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Breakthrough with AI: faster findings in cardiovascular research

In cooperation between the Institute of Medical Technology and the Institute of Cardiogenetics at the University of Lübeck and the Fraunhofer Research Institution for Individualised and Cell-based Medical Engineering IMTE, an innovative AI-supported method for analysing atherosclerotic plaques in mice has been developed. This can significantly improve efficiency in medical research.

[Translate to English:] KI beschleunigt Herz-Kreislauf-Forschung. ©iorta

AI-based artery segmentation and plaque quantification in mouse models is the subject of a new publication that appeared on 23 April in the renowned journal ‘Scientific Reports’. In this study, a multi-stage procedure was described with which Oil Red O-stained histological sectional images of the aortic root can be analysed automatically. Atherosclerotic plaques are lipid-rich deposits in the arteries whose growth and composition are of particular interest for cardiovascular research. 

Due to the large number of possible secondary diseases, atherosclerosis is the main cause of death in industrialised nations. A major challenge in the research of therapeutic measures is the large amount of image data, which is currently mainly analysed manually. Thanks to AI-supported methods, these processes can now be carried out more objectively and faster than before, without having to perform time-consuming manual segmentation.

The concept developed at Fraunhofer IMTE since 2022 combines several machine learning approaches (see Figure 1). First, a region of interest of the arterial structure is determined, which makes it possible to process the fine details of the vessels in the highest possible resolution. Subsequently, so-called ensembles are used, which combine different local optima, thereby reducing false segmentations. Finally, an unsupervised method is used to determine the deposits in the arteries, which recognises these pathological changes based on the characteristic colour patterns. A special method for transferring colour spaces also minimises differences in staining and image acquisition. 

This pipeline therefore utilises both supervised and unsupervised AI methods to ensure the most complete and robust detection possible. The method is characterised above all by its rapid applicability to very large data sets and thus considerably simplifies laboratory workflows.

Spin-off to make the technology available to other research teams

Particularly noteworthy is the case study carried out, which extensively compares the manual and automated analyses. A close correlation (Pearson's r = 0.91) between the AI predictions and the human expert results was demonstrated. These findings were also visible in a detailed breakdown of the conditions analysed, such as feeding, the sex of the mice and a genetic modifier (see Figure 2). The AI-based methodology can successfully reproduce the manual analysis and provides the same relevant key findings. This provides a much simpler and faster way to conduct extensive studies on mouse models and gain detailed insights into the dynamics of plaque formation.

Looking to future applications, this offers new perspectives not only for preclinical research, but also for a better understanding of cardiovascular diseases in humans. Automated analysis could help to collect data on a large scale in order to develop more individualised treatment strategies and make more precise diagnoses. From the perspective of clinical application, this opens up numerous opportunities to better understand the progression of atherosclerosis and to create new therapeutic approaches in the long term.


Publication: 
Engster J.C. et.al , "Artery segmentation and atherosclerotic plaque quantification using AI for murine whole slide images stained with oil red O”, Nature – Scientific Reports, April 2025.

Source: Press release of the University zu Lübeck