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Rapid analysis of hematology image data: the ADC-500 preprocessor.

A sequential, pipeline processor (that we have named the ADC-500 preprocessor) has been developed which scene segments the three color image data from the ADC-500 optics one image element at a time, groups together image elements from each object in the scene and extracts features from each object. The processing occurs at television frame rates, requiring 16.7 msec to process the entire image. This speed was instrumental in allowing the ADC-500 automated differential analyzer to perform routine 500-cell differentials. The preprocessor also contains hardware which simplifies compilation of the three color histograms. The segmentation algorithms implemented in the preprocessor are multicolor extensions of the classical monochrome density histogram threshold method. For most cell image analysis tasks, a sequential pipeline processor of this type should be more economical and as fast or faster than a parallel processor.

Blood Cells

Automated computer screening of chest radiographs for pneumoconiosis.

The results of two complementary approaches for performing diagnostic screening for the presence of coal workers' pneumoconiosis (CWP) from the routine posterior-anterior chest radiograph are presented. The first is a digital approach utilizing the measurement of image texture, while the second uses hybrid optical-digital methods involving the optical Fourier transform. Both approaches yield classification results comparable to experienced radiologists.

Coal Mining

The Athena semi-automated karyotyping system.

In this article we describe Athena, a system that provides for semi-automated karyotyping of metaphase spreads. The system is based upon the Macintosh II computer. It uses software that is written entirely in C and consists of approximately 200 Kbytes of executable code. Athena provides automated segmentation of metaphase images into individual chromosomes, automated measurements on each banded chromosome, and automated classification into the standard Paris-convention karyotype. Furthermore, the system provides the ability to construct one or more chromosome data bases to represent the types of metaphase spreads and staining techniques that may be used in a given laboratory. Because we believe that it is impossible to construct a system that can achieve perfect segmentation, perfect separation of touching and overlapping chromosomes, perfect localization of the centromeres, and perfect classification, the system offers the possibility for interaction at each of the above stages using the well-accepted Macintosh user interface.

Centromere

An image analysis system for cervical cytology automation using nuclear DNA content.

An experimental computer/image analysis system has been used to investigate cytology automation techniques based on nuclear DNA measurement and morphological artefact rejector tests. The system automatically measures and normalizes the integrated optical density of cell nuclei in specially prepared cervical cytology specimens, and selects any objects with abnormally high values for further analysis. These are then analyzed by morphological and densitometric tests designed to eliminate false positive signals caused by non-nuclear artefacts. The coordinates of the remaining abnormal nuclei are recorded so that they can subsequently be relocated and examined by a cytotechnician. Preliminary results are given showing the measurement accuracy of the system and the performance of the artefact rejection tests.

Cell Nucleus

TULIPS: the Uppsala-Linkoping Image Processing System.

The Uppsala-Linkoping Image Processing System, TULIPS, is described. TULIPS, a hardware-software system designed for cell image processing, was developed at Uppsala University Hospital in cooperation with the Department of Electrical Engineering at Linkoping University. The hardware part of the image processing system is built around a high-speed data bus with a capacity of about 40 M byte/sec connected to a PDP-11/55 host computer. An image memory, an LSI-11 microcomputer and a video interface for displaying the image memory content on a TV monitor are also connected to the high-speed bus. An automated microscope and a "Poulsen processor" for low resolution segmentation, both to be attached to the high-speed bus, are being developed. A monitor and an interpreter for an image processing language have been implemented on the host computer. This software system allows interactive, as well as batch, processing. The degree of user interaction is easily adapted to the user's needs. The image processing language is command oriented, and it is easily expanded by adding new commands. The system has been used both for studies in the field of quantitative microscopy and as a platform for development and testing of new image processing algorithms.

Computers

Automatic registration of multiple skin lesions by use of point pattern matching.

