Optical Biopsy using a neural network to predict functional state from photos of wounds

BackgroundThe clinical characterization of the functional status of active wounds remains a considerable challenge that at present, requires excision of a tissue biopsy. In this pilot study, we use a convolutional Siamese neural network architecture to predict the functional state of a wound using digital photographs of wounds in a canine model of volumetric muscle loss (VML). Materials and MethodsImages of volumetric muscle loss injuries and tissue biopsies were obtained in a canine model of VML. Gene expression profiles for each image were obtained using RNAseq. These profiles were then converted to functional profiles using a manual review of validated gene ontology databases. A Siamese neural network was trained to regress functional profile expression values as a function of the data contained in an extracted image segment showing the surface of a small tissue biopsy. Network performance was assessed in a test set of images using Mean Absolute Percentage Error (MAPE). ResultsThe network was able to predict the functional expression of a range of functions based with a MAPE ranging from [~]5% to [~]50%, with functions that are most closely associated with the early-state of wound healing to be those best-predicted. ConclusionsThese initial results suggest promise for further research regarding this novel use of ML regression on medical images. The regression of functional profiles, as opposed to specific genes, both addresses the challenge of genetic redundancy and gives a deeper insight into the mechanistic configuration of a region of tissue in wounds. As this preliminary study focuses on the first 14 days of wound healing, future work will focus on extending the training data to include longer time periods which would result in additional functions, such as tissue remodeling, having a larger presence in the training data.