Creation and assessment of a software tool for histoanatomical morphometric evaluation of the intestinal wall in pediatric patients with Hirschsprung’s disease - Summary - MDSpire

Creation and assessment of a software tool for histoanatomical morphometric evaluation of the intestinal wall in pediatric patients with Hirschsprung’s disease

  • By

  • Tebin Hawez

  • Tobias Erlöv

  • Christina Granéli

  • Gustav Andersson

  • Tyra Lundberg

  • Emma Fransson

  • Maria Evertsson

  • Magnus Cinthio

  • Pernilla Stenström

  • March 21, 2026

  • 0 min

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Objective:

To develop and validate a computer program for high-precision histoanatomical morphometric measurements of bowel wall in histopathology images from pediatric patients with Hirschsprung’s disease, specifically focusing on resected bowel wall specimens.

Key Findings:
  • The computer program demonstrated high reliability and reproducibility in measuring bowel wall layers, with inter-observer and intra-observer agreement showing statistically significant values (e.g., ICC > 0.85).
  • The program's measurements correlated well with manual assessments, with a correlation coefficient of r > 0.90.
Interpretation:

The developed software tool provides a reliable and efficient method for histoanatomical morphometric evaluation, potentially reducing observer bias and variability in histopathological assessments.

Limitations:
  • The study focused only on specific bowel wall layers and did not include transition zone images, which may limit the applicability of the findings.
  • The sample size and selection criteria may limit generalizability, potentially affecting the program's utility in broader clinical settings.
Conclusion:

The computer program is a promising tool for histomorphometric analysis in Hirschsprung’s disease, facilitating more precise diagnostics and research, and may significantly impact clinical practice.

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