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PubMedDate not supplied

Use of computerized karyometric image analysis for evaluation of human spermatozoa.

The objective of this study was to evaluate a computer image system for its ability to determine morphological and nuclear semen characteristics in an integral and reproducible way. Semen samples from 19 normospermic fertile donors were used to estimate preliminary cutoff values for spermatozoa and to test the reproducibility of the system. Ten aliquots of 1 sample were used to investigate the sensitivity of the system for experimental conditions by exposure to different laboratory variables. Human spermatozoa were stained with Feulgen dye and analyzed with a magnification of 1000x. A panel of 21 parameters was measured for each sperm nucleus using the computerized karyometric image analysis (CKIA) system. Eight parameters were found to be sensitive for differentiating normal or abnormal human spermatozoa, and cutoff values for each parameter were defined for quantitative analysis. These 8 parameters were grouped into 3 categories depending on their descriptive value: morphometry, DNA condensation (stainability), and chromatin texture. Intrapatient and interpatient variabilities were tested by calculating the reliability coefficient for each of the 8 parameters as well as for each category. Reliability coefficients were all >70% (indicative of the suitability of the system to identify differences between spermatozoa). Interpatient variability (SD) was 5%. Although it was not statistically significant, a variation of 10.9% in measurements was found when the effects of experimental conditions were tested. We conclude that an objective description of the human sperm nucleus can be achieved with CKIA, yielding high interpatient and intrapatient reliability coefficients (reproducibility), thereby adding a new tool for the quantification of normal sperm.

Humans↗
PubMed1997

A rule-based expert system for the automatic classification of DNA "ploidy" histograms measured by the CAS 200 image analysis system.

DNA "ploidy" histogram interpretation is one of the most important sources of variation in DNA image cytometry and is influenced by multiple technical factors such as scaling, selection of peaks, and variable classification criteria. A rule-based expert system was developed to automate and eliminate subjectivity from this interpretative process. Ninety-eight Feulgen stained histologic sections from patients with breast, colon, and lung cancer were measured with the CAS 200 image analysis system (Becton Dickinson, Santa Clara, CA); they included diploid (n = 42), aneuploid (n = 46), tetraploid (n = 7), and multiploid (n = 3) examples. The data was converted from listmode format into ASCII with the aid of CELLSHEET software (JVC Imaging, Elmhurst, IL). Individual microphotometric nuclear measurements were sorted to one of 64 bins based on DNA index. The 64 bins were then divided into 5 semi-arbitrarily defined ranges: hypodiploid, diploid, aneuploid, tetraploid, and hypertetraploid. The nuclear percentages in each range were calculated with EXCEL 4.0 (Microsoft, Redmond, WA). The histograms were divided into 2 equal sets: training and testing. The data from the training set were used to develop 16 IF-THEN rules to classify the histograms into diploid, aneuploid, or tetraploid. A macro was programmed in EXCEL to automate all these operations. The rule-based expert system classified correctly 45/50 histograms of the training set. Two tetraploid histograms were classified as aneuploid. Three multiploid histograms were classified as tetraploid. All histograms in the testing set were correctly classified by the expert system. The potential role of rule-based expert system technology for the objective classification of DNA "ploidy" histograms measured by image cytometry is discussed.

Automation↗
PubMed1987

Bronchial carcinoma and image analysis. Differentiation between poorly differentiated epidermoid carcinoma and small-cell carcinoma.

The utility of automated image analysis in the distinction between poorly differentiated epidermoid carcinoma (eight cases) and small-cell carcinoma (ten cases) was studied. Material obtained using the bronchial brushing technique was prepared by a cytocentrifugation technique. In each case, a total of 100 bronchial cell nuclei were selected using the Leitz TAS, which measured eight parameters per cell in order to ascertain the homogeneity or the heterogeneity of the nuclear populations. Except for one sample exhibiting preparation artifacts, the method proved capable of differentiating between these two types of bronchial carcinoma, with heterogeneity of the malignant nuclei indicating an epidermoid carcinoma and homogeneity indicating a small-cell carcinoma. A correlation was observed to exist between the morphologic and the morphometric criteria.

Bronchial Neoplasms↗
PubMed1992

Retinal circulation in primary open-angle glaucoma tested by videodensitometric image analysis.