Computerized comparison of serial skin images is a potentially valuable tool for melanoma screening. In automating this process, matching or "registering" each lesion in a pair of images plays an important role in looking for clinically significant change. We have investigated three practical techniques--a point pattern correlation, a 2-point geometrical transformation, and a 3-point geometrical transformation--for their effectiveness in matching and identifying lesions in pairs of skin images. These techniques view the spots in each image as a point pattern to be matched from image to image. Each of these methods is shown to be quite effective as long as one or more known initial match points can be provided. Experiments performed by imaging actual patients under realistic conditions indicate that the 3-point transformation algorithm performs the best overall, achieving an average matching accuracy of 97%. The nature of these algorithms, their relative performance under a range of conditions, and possible methods for improving accuracies are discussed.

Algorithms

Diagnosing periapical bone lesions on radiographs by means of texture analysis.

Trabecular pattern, the radiographic projection of trabecular bone, is a repeated structure that appears in a dental radiograph. Texture analysis, the computer image analysis of repeated patterns, is a technique that can be used to automate the diagnosis of periapical lesions with the detection of the absence of the texture that corresponds to the trabecular bone. The purpose of this study was to determine whether it is feasible to use texture analysis to identify the presence of the trabecular pattern in radiographs and to detect a periapical bone lesion based on a local absence of this pattern. Thirty-two mandibular periapical films, 16 with and 16 without periapical lesions, were used in this study. Texture analysis was carried out on the digital images of these radiographs. In the 16 films with lesions, they were all correctly identified, and no lesions were found in the 16 films without lesions. This result is based on the a prior knowledge of the user about the localization of the disease. Locating periapical regions without user interaction is a goal for future research.

Alveolar Process

Improved detection and classification of arrhythmias in noise-corrupted electrocardiograms using contextual information within an expert system.

The authors are developing an expert-system electrocardiogram (ECG) arrhythmia detector (HOBBES) for automated, long-term rhythm analysis. HOBBES employs rules and procedures that emulate how human experts analyze ECGs. This paper describes methods that HOBBES employs for improving error detection and correction in processing noisy ECGs. During periods of clean data, HOBBES develops a knowledge base that describes typical beat shapes, typical interbeat intervals between beats of different types, and patterns of beat sequences that it has observed. During periods of noisy data, HOBBES applies the information learned from the clean data to reject artifact and classify beats. HOBBES was evaluated in a noise-stress test using 35 half-hour ECG records containing a mixture of supraventricular and ventricular ectopy in normal sinus rhythm. In comparison with a classical arrhythmia detector (ARISTOTLE), HOBBES increased the number of correctly classified beats and enhanced the rejection of artifact.

Arrhythmias, Cardiac

A knowledge based interpretation system for EMG abnormalities.

The conventional method of diagnosis in electromyography is complex and time consuming, not only due to the large number of parameters, to be considered for diagnosis, but also because of the usual procedure of evaluating the different parameters of EMG signal by visual scanning of the plotted signal. So there is a clear need to make use of computer aided decision support system. In the present work an attempt has been made in the direction of integration into one automated system, the qualitative knowledge of the physician, with possibly sophisticated signal analysis tools which must replace the visual scanning. A software program (in Turbo-C) on a PC-AT has been developed to evaluate the different parameters of MUAP's (motor unit action potential) in a EMG signal. Then an Expert system (in Turbo-Prolog) has been implemented for diagnostic purposes of different muscular abnormalities by making a knowledge base from the different parameters involved in the decision making procedure of clinical electromyography. A hybrid model of rule and frame based Expert system is implemented. An attempt has been made for making a complete system, i.e., for recording, analysis and decision making for diagnosis.

Diagnosis, Computer-Assisted

The role of automated speech recognition in endoscopic data collection.

Speech recognition technology has developed substantially in the past half decade. Currently, large vocabulary, speaker independent, discrete recognizers are the state-of-the-art. This will change. Moderate sized, continuous recognition systems now exist in research settings. However, it is unlikely that such systems will be widely available until the mid to late 1990's. The accuracy rates of current speech recognition systems are high. Consequently, speech accuracy is not the current limiting aspect of using ASR. The limiting aspect of using ASR technology is the approach to integrating speech functionality into applications. One approach is to use ATNs as models of natural language to support both an input strategy and a text generation system. ATNs provide approaches to both syntactical correctness and semantic richness. This is an approach which plays to the strengths of the discrete nature of current speech technology and also provides a methodology for the capture and archiving of highly detailed information. The ATN approach avoids the natural language parsing problem created by a fully free form dictation interface. Evolving along with the underlying speech technology are standards in the definitions and criteria used in endoscopic practice. There are clear benefits from standards in this area. However, it is likely that this will also take several years and may never yield a universally accepted lexicon. Furthermore, there will be user interface barriers to surmount in any system attempting to use speech as an input modality. Because of the relatively large vocabularies used in medical discourse, the user interface will need to be carefully crafted.(ABSTRACT TRUNCATED AT 250 WORDS)

