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Methods of measuring morphological parameters in dental radiographs. Comparison between image analysis and manual measurements.

Measurements of age-related changes in dental tissues are often used when estimating the age of an individual. With the new technology now available, the methods of measurement might be standardized and reproducible. The purpose of the present study was to compare the reliability of manual and computer-assisted measurements of morphological parameters in dental radiographs. Manual measurements were made conventionally using a pair of vernier callipers and a stereomicroscope with a measuring eyepiece. An image analysis software program was employed for the computer assisted measurements. Lengths and widths of tooth and pulp were measured both manually and with computer assistance on periapical radiographs from 40 patients, six teeth in each patient. Statistical analyses showed no significant intra- or inter-observer differences for the manual measurements. Statistically significant intra- and inter-observer differences were, however, found between the manual and computer-assisted measurements. The results implied that, despite advanced technology, conventional methods may be better suited for measuring linear morphological parameters in dental tissue.

Adult↗

[Scirrhous gastric carcinoma: utility of computed tomographic diagnosis].

Fifty gastric carcinoma lesions were classified into three groups depending on their morphologic characteristics on incremental dynamic computed tomography (CT). Two-layered tumors (23 cases) showed both an outer layer of low attenuation and a thick inner layer of high attenuation. Furthermore, they were classified into two subgroups depending on the thickness of the outer layer. Two-layered tumors showing a thick outer layer (13 cases) were all scirrhous carcinomas. The mean thickness was 11.05 +/- 3.38 mm for the outer layer, and 4.40 +/- 1.92 mm for the inner layer. The thick outer layer corresponded histopathologically to the layer submucosal to the serosa, and the thick inner layer, to the mucosal layer. Two-layered tumors showing the thin outer layer (10 cases) were all non-scirrhous carcinomas. The mean thickness was 1.62 +/- 0.47 mm for the outer layer, and 12.34 +/- 8.68 mm for the inner layer. Tumors of high attenuation (12 cases) and tumors of low attenuation (15 cases) were also nonscirrhous carcinomas. In conclusion, all scirrhous carcinomas showed both a thick outer layer and a thick inner layer, whereas non-scirrhous carcinomas did not have appearance. This new classification can serve as a guideline for predicting scirrhous carcinoma on the basis of CT findings.

Adenocarcinoma, Scirrhous↗

Form and function of mammalian lung: analysis by scientific computing.

This study approaches the investigation of airway morphology of the lung with a new set of imaging and computer graphical methods, including confocal imaging, computer-guided image acquisition, visualization and fractal graphics. The key result is that, in contrast to the belief that the design of the conductive part of lung of smaller mammals can be described with a trumpet model, the findings reported here document a strongly monopodial branching pattern with the functional consequence of a variation of dead space between the trachea and the acini. This non-dichotomic structural design finds its continuation within the respiratory units as the necessary requirement for an optimal space filling and dense packing which cannot be achieved by a dichotomic branching only. Based on a computer model, computational physics tightly coupled with computer visualistics enables functional simulation of the lung model regarding gas transport. The predicted variance in the ventilation of acini gives rise to an explanation of the well-known difference between the morphologically predicted and physiologically required diffusion capacity.

Bronchi↗

Laboratory instruction in histology at the University at Buffalo: recent replacement of microscope exercises with computer applications.

Histology is a morphologic science in which the structure of the cells, tissues, and organs of the body are examined with a microscope. In the laboratory courses in histology at the School of Medicine of the University at Buffalo, histologic specimens had been used since the late 19th century to teach the principles of cell, tissue, and organ structure. Students also had to learn how to analyze or "read" slides with a microscope. Learning histology in this way, i.e., by direct examination of actual specimens, is time consuming and viewed by some as unnecessary. As a result of recent curricular reform at the School of Medicine that reduced contact time in histology, half of all laboratory exercises that would have been performed with a microscope were performed instead with interactive computer applications. By replacing some microscope exercises with more efficient computer applications, the histology course accommodated curricular change by both reducing contact time and continuing to offer valuable microscope laboratories for most of the organ systems of the body. To provide a basis for comparing traditional microscope exercises with computer-assisted instruction in histology, the nature of the laboratory experience between 1846 and 1998 is briefly reviewed. The instructional strategy behind the use of computers is presented, along with the nature of the computer applications and the means by which the computer applications were incorporated into the school's laboratory course in histology.

Computer-Assisted Instruction↗

Method-based differences in the automated analysis of the three-dimensional morphology of trabecular bone.

