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Primary open-angle glaucoma (POAG) and primary angle-closure glaucoma (PACG) are prevailing eye diseases that can lead to blindness. In order to provide a non-invasive diagnostic method for glaucoma, we investigated the feasibility of using drop-coating deposition Raman spectroscopy (DCDRS) to discriminate glaucoma patients from healthy individuals based on tear samples. Tears from 27, 19 and 27 POAG patients, PACG patients and normal individuals, respectively, were collected for Raman measurement. For high-dimension data analysis, principal component analysis–linear discriminant analysis (PCA-LDA) was used to discriminate the features of the Raman spectra, followed by a support vector machine (SVM) used to classify samples into three categories, which is called a PCA-LDA-based SVM. The differences in the characteristic peaks of Raman spectra between glaucoma patients and normal people were related to the different contents of various proteins and lipids. For the PCA-LDA-based SVM, the total accuracy reached 93.2%. With the evaluation of 30% test dataset validation, the classification accuracy of the model was 90.9%. The results of this work reveal that tears can be used for Raman detection and discrimination by combining the process with the PCA-LDA-based SVM, supporting DCDRS being a potential method for the diagnosis of glaucoma in the future.

Background: Glomerular lesion recognition is one of the most crucial steps in the diagnosis of kidney disease. Deep learning, which relies on large numbers of pathology images, assists pathologists to access glomerular lesions more efficiently, objectively and accurately. However, due to different pathological development of glomeruli, complicated lesion patterns, and limited resolution of pathology images, there is annotation noise in datasets, making the deep learning model under-or over-fit. Methods: In this paper, we propose a novel noisy label learning model for lesion recognition in glomerular datasets with annotation noise. The model integrates uncertainty-based noisy label discriminator, contrastive learning, and consistency regularization to achieve high signal-to-noise supervision, pathology feature extraction, and utilization of pathology images. Results: We constructed large-scale glomerular datasets from 870 kidney disease cases using different stainings including Periodic acid-Schiff (PAS), Masson Trichrome (MT) and Periodic Schiff-Methenamine (PASM). Intensive experiments demonstrated the superiority of the proposed model for glomerular lesion recognition compared to other methods, as 25% of the lesions had f 1 − score above 85%, 43.75% had f 1 − score above 80%, and 75% had f 1 − score at or above 70%. Additionally, further experiments demonstrate the effectiveness of each module. Conclusions: The noisy label learning model proposed is able to recognize the most glomerular lesions, with the annotation noise discrimination and large amounts of pathology images utilization, laying the foundation for the development of computer-aided evaluation system for renal pathology.