To investigate the retinal circulation in primary open-angle glaucoma (POAG), we used videodensitometric image analysis of fluorescein angiography to calculate the build-up time, the time constant of the washout rate, and the mean circulation time (MCT) in both the retinal artery and vein. We found the MCT in the POAG group (23 eyes of 20 patients) was significantly longer than in the normal group (3.7 +/- 2.0 sec and 2.8 +/- 1.7 sec, respectively; P less than .05). It correlated significantly with the vertical cup-to-disc ratio (r = .32; P less than .01), the outflow facility (r = -.35, P less than .005), and the glaucomatous visual-field loss. There was no correlation between MCT and intraocular pressure tested at the same time (r = .09, not significant). Therefore, treatment to decrease the intraocular pressure may not be associated directly with improved retinal circulation.

Adult↗
PubMed2004

A prospective comparison of digital image analysis and routine cytology for the identification of malignancy in biliary tract strictures.

BACKGROUND & AIMS: Digital image analysis (DIA) allows quantification of nuclear DNA content and may help distinguish benign and malignant strictures of the biliary tract. METHODS: One hundred ten consecutive patients undergoing endoscopic retrograde cholangiography for suspicious biliary tract strictures were enrolled in a prospective study comparing the accuracy of DIA and routine cytology (RC). Standard brush cytology sampling was performed twice by using 2 cytology brushes per patient. Both brushes were fixed in a single-specimen vial. Each specimen was formed into 1 pellet, and the sample was equally divided for evaluation by DIA and RC. DNA histograms were generated for ploidy analysis. The DIA criterion for malignancy was demonstration of aneuploidy. RESULTS: Two patients had inadequate samples obtained for DIA analysis, 7 benign patients were excluded because of inadequate follow-up of less than 75 days, and 1 patient was lost to follow-up to clarify malignant versus benign disease. Of the remaining 100 patients, 56 strictures were malignant and 44 were benign. The sensitivities of DIA and RC were 39.3% and 17.9%, respectively (P = 0.014). The specificities of DIA and RC were 77.3% and 97.7%, respectively (P = 0.003). The accuracy of DIA (56.0%) was equivalent to RC (53.0%). CONCLUSIONS: DIA is a valuable adjunct to RC for detecting malignant strictures of the biliary tract.

Adult↗
PubMed1986

Automated image analysis of myocardial collagen pattern in pressure and volume overload in rat cardiac hypertrophy.

An automated image analysis system was used to analyze the collagen pattern in picrosirius-stained sections of the left ventricular myocardium from 27 rats: 9 sham-operated animals (controls), 9 animals with one-clip, two-kidney Goldblatt renovascular hypertension (RVH) and 9 animals with an aortocaval fistula (ACF) model of volume overload hypertrophy. The collagen content and fiber thickness were significantly increased in the RVH group as compared to the ACF and sham-operated groups (P less than .001). These parameters were correlated to the left ventricular wall thickness (R = .66; P less than .01). On the other hand, form factors were significantly increased in both treated groups as compared to the controls. These findings indicate that increased collagen formation and increased left ventricular wall thickness probably depend on the type of load and were particularly important when afterload is increased.

Animals↗
PubMed1999

[Prediction of the outcome of dysplasia of esophageal epithelium by high resolution image analysis].

OBJECTIVE: To predict the outcome of dysplasia of esophageal epithelium by means of high resolution image analysis(HRIA). METHODS: Asymptomatic adults were examined for balloon cytology of the esophagus in 1983 from Heshun Commune of Linxian County. Ninety three cases of severe dysplasia and 122 cases of mild dysplasia of the esophagus were selected for this study. By means of an Axiomat-microscope equipped with TV-camera, 100 normal nuclei of well-preserved cells in the intermediate layer of Pap-stained squamous epithelium were randomly examined. RESULTS: Of the 93 cytologically diagnosed severe dysplasia cases, 24, 14 and 7 progressed to carcinoma in 3, 5 and 9 years, respectively. In the other 48 cases, dysplasia remained stable or regressed to normal. The other cases were used as the control. According to chromatin features, correct diagnosis of cases was achieved by HRIA in 75.0%(18/24), 85.7%(12/14) and 85.7%(6/7) of the cases examined, respectively (P < 0.001). Of the 122 cytologically diagnosed mild dysplasia, 16, 13 and 12 cases progressed to carcinoma in 3, 5 and 9 years, respectively. The other 81 cases remained stable or regressed to normal. Correct diagnosis was made by HRIA in 93.8%(15/16), 76.9%(10/13) and 83.3%(10/12) of the cases examined, respectively (P < 0.001). CONCLUSION: Chromatin nuclear features examined by HRIA can predict the outcome of precancerous lesions and discriminate progressor from non-progressor ones. It can be used as surrogate endpoint biomarkers for the evaluation of efficacy of chemoprevention trial.

