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K R Castleman

Publications and source records attributed to K R Castleman.

26 records · Page 2Linked to original sources

Morphology of the atrioventricular node, bundle and proximal bundle branches: a study employing computerized reconstruction.

The morphology of the human atrioventricular node, atrioventricular bundle and bundle branches is described. A block of tissue bounded by the ostium of the coronary sinus, the pars membranacea, the septal leaflet of the tricuspid valve and the atrial and ventricular septa is removed. The block is then sectioned serially from the right endocardial surface in the frontal plane of the heart. Sectioning in this way produces fewer sections than from techniques previously described. Outlines of the atrioventricular node, atrioventricular bundle and proximal bundle branches are digitally registered and stored in a computer. Three dimensional reconstructions of the structures are then generated by computer and displayed on an oscilloscope so that the entire three dimensional image can be rotated in any plane. Stereoscopic image pairs are produced to assist perception of the shape of the atrioventricular node, bundle and branching patterns of the bundles. This technique is unique in that it describes a method from which a relatively small number of histologic sections are generated permitting not only a complete histologic examination, but also a study of the morphology of the area.

Adult↗

Karyotype analysis by computer and its application to mutagenicity testing of environmental chemicals.

Large scale population monitoring by cytogenetics would require vast amounts of effort for meaningful results. Computer techniques promise to assume some of this burden and thus render large scale monitoring a more practical alternative than it is now. A system recently developed at the California Institute of Technology, Jet Propulsion Laboratory and the City of Hope Medical Center, contains many of the features required by a large scale population monitoring system. One part of the system is a semi-automated slide preparation assembly which can process up to 576 specimens per day with uniform treatment. The second part of the system consists of a computer-controlled microscope which performs automatic slide search, metaphase location, and karyotype analysis under the interactive supervision of an operator. While the system was developed primarily for clinical cytogenetics, some aspects of our operating experience suggest promising approaches for population cytogenetics.

Chromosome Aberrations↗

A simple method of producing a monolayer of cervical cells for digital image processing.

A manual method of producing a monolayer of isolated and evenly distributed cervical epithelial cells has been developed for use in an automated digital image analysis system. The cervical scrape specimen is vortexed from the spatula into a solution of Mucosol. The suspension is filtered through a 10 micro nylon mesh to remove polys and debris and then syringed to disaggregate epithelial clumps. The cells are plated out on a Nuclepore filter. The filter is touched directly onto a glass microscopic slide to transfer cells, which are then fixed and stained in a routine manner. Cell counts reveal elimination of 92% polys, with only 2% loss of squamous cells.

Autoanalysis↗

Endocervical columnar cell atypia coincident with cervical neoplasia characterized by digital image analysis.

In the course of classifying uterine cervical epithelial cells for digital image analysis, certain changes in endocervical cells were observed. These changes coincided with the process ongoing in the squamous or metaplasia epithelium. Specifically, in severe dysplasias or carcinomas in situ (CIS), the endocervical nuclei reflected some of the same cytologic changes observed in the dysplastic or CIS squamous cells and yet definitely retained their columnar shape and cytoplasmic quality. This paper deals with almost unexplored area of the endocervical columnar cell in the face of significant cervical neoplasia. Correlation is made between the cytologic criteria observed by the human eye with the light microscope and significant parameters measured by digital image analysis. These measurements suggest that endocervical columnar cells may participate in the dysplastic progression toward CIS.

Carcinoma in Situ↗