon towards a more refined cyst-detection platform. UACANet model achieves a cyst-wise Intersection over Union of 0.83, 0.91 for Recall, and 0.92 for Precision when applied to detect large-size cysts. On all-size cysts, UACANet averages at 0.624 pixel-wise Intersection over Union. The code to reproduce all results is freely available in a public GitHub repository.

Real-time analysis of physiological data to support medical applications.

This paper presents a flexible framework that performs real-time analysis of physiological data to monitor people's health conditions in any context (e.g., during daily activities, in hospital environments). Given historical physiological data, different behavioral models tailored to specific conditions (e.g., a particular disease, a specific patient) are automatically learnt. A suitable model for the currently monitored patient is exploited in the real-time stream classification phase. The framework has been designed to perform both instantaneous evaluation and stream analysis over a sliding time window. To allow ubiquitous monitoring, real-time analysis could also be executed on mobile devices. As a case study, the framework has been validated in the intensive care scenario. Experimental validation, performed on 64 patients affected by different critical illnesses, demonstrates the effectiveness and the flexibility of the proposed framework in detecting different severity levels of monitored people's clinical situations.

The painter's feature selection for gene expression data.

Feature selection is a fundamental task in microarray data analysis. It aims at identifying the genes which are mostly associated with a tissue category, disease state or clinical outcome. An effective feature selection reduces computation costs and increases classification accuracy. This paper presents a novel multi-class approach to feature selection for gene expression data, which is called Painter's approach. It has the benefits of both a parameter free technique and a native multicategory method. It consists of two phases. The first is a filtering phase that smooths the effect of noise and outliers, which represent a common problem in microarray data. In the second phase, the actual gene selection is performed. Preliminary experimental results on three public datasets are presented. They confirm the intuition of the proposed approach leading to high classification accuracies.