Data Collection

Detection of suspicious cells and rejection of artefacts in cervical cytology using the Leyden Television Analysis System.

In slide based automation of cervical cytology the first stage of analysis involves finding possibly suspicious cells, or areas on the slide with these types of cells. By using a television based system such as the Leyden Television Analysis System (LEYTAS), a number of detection methods can be applied to rapidly screen a large number of fields automatically for suspicious cells. In this paper, results using a parameter based on increased nuclear DNA content of cells are given and a second detection method based on a chromatin pattern feature, called chromatin contrast, is discussed. Two blind trials on 41 positive and 22 negative cervical slides, using the Leyden Television Analysis System to detect suspicious cells with an increased nuclear DNA content, were promising. In 1 of the 41 positive cases no suspicious cells were found. In the negative specimens, suspicious cells were detected in 1 of 9 cases and 1 of 13 cases, with the two detection parameters investigated. These findings are discussed and some automatic artefact rejection procedures with preliminary results are given.

Cervix Uteri

An automated computer vision and robotics-based technique for 3-D flexible biomolecular docking and matching.

The generation of binding modes between two molecules, also known as molecular docking, is a key problem in rational drug design and biomolecular recognition. Docking a ligand, e.g., a drug molecule or a protein molecule, to a protein receptor, involves recognition of molecular surfaces as molecules interact at their surface. Recent studies report that the activity of many molecules induces conformational transitions by 'hinge-bending', which involves movements of relatively rigid parts with respect to each other. In ligand-receptor binding, relative rotational movements of molecular substructures about their common hinges have been observed. For automatically predicting flexible molecular interactions, we adapt a new technique developed in Computer Vision and Robotics for the efficient recognition of partially occluded articulated objects. These type of objects consist of rigid parts which are connected by rotary joints (hinges). Our approach is based on an extension and generalization of the Geometric Hashing and Generalized Hough Transform paradigm for rigid object recognition. Unlike other techniques which match each part individually, our approach exploits forcefully and efficiently enough the fact that the different rigid parts do belong to the same flexible molecule. We show experimental results obtained by an implementation of the algorithm for rigid and flexible docking. While the 'correct', crystal-bound complex is obtained with a small RMSD, additional, predictive 'high scoring' binding modes are generated as well. The diverse applications and implications of this general, powerful tool are discussed.

Algorithms

Learning synergy in a multilevel neuronal architecture.

An artificial worlds model of the brain has been developed that integrates memory, intraneuronal dynamics and multilevel evolutionary learning. The model includes two major subsystems. The first is a memory-manipulation scheme, called the reference neuron system, that serves to orchestrate a repertoire of neurons with different input-output capabilities. Signals impinging on these neurons are integrated by a cytoskeletal structure that is simulated as a cellular automation. The second subsystem is an evolutionary learning scheme, called the selection circuits system, that serves to train the neurons in the repertoire by varying the cytoskeletal proteins that control signal flow or readouts. The integrated system comprises two layers of cytoskeletally controlled neurons and two layers of reference neurons. Evolution can occur at the level of readout enzymes in neurons, at the level of proteins that control the flow of signals in the cytoskeleton and at the level of reference neurons that orchestrate the repertoire. The integrated system controls the motion of a modeled organism that is embedded in an artificial environment consisting of barriers, food and a target. The organism effectively learns to use patterns of barriers in its local environment to find the target, using food as a reward. Experiments with the model show that the integrated system enjoys significant computational synergies that make it more powerful than the component systems standing alone, that interactions between different levels at which variation can occur exert significant control over the tempo of evolution, that the synergies between different components and levels becomes more important as the environment becomes more complex and that mutation strategies that significantly slow down the rate of learning significantly decrease the degrading effects of environmental noise on performance.

