The authors report their experiences in applying two types of computer-aided multivariate classification systems in transitional cell tumors of the bladder. The systems are based on nuclear changes in urothelial papillary lesions. 19 out of 54 parameters, selected on the basis of the overlapping area between contiguous grades and the monotonic function, were combined mathematically to obtain the nuclear abnormality index. This index expresses the progressive nuclear abnormalities as a single number on a continuous scale from 0.5 to 2.6. The standard deviation (SD) of the 10 largest nuclear area values in the lower half of epithelial thickness (L), the mean perimeter (L), the SD of the roundness factor in the upper half of epithelial thickness (U), the SD of the logarithm of area (L) and the percentage of round nuclei (U) represent the smallest, the most discriminant and the least correlated set of features for the pattern recognition analysis. The latter shows an agreement of 92% between computer and histologic classifications-estimated by applying Bayes theorem. A good correlation exists between nuclear abnormality index and computer grading by pattern recognition analysis.

Carcinoma, Transitional Cell↗

PubMed1986

Use of the AN69-S (Biospal) in conventional hemodialysis (HD) and in biofiltration (BF).

The authors report the results of a comparative study between biofiltration and conventional hemodialysis with cuprophan and AN69-S hemodialyzers. Using AN69-S in conventional hemodialysis and in biofiltration, there was an almost total absence of cramps, headache, nausea, vomiting and symptomatic hypotension even though map and DBW were reduced.

Acrylic Resins↗

PubMed1986

Benign and malignant mesothelial lesions of the pleura: quantitative study.

Benign and malignant mesothelial lesions of the pleura are quantitatively studied using a Leitz TAS image analyzing system. The Feulgen fast green staining method allows performing on the same cell measurements of the shape and size of the nucleus, the size of the nucleolus and the content of DNA. Numerical data are studied in a multivariate statistical analysis in order to obtain the probability of the morphometric diagnosis in each case. Results demonstrate that the most important measurements are the percentage of cells with evident nucleolus, the nuclear perimeter and the standard deviation of the DNA content, and that these measurements give a correct diagnosis in all cases.

Analysis of Variance↗

PubMed1986

Quantitative evaluation of the progressive nuclear abnormalities in urothelial papillary lesions.

The natural history of noninvasive urothelial papillary carcinomas is characterized by structural and nuclear abnormalities of the epithelial lining in the three grades. Morphometry is applied to measure nuclear-related quantitative parameters from the lower (L) and upper (U) halves of urothelial thickness, i.e. perimeter, area and roundness factor. Their mean and SD as well as the derived parameters have values steadily higher from normal-looking urothelium to G3, whereas the relative frequency distribution shows over-lapping among the grades. The multivariate analysis is then applied. First of all the smallest number of least correlated and most discriminant features is selected: SD of nuclear area log (L), percentage of round nuclei (L), mean of the 10 largest values of nuclear area (L) and mean nuclear perimeter (L). The results of the pattern recognition analysis based on these features show the following percentages of agreement between histopathological and computer classifications: 94% in the training set and 80% in the test set. The calculation of the classification probability and the adoption of a threshold approach of 0.25 less than P less than 0.75 are helpful in identifying the 'in-between' cases, i.e., those in the 'intermediate' position between G1 and G2 and between G2 and G3. Morphometry and multivariate analysis allow us to quantify the nuclear abnormalities of urothelial papillary carcinomas and show a progressive and continuous spectrum of modifications.

Cell Nucleus↗

PubMed1985

Noninvasive papillary transitional-cell tumors. Karyometric and DNA-content analysis.

An investigation was undertaken to quantify and correlate the nuclear and DNA-content modifications in the different grades of noninvasive urothelial papillary carcinoma. Nuclear area and a roundness factor were studied by histomorphometry in 35 cases, and the DNA content was analyzed in 27 cases. The values of the nuclear area and the roundness factor increased from normal-looking urothelium to grade 3 tumors. The DNA-content analysis indicated a progressive change of ploidy and the presence of an aneuploid (greater than 4c) population in some of the grade 2 and grade 3 lesions. A high coefficient of correlation between the nuclear abnormalities and the DNA content was found.

Aneuploidy↗

PubMed1984

Histomorphometry and pattern recognition analysis of urothelial papillary lesions.

The authors report the results of the grading of urothelial papillary carcinoma using histomorphometry and pattern recognition analysis. Features concerning nuclear area, the nuclear roundness factor and inclination angle were measured in 38 cases of urothelial papillary carcinomas. The relative frequency distribution showed overlapping among the grades with a reduction in the practical significance of histomorphometry. To overcome this problem, the pattern recognition analysis was applied. It was found that mean nuclear area, mean roundness factor and percentages of round and horizontal nuclei represent the optimal discriminating set of the subsequent steps in the malignant urothelial transformation.

Carcinoma, Papillary↗

PubMed1984

Bacillus cereus as agent of peritonitis during peritoneal dialysis.

Explore the source record for details and available documents.

Aged↗

PubMed1984

Effect of hyperprolactinemia and age on the hypogonadism of uremic men on hemodialysis.

Primary hypogonadism has been commonly reported among uremic men on hemodialysis, characterized by low testosterone levels, increased luteinizing hormone and sometimes follicle-stimulating hormone levels. Little is known about the influence of hyperprolactinemia and age on this hypogonadism. In 149 hemodialysis patients and in 60 healthy subjects the serum levels of testosterone (T), gonadotropins (LH and FSH) and prolactin (PRL) were assessed through radioimmunoassay. Mean +/- SD hormone levels were: T 274 +/- 125 ng/100 ml, lower than controls; LH 44.7 +/- 46.1 mlU/ml and FSH 17.6 +/- 18.4 mIU/ml, both higher than controls. PRL 31.3 +/- 49.4 ng/ml, higher than controls. A positive correlation between LH and FSH, a negative correlation between PRL and both T and LH was found. Moreover T and FSH were correlated with age only in the normoprolactinemic patients. These data suggest: a common damaging mechanism by uremia on both interstitial and tubular structures of the testis; a central antigonadal influence of hyperprolactinemia even if a direct action on the testis cannot be excluded; a worsening action of age on the gonadal function of these patients.

Adult↗