PubMed · 8583029
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H Griffith. Internet magic.. https://doi.org/10.1016/s8755-7223(96)80065-2
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In this paper we have presented a semi-automatic method for segmenting 3-D cell nuclei from tissue images obtained using Confocal Laser Scanning Microscope. This microscope can focus at different layers of the specimen and hence a stack of images giving a 3D representation can be obtained. The existing methods for segmenting the cells in 3-D confocal images are highly interactive and, hence, time consuming. We have developed an approach, where, given one segmented image-slice (optical section) of the set of confocal images, the remaining image-slices in the image stack can be automatically segmented in a layered approach. One of the image-slices in an image stack is considered as a representative image-slice. In this image-slice, overlapping boundary pixels are identified interactively while the remaining part of the cell boundary is marked using Laplacian of a Gaussian operator. This interactively traced portion of the boundary is considered as initial boundary for finding the overlapping boundary pixels in the neighboring image-slices. Simple basic search strategy is used for boundary search in the neighboring image-slices. The method minimizes the human interaction and is also found to be efficient and reasonably accurate. Some experimental results are presented to illustrate the usefulness of the technique. We have also given the application of our segmentation method to quantitative evaluation of fluorescence in situ hybridization (FISH) signals. A brief comparative study of visual FISH signal evaluation and the FISH signal counting by automatic image analysis is also given.
Detroit Riverview Hospital's surgery suite recently converted to an automated medication distribution system. Focusing on control, access, documentation, and charging, the redesign has benefited pharmacists, nurse anesthetists, and OR nurses. Automation reduced nursing labor associated with ordering and restocking medications, counting narcotics, and investigating discrepancies. Storage and dispensing options, including innovative anesthesia trays, facilitate caregiver productivity, quality initiatives, and clinical pathways. System documentation pinpoints questionable events and patterns to ensure that all medications dispensed were administered to patients. Charges are captured and posted automatically. Overall, automated medication distribution has helped the OR improve clinical care quality and patient service.
The fully automated COBAS AMPLICOR CT/NG test for the detection of Chlamydia trachomatis was evaluated in a multicenter trial. Test performance was evaluated for 2,014 endocervical swab and 1,278 urine specimens obtained from women and for 373 urethral swab and 254 urine specimens obtained from men. Culture served as the reference test. Culture-negative, COBAS AMPLICOR-positive specimens that tested positive in a confirmatory PCR test for an alternative target sequence within the C. trachomatis major outer membrane protein gene were resolved as true positives. The overall prevalence of chlamydia was 4.3% in cervical swabs and 11.0% in urethral swabs from men. When the results for each specimen type were considered separately, the resolved sensitivities were 96.5% (83 of 86) for endocervical swab specimens, 95.1% (39 of 41) for urine specimens from women, 100.0% (41 of 41) for urethral swab specimens from men, and 94.4% (17 of 18) for urine specimens from men; the resolved specificities were 99.4% (1,912 of 1,924) for endocervical swab specimens, 99.8% (1,204 of 1,207) for urine specimens from women, 98. 5% (325 of 330) for urethral swab specimens from men, and 100.0% (236 of 236) for urine specimens from men. For the subset of patients from whom both swab and urine specimens were collected, the combined results for both specimen types were used to identify all infected patients. Using these combined reslts as criteria, the resolved sensitivities for the COBAS AMPLICOR test were 82.6% (38 of 46) for endocervical swab specimens, 84.4% (38 of 45) for urine specimens from women, 84.2% (16 of 19) for urethral swab specimens from men, and 89.5% (17 of 19) for urine specimens from men. In comparison, the sensitivity of culture was only 56.5% (26 of 46) for endocervical specimens and 63.2% (12 of 19) for urethral specimens from men. The internal control provided in the COBAS AMPLICOR test revealed that 2.9% of specimens were inhibitory when they were initially tested. Nevertheless, valid results were obtained for 99. 1% of specimens because 68.7% of the inhibitory specimens were not inhibitory when a second aliquot of the original sample was tested. Two additional COBAS AMPLICOR-positive specimens were detected by retesting inhibitory specimens. The COBAS AMPLICOR CT/NG test for the detection of C. trachomatis exhibited equally high sensitivities and specificities with both urogenital swab and urine specimens and, thus, is well-suited for use in screening.