Adult↗
PubMed1999

Sensitivity testing of veterinary pathogens with a semi-automatic image analysis system compared with tablet diffusion and agar dilution tests.

Recently a commercial computer-controlled image analysis system (IAS) was introduced to measure automatically the diameters of inhibition zones in the agar diffusion test. However, there is little information on the precision of this method. In the present study clinical isolates of Salmonella spp. (N = 104), Escherichia coli (N = 100), Pasteurella spp. (N = 99), Actinobacillus pleuropneumoniae (N = 85), porcine streptococci (N = 100), and Staphylococcus aureus (N = 95) were tested in the agar diffusion test, using nineteen different antibiotics in tablets. All inhibition zone diameters were first measured by a laboratory technician and then by the IAS. Although the zone diameters of all bacteria-antibiotic combinations measured by the IAS and those measured by the laboratory technician showed a significant positive correlation, the size of the inhibition zone diameters measured by the technician and the IAS differed significantly in 59% of the combinations. However, these differences were very small and may have no clinical relevance. The IAS was also used to calculate minimum inhibitory concentrations (MIC values) from the zone diameters. In 82% of the bacteria-antibiotic combinations MIC values calculated by the IAS showed a significant positive correlation with MIC values obtained with the reference agar dilution test. However, in 92% of the bacteria-antibiotic combinations, the calculated MIC values differed significantly from the reference values. In some cases these differences were so large that they could be of clinical relevance. The IAS was unable to measure the diameter of inhibition zones of porcine streptococci properly, due to poor contrast. We concluded that when tablets are used as antibiotic carriers the IAS accurately measures the diameter of inhibition zones for bacteria species that give good contrast between the agar and bacterial growth. MIC values determined with the IAS were only indicative of those determined with the reference agar dilution test.

Agar↗
PubMed1991

Planimetry in pathology--a method in its own right besides stereology and automatic image analysis.

Under the term planimetry all possibilities of quantitative morphological description of structures at the two-dimensional level which do not require densitometry and do not consider the 3rd spatial dimension are subsumed. Because planimetry has several advantages with respect to preparation techniques and structure recognition compared to stereology and expensive densitometric image analysis systems, it seems necessary to give a synoptic description of planimetry as a morphometric method in its own right in pathology. This should lead to a clinically orientated development in parallel to stereology and densitometry. The recent status and advances with regard to the methods of measuring and evaluation are discussed.

Fourier Analysis↗
PubMed1984

The venous anatomy of the lower oesophagus in normal subjects and in patients with varices: an image analysis study.

The microvasculature of the lower oesophagus has been studied quantitatively using a computer assisted image analysis system. Twenty normal specimens of oesophagus and stomach were studied and seven further specimens from patients with varices were also assessed. Each specimen could be clearly subdivided into three zones. Zone 1 was the stomach where the mean relative area occupied by veins in the lamina propria was 2.6 per cent (s.e.m. +/- 0.2) in the normal subjects and 3.7 per cent (s.e.m. +/- 0.8) in the variceal specimens. Zone 2 began at the oesophagogastric junction and extended 2-5 cm into the lower oesophagus. The mean area occupied by veins in the lamina propria increased to 19.8 per cent (s.e.m. +/- 1.2) in the normal and 32.8 per cent (s.e.m. +/- 3.9) in the varices specimens. Zone 3 was the remainder of the proximal oesophagus and the mean area occupied by veins in the lamina propria was 4.9 per cent (s.e.m. +/- 0.3) in the normal and 6.1 per cent (s.e.m. +/- 0.5) in the varices specimens. Further analysis revealed that this increase in area occupied by veins in the distal oesophagus was due to an increase in both the number and size of vessels in the lamina propria of Zone 2. These findings may explain the propensity for oesophageal varices to bleed mainly from the distal oesophagus.

Adult↗
PubMed1980

Quantitative data on the secretory granules in the normal mouse endocrine panreas. A morphometrical study using semi-automatic image analysis.

In order to obtain basic information on different morphometrical parameters a semi-automatic image-analysis of the secretory granules of the B-, A-, D- and PP-cells of the normal adult mouse endocrine pancreas was carried out. The following results were obtained: Cross sectional area of whole secretory granules: A greater than B greater than D greater than PP; cross sectional area of secretory granule cores: A greater than B; ratio of cross sectional area of whole secretory granules to secretory granule cores: 2.35 for B-cells and 1.74 for A-cells; maximum diameter of whole secretory granules: A greater than B greater than D greater than PP; maximum diameter of secretory granule cores A greater than B; form factor for whole secretory granules: A greater than B greater than D and PP; form factor for secretory granule cores: A greater than B. The findings show that the secretory granules of the parenchymal cells of the normal adult mouse endocrine pancreas differ from each other with respect to the size and form of both whole granules and cores.