The three-dimensional (3D) morphology of trabecular bone is frequently quantified using computer programs. However, there are no standardized implementations of morphology programs and many variations are possible. Even though programs may use the same basic method, results can be significantly different because of differences in implementation. Morphology data from different laboratories therefore may not be comparable. The method of directed secants, with parallel plate assumptions, is commonly used to quantify 3D morphology. We examined the effect of several variations in the implementation of this method on measurements of trabecular plate number (Tb.N), trabecular thickness, and trabecular spacing. Three-dimensional micromagnetic resonance images of 10 bovine trabecular bone specimens were analyzed using several variations of the directed secant method. An analysis of covariance with repeated measures suggested that variations in the algorithm used to count test line intersections, variations in the criteria used to classify a test coordinate as bone or marrow, and variations in the number of test grid rotations had significant effects on Tb.N (p < 0.0001). The largest difference in Tb.N (52%) was due to the method used to count test line intersections with the bone-marrow interface. Variations in the classification algorithm and variations in the number of test line grid rotations resulted in a 6% difference in Tb.N. The spacing of the test line grids did not affect Tb.N (p = 0.28), and all differences were independent of volume fraction (p = 0.67). These data show that there can be significant differences in trabecular bone morphology measurements due only to the method used for the measurements. To facilitate comparisons between laboratories, we have made validated computer programs to measure trabecular bone morphology available over the Internet.

Algorithms↗

Extrahepatic portal vein morphology in children with extrahepatic portal hypertension assessed by 3-dimensional computed tomographic portography: a new etiology of extrahepatic portal hypertension.

BACKGROUND/PURPOSE: The cause of extrahepatic portal hypertension in children has not been clarified. Our aim was to determine the morphological features of the extrahepatic portal vein in children with extrahepatic portal hypertension by 3-dimensional computed tomographic portography and to clarify the etiology of this disorder. MATERIALS AND METHODS: Six patients ranging in age from 10 to 18 years (median age, 12.8 years) who had portal hypertension presented with hematemesis. They underwent intravenous computed tomographic portography using a helical computed tomography scanner and 3-dimensional image reconstruction. RESULTS: The extrahepatic portal vein was visualized in all patients by 3-dimensional computed tomographic portography. None of the patients showed extrahepatic portal vein obstruction or cavernous transformation. All patients had a tortuous eta-shaped extrahepatic portal vein, and a line could be drawn through the flexures of the portal vein to the hepatic hilum. CONCLUSION: In children, extrahepatic portal hypertension is not caused by extrahepatic portal vein obstruction and may be of embryological origin.

Adolescent↗

A theoretical framework for strain-related trabecular bone maintenance and adaptation.

It is assumed that density and morphology of trabecular bone is partially controlled by mechanical forces. How these effects are expressed in the local metabolic functions of osteoclast resorption and osteoblast formation is not known. In order to investigate possible mechano-biological pathways for these mechanisms we have proposed a mathematical theory (Nature 405 (2000) 704). This theory is based on hypothetical osteocyte stimulation of osteoblast bone formation, as an effect of elevated strain in the bone matrix, and a role for microcracks and disuse in promoting osteoclast resorption. Applied in a 2-D Finite Element Analysis model, the theory explained the formation of trabecular patterns. In this article we present a 3-D FEA model based on the same theory and investigated its potential morphological predictability of metabolic reactions to mechanical loads. The computations simulated the development of trabecular morphological details during growth, relative to measurements in growing pigs, reasonably realistic. They confirmed that the proposed mechanisms also inherently lead to optimal stress transfer. Alternative loading directions produced new trabecular orientations. Reduction of load reduced trabecular thickness, connectivity and mass in the simulation, as is seen in disuse osteoporosis. Simulating the effects of estrogen deficiency through increased osteoclast resorption frequencies produced osteoporotic morphologies as well, as seen in post-menopausal osteoporosis. We conclude that the theory provides a suitable computational framework to investigate hypothetical relationships between bone loading and metabolic expressions.

Adaptation, Physiological↗

Computer-assisted semen analysis (CASA) of epididymal sperm from the domestic cat.

Motion characteristics of epididymal sperm from domestic cats exhibiting a high (> 60%; normozoospermic; n = 21) or low (< 40%; teratozoospermic; n = 6) occurrence of structurally normal spermatozoa were correlated with morphology (MOR) using computer-assisted semen analysis (CASA). Mean values and standard errors for percent motility (MOT), curvilinear velocity (VCL), linearity (LIN), straight line velocity (VSL), and amplitude of lateral head displacement (ALH) were recorded for 3 hours. Average values for percent normal spermatozoa, MOT, VCL, VSL, and ALH were higher (P < 0.01) in samples from normozoospermic cats than from teratozoospermic cats at 0 hours, and there was no difference in motion parameters over the 3-hour incubation period in either group. Strong correlations (P < 0.01) existed between MOR and VCL, VSL, ALH, or MOT, but not LIN, upon regression analysis. We conclude that (1) motion parameters of domestic cat sperm are significantly correlated with morphology and (2) abnormal motion parameters associated with low fertility potential in other species are prevalent in samples from teratozoospermic cats. The correlation between morphology and altered sperm movement found in this study suggests that motion analysis of spermatozoa by CASA may be useful in evaluating fertilization potential in felids.

Animals↗

Morphology and dimensions of the thoracic cord by computer-assisted metrizamide myelography.

Computed tomographic (CT) measurements of the thoracic spine and its contents were obtained in 33 patients undergoing metrizamide myelography for various spinal disorders. Twenty-eight of these patients had symptoms referable to the cervical or lumbar region and form the basis of this study. Five patients had symptoms referable to the thoracic spine. Sagittal and coronal CT measurements of the thoracic cord and subarachnoid space were obtained in all cases. In addition, macroscopic measurements of the thoracic cord were obtained from 10 autopsies for correlation with the CT findings. The technical aspects of the measurements are discussed; the normal morphology of the thoracic cord and thecal sac is presented; and the metrizamide CT pattern associated with pathologic lesions involving the thoracic cord is analyzed.

Adolescent↗

Morphometry of the optic nerve and retinal vessels in children by computer-assisted image analysis of fundus photographs.

BACKGROUND: The retinal fundus in childhood has a different morphology than in adulthood. Existing methods are not suitable for evaluation of fundus photographs from children. Therefore, a new method for quantitative analysis of fundus morphology utilizing a personal computer-assisted digital mapping system was developed. METHODS: A CCD flatbed scanner is used to digitize fundus photographs, producing computer images which are analyzed on an IBM/AT computer. Area measurements of the optic disc, excavation and peripapillary crescent are made, as well as determinations of the length, branching, tortuosity and distribution of the retinal vessels on the fundus surface. RESULTS: Determination of the inter- and intra-observer variability of the computer-assisted image analysis technique demonstrated good reproducibility. The method is demonstrated using fundus photographs of six normal children and six children with the fetal alcohol syndrome. Typical variations in appearance of optic disc and retinal vessels are seen. CONCLUSION: The system is unique in measuring both the optic nerve head and the retinal vessels and is therefore especially useful for detailed studies of normal and abnormal development of these structures in children.

Adolescent↗

Cerebral morphological abnormalities associated with non-alcoholic cirrhosis.

Disturbance of cerebral morphology, as assessed from computed tomography (CT) scan images, was related to liver function in patients with non-alcoholic cirrhosis. These findings show that even in well compensated cirrhosis there are measurable disturbances of cerebral morphology, the extent of which is related to severity of liver dysfunction.

Adult↗

The effects of trabecular-bone loading variables on the surface signaling potential for bone remodeling and adaptation.

It is widely believed that mechanical forces affect trabecular bone structure and orientation. The cellular mechanisms involved in this relationship, however, are poorly understood. In earlier work we developed a theoretical, computational framework, coupling bone-cell metabolic expressions to the local mechanical effects of external bone loading. This theory is based on the assumption that osteocytes within the bone tissue control the recruitment of bone-resorbing osteoclasts and bone-forming osteoblasts, by sending strain-energy-density (SED) related signals to trabecular surfaces through the osteocytic, canalicular network. The theory explains the known morphological effects of external bone-loading variations in magnitude and frequency. It also explains the development of osteoporosis, as an effect of increased osteoclast resorption due to estrogen deficiency in postmenopausal women, and to reduced physical activity levels in general. However, the theory uses lumped variables to represent the mechanisms of osteocyte mechano-sensing and signaling. The question is whether these mechanisms could not be specified in a more realistic way. On the one hand, anabolic osteocyte signals might be triggered by the local mechanical loading variables they experience directly, as we assumed in our original theory. On the other hand, osteocyte signals might be triggered by fluid flow in the osteocytic network at large, as was suggested by others. For that purpose we compared the effects of SED, maximal principal strain and volumetric strain as representing local loading variables, to their spatial gradients on the morphological predictions of our computational model. We found that, in concept, they all produced reasonable trabecular structures. However, the predicted trabecular morphologies based on SED as the triggering variable were more realistic in dimensions and relevant metabolic parameters.

Animals↗

Morphologic characteristics of oviducts from hens producing eggs of different Haugh units caused by genetics and by feeding vanadium as determined with computer software-integrated digitizing technology.

Magnum and isthmus morphologic characteristics (surface epithelium height, fold height and diameter, and periodic acid-Schiff-positive area and surface epithelium cells) of stained 6-micron tissue sections were measured by light microscopy, with data acquisition using a digitizing tablet interfaced to a microscope and to a personal computer with morphometric-dimensional software. Tissues were obtained from Leghorn layers in two separate experiments in which production of eggs with low and high Haugh unit (HU) values was induced by either genetic selection or by feeding V. Eggs produced by these hens had HU differences between the high and low groups of 11 to 14 units (both experiments, P = .0001) and had a greater volume of thick albumen fraction in high-HU groups (both experiments, P = .0001). The computer software-integrated digitizing system enabled rapid measurements of multiple characteristics. In the genetic lines, higher magnum fold height and magnum and isthmus surface epithelium height were detected at moderate significance (all at P < .05) in the tissues of the layers producing high-HU eggs than in tissues from the low-HU line. Other morphologic variables were not different between genetic lines. In response to feeding V, none of the morphological characteristics were affected, although magnum fold height approached difference at P < .07. Based on the observations in these two experiments, magnum fold height may be a further important factor related to egg albumen condition, in addition to surface epithelium height. It appears, however, that layers producing eggs of considerably different HU values, due in these experiments to genetics or V feeding, can have magnum or isthmus morphological characteristics that are indistinguishable, or only moderately different, as detected by integrated digitizing technology.

Animals↗

Targeting the vulnerable plaque: the evolving role of nuclear imaging.

The majority of acute ischemic events relating to atherosclerosis are caused by plaque rupture and ensuing thrombosis. The risk of plaque rupture is dictated in part by plaque morphology, which in turn is influenced by pathophysiologic mechanisms at the cellular and molecular level. Anatomic imaging modalities such as intravascular ultrasound, high-resolution magnetic resonance imaging, and multislice computed tomography can identify morphologic features of the vulnerable plaque, such as a large lipid core and thin fibrous cap, but give little or no information regarding molecular and cellular mechanisms, such as endothelial function, macrophage activation, lipid transport and metabolism, and cell death. Recent studies suggest that nuclear imaging may be able to provide images of sufficient quality to identify and quantify some of these molecular and cellular pathophysiologic processes. In the future this could allow for the early identification and noninvasive monitoring of vulnerable plaque.

Animals↗

Improvement of mammographic mass characterization using spiculation meausures and morphological features.

We are developing new computer vision techniques for characterization of breast masses on mammograms. We had previously developed a characterization method based on texture features. The goal of the present work was to improve our characterization method by making use of morphological features. Toward this goal, we have developed a fully automated, three-stage segmentation method that includes clustering, active contour, and spiculation detection stages. After segmentation, morphological features describing the shape of the mass were extracted. Texture features were also extracted from a band of pixels surrounding the mass. Stepwise feature selection and linear discriminant analysis were employed in the morphological, texture, and combined feature spaces for classifier design. The classification accuracy was evaluated using the area Az under the receiver operating characteristic curve. A data set containing 249 films from 102 patients was used. When the leave-one-case-out method was applied to partition the data set into trainers and testers, the average test Az for the task of classifying the mass on a single mammographic view was 0.83 +/- 0.02, 0.84 +/- 0.02, and 0.87 +/- 0.02 in the morphological, texture, and combined feature spaces, respectively. The improvement obtained by supplementing texture features with morphological features in classification was statistically significant (p = 0.04). For classifying a mass as malignant or benign, we combined the leave-one-case-out discriminant scores from different views of a mass to obtain a summary score. In this task, the test Az value using the combined feature space was 0.91 +/- 0.02. Our results indicate that combining texture features with morphological features extracted from automatically segmented mass boundaries will be an effective approach for computer-aided characterization of mammographic masses.

Automation↗

[Radiological imaging of the upper gastrointestinal tract. Part II. The stomach].

CT, and multi-detector row computed tomography in particular, play a very important role in staging malignant tumors of the stomach. The optimized technique of so called "Hydro-CT", including distension to the gastric wall with 1-1.5 l oral contrast media, mainly water, has fostered the diagnostic value of CT in the diagnosis of diseases of the stomach. By using the "Hydro-CT" technique, the detection rate for gastric carcinoma is now between 89% and 94%, and for liver metastasis between 85% and 92%. For overall T staging, the sensitivity is rather low at between 43% and 65%, and for the lymph nodes between 64 and 88%. Depending on tumor type, multislice computed tomography (MSCT) supplies morphological details for defining the type of lesion (polyps, gastritis, lymphoma, gastrointestinal stromal tumours, carcinoma). Nevertheless, a definite differential diagnosis remains difficult. In addition, multiplanar reconstruction (MPR), derived from multi-detector row computed tomography data sets, is very helpful in localizing these pathologies and demonstrating their anatomic relationship to adjacent organs and vascular structures. MRI plays no major part in the diagnostic evaluation of the upper GI-tract.

Humans↗