Biological Evolution

A polygon matching algorithm and its applications to verification of radiation field placement in radiotherapy.

An automated method for quantitative evaluation of geometric accuracy of radiation field placement during radiation therapy treatments has been developed and is presented in this article. The method is based on matching polygons representing the boundaries of the prescribed and treated radiation fields. An efficient algorithm for finding the intersection of two arbitrary simple polygons has been developed for that purpose. The process of polygon matching is performed by iterative optimization of the goodness-of-match measure derived from the area of the intersection between the two polygons to be matched. The optimization is done with respect to the translation and rotation in the plane that are applied to the polygon representing the treated field. The optimum translation and rotation define the adjustments in the position of the treated field, relative to the patients anatomy, which are necessary in order to bring the treated field into the best possible agreement with the prescription. The radiation field matching scheme was applied to a clinical dataset consisting of prescription-treatment field pairs extracted from simulation and portal images for 40 patients. It is concluded that the observed accuracy and efficiency of the method make it very suitable for applications in radiation therapy verification.

Algorithms

Within-day physiologic variation of leukocyte types in healthy subjects as assayed by two automated leukocyte differential analyzers.

The physiologic within-day (700-2200 h) variation of leukocyte-type concentrations in blood as determined for 21 healthy young adults is reported. All blood specimens were obtained in duplicate such that the within-batch analytic variation, as well as the pertinent biologic sources of variation, was able to be determined. All specimens were analyzed on each of two automated leukocyte differential systems: Hemalog-D Differential System and the Hematrak-240 Analyzer. On the basis of a comparison of the performances of the two analyzers, it was decided to report the neutrophil and the lymphocyte values as measured on both systems, the monocyte values as measured on teh Hematrak only, and the eosinophil and basophil values as measured on the Hemalog-D only. The intrasubject within-day physiologic variations for the cell on the Hemalog-D and Hematrak, respectively, in terms of coefficient of variation wee as follows: neutrophils 19.4% and 19.6%; lymphocytes, 13.8% and 17.5%. For monocytes, as measured on the Hematrak, it was 13.4%. For eosinophils and basophils, as measured on the Hemalog-D, it was 27.2% and 8.3%, respectively. There was a consistent group-specific diurnal variance that amounted to more than 40% of the total within-day variance, both for lymphocytes and for eosinophils. The within-day physiologic variation of the cell type concentrations for eight of the volunteers was compared with that of the plasma cortisol concentrations, as determined on specimens derived from the same veni-puncture sessions. The decrease in plasma cortisol values was in most instances associated with decreases in eosinophils and increases in neutrophils. For total leukocytes and neutrophils, the mean concentration for smokers was significantly higher than that for nonsmokers.

Adult

Differentiating exogenous psychiatric illness from schizophrenia.

Retaining an individual on psychiatric dispensary lists long after a single psychotic episode can result in unnecessary restriction of his or her social-vocational rights and responsibilities. This study demonstrates that an early clinical differention can be made between exogenous psychoses and progressive schizophrenia. The validity of the clinical differentiation was enhanced by demonstrating that a computer learning and pattern-recognition program was capable of using signs and symptoms recorded in the first psychotic episode to make a differential diagnosis that coincided closely with diagnoses made at a later date by clinicians aware of the subsequent clinical course. This kind of approach to standardized nosologic principles may expand the possibility for more appropriate application of psychotropic medications, psychotherapy, and somatic treatments, as well as more accurate social-vocational prognoses.

Acute Disease

Use of pattern analysis to identify true drug response. A replication.

In any antidepressant study, placebo response in patients assigned active drug is a troubling source of variance. There have been few attempts to identify the patients whose conditions improve as a result of true drug effect, in contrast with improvement that is a result of nonspecific effects. In a previous report we demonstrated that true drug effect seemed to be characterized by a two-week delay in onset and persistence. We described a method of pattern analysis to identify such patients. In this report, we describe the use of pattern analysis to replicate our initial