Animals↗
PubMed1985

Quantitation in inflammatory bowel disease using computerised interactive image analysis.

Objective measurements of various histological features in rectal biopsy material were made using computerised interactive image analysis. Analysis of the resulting data by forward stepwise discriminant analysis showed that biopsies from patients with ulcerative colitis and infective diarrhoea could be distinguished from each other and from normal biopsies; they could not, however, be distinguished from biopsies of patients with Crohn's disease, which behaves as a heterogeneous entity rather than a single disease. The measurements showed that the crypt atrophy described in active ulcerative colitis may be a misnomer, the appearances being due to an increase in mucosal depth and alteration in crypt configuration rather than a true atrophy. Unexpectedly, the ratio of crypt cell height to surface cell height gave the best separation of Crohn's disease from ulcerative colitis.

Colitis, Ulcerative↗
PubMed1992

Inference systems for automated image analysis.

The radiodiagnostic process is a complicated activity involving the integration of knowledge from low-level image features into more abstract, higher-order entities. This involves spatial and density information at a lower level and area and features at a higher level. The spatial density distribution in a radiographic image is not uniquely related to the three-dimensional structure of the object. Therefore, more information other than just first-order density characteristics of radiographs must be utilized to improve automated interpretation of the image. Prior knowledge of the size, shape and location of anatomical structures and pathognomic features is very useful for improving the process of computer-aided image analysis. Inference systems as used in expert systems can be applied to facilitate the integration of information obtained from the patient and the radiograph in the diagnostic process.

Expert Systems↗
PubMed1986

Bladder cancer diagnosis by computer image analysis of cells in the sediment of voided urine using a video scanning system.

A video-based computerized semiautomated image analysis system was applied to the diagnostic evaluation of 119 sediments of voided urine: 103 from patients with a broad variety of neoplastic and nonneoplastic disorders of the lower urinary tract and 16 normal controls. Each specimen was presented to the machine as a single cytocentrifuge preparation, preserved in 2% Carbowax in 50% ethanol and stained-by the Papanicolaou method. Five hundred sequential "objects" were scanned within an area of 9 sq mm on each slide. "Objects" of no diagnostic value, such as dirt, debris, inflammatory cells, cell clusters, poorly preserved cells, etc., were eliminated from the final diagnostic analysis by a computer-based hierarchic triage system. The final specimen classifier was based on the cell images identified by the computer as well-preserved normal (NEG), atypical (ATY I), suspicious (ATY II) and malignant (POS) cells. For specimen classification by computer, the four categories of "abnormal," "inadequate," "acellular" and "negative" were defined. For high-grade tumors, the performance of the specimen classifier was generally comparable to the visual diagnosis. The specimen classifier unexpectedly identified twice as many low-grade papillary urothelial tumors as abnormal than did the visual analysis. Several false "alarms" were recorded by computer in patients with benign prostatic hypertrophy and prostatic carcinoma, some of whom had atypical urothelium. One of the 16 negative controls was misdiagnosed by the computer as abnormal. The possibility that the video system recognizes nuclear abnormalities not perceived by the human eye is being investigated further. The details of the computer analysis are reported, and the value of the system is discussed. The system appears to be promising as a future laboratory instrument, although it requires further extensive testing.

Adenocarcinoma↗
PubMed2000

Image analysis to improve diagnosis of exfoliation.

PURPOSE: To improve visualization of exfoliation material in standard colour photographs by image analysis. METHODS: Standard anterior segment colour photographs taken from 17 patients with known exfoliation were subjected to film scanning with a maximum accuracy of 3175 dpi. RESULTS: Before image scanning, visualization of exfoliation was classified as barely visible in 10 (59%) patients and clearly visible in 7 (41%) patients. After the image scanning, exfoliation material became clearly visible in 13 (76%) patients and could easily be demonstrated. CONCLUSION: Diagnosis of exfoliation material can be improved by standard film scanning.

Anterior Eye Segment↗
PubMed1990

Image analysis of microsialograms of the mouse parotid gland: a study of the effect of contrast medium in experimentally induced sialoadenitis.

Quantitative image analysis of mouse parotid gland sialograms was achieved by conversion of the digital image to a histogram. The relationships between histogram pattern, microsialographic appearance and the amount of contrast medium infused were compared in normal glands and in experimentally induced sialoadenitis. Differences in the pattern enabled a distinction to be drawn between poor sialographic technique and genuine pathology.

Animals↗