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AI-assisted automation and integration of immunological diagnostics for transplantation

This MSc thesis project is aimed at students in Artificial Intelligence, Computing Science, Data Science, or a related field who are interested in computer vision, biomedical data integration, and clinical decision-support systems.

Background

Before organ transplantation, the immunological compatibility between a patient and a potential donor must be assessed carefully. An important aspect of this assessment is the detection of antibodies directed against Human Leukocyte Antigens (HLA), highly polymorphic cell-surface proteins that play a central role in antigen presentation and immune recognition. Pre-existing antibodies against donor HLA molecules can increase the risk of antibody-mediated organ rejection. Within HLA diagnostics, several complementary laboratory techniques are used to evaluate this compatibility.

Examples include:

  • Complement-Dependent Cytotoxicity (CDC) testing
  • Luminex antibody screening (LMX)
  • Single Antigen Bead analysis (LSA)
  • HLA typing

Together, these tests provide important information about the immunological profile of a patient and the potential risk of incompatibility with a donor. At present, however, these data are generated in different laboratory workflows and are often stored in separate software systems. This means that laboratory specialists need to manually combine and interpret information from multiple sources to obtain a complete picture of the patient's immunological status.

At the same time, part of the CDC workflow is still assessed manually using fluorescence microscopy. This project therefore investigates how Artificial Intelligence, computer vision, automation, and data integration can be used to improve both the generation and interpretation of immunological laboratory data. The project consists of two closely connected parts.

Part 1: Automated CDC analysis

In a CDC assay, patient serum is incubated with lymphocytes and complement. If relevant antibodies are present, complement activation may cause cell death. Fluorescent dyes are used to distinguish:

  • Living cells: green fluorescence
  • Dead cells: red fluorescence

Currently, a laboratory technician evaluates the wells manually under a fluorescence microscope and visually estimates the proportion of living and dead cells. Although this method is well established, manual evaluation is time-consuming and introduces reader-dependent variability.

The first aim of the project is to develop a prototype for automated imaging and analysis of CDC assays. The envisioned workflow is:

CDC well → microscope + camera → automatic image acquisition → AI image analysis → % live/dead cells → CDC score → stored image and result.

The student may investigate classical computer-vision methods, machine-learning approaches, deep learning, or a combination of these techniques.

Part 2: Immunological Patient Overview

CDC results represent only one part of the patient's immunological profile. Additional information is obtained from several laboratory techniques, including:

  • LMX antibody screening: Provides information on whether HLA class I and/or class II antibodies are present.
  • LSA Single Antigen analysis: Provides more detailed information about antibody specificity and signal intensity for individual HLA antigens.
  • HLA typing: Defines the patient's HLA characteristics and can be used together with antibody data to evaluate compatibility and immunological risk.

At present, these results are often located in different software applications and data formats. A laboratory specialist therefore has to move between multiple systems to obtain a complete overview.

The second aim of this project is to investigate how these heterogeneous sources of immunological data can be brought together into a single integrated patient overview. The envisioned concept is:

HLA typing + LMX + LSA + CDC → data integration → immunological patient overview

The system should provide a clear and intuitive representation of the available immunological information for an individual patient. Rather than replacing expert interpretation, the goal is to create a tool that allows laboratory specialists to see the relevant information in one place, identify relationships between different test results more easily, and support consistent interpretation.

Student profile

We are looking for a motivated MSc student with experience or interest in one or more of the following areas:

  • Artificial Intelligence
  • Computer vision
  • Machine learning
  • Data science
  • Software engineering
  • Data integration
  • Data visualization
  • Human-computer interaction

Experience with technologies such as Python, OpenCV, scikit-image, PyTorch, TensorFlow, pandas, SQL, or web-based visualization frameworks is an advantage. Previous knowledge of HLA, immunology, or transplantation is not required. The necessary biological and laboratory background will be provided during the project.

What we offer

This project provides the opportunity to work on a real clinical laboratory problem with direct practical relevance within the Transplantation Immunology group in RadboudUMC. You will work with:

  • Real fluorescence microscopy images
  • Real immunological laboratory data
  • Multiple types of diagnostic information
  • Laboratory specialists experienced in HLA diagnostics
  • A multidisciplinary team combining biomedical and computational expertise

Contact

If you are interested, send your CV to dr. Cresci-Anne Croes or to dr. ir. Gabriel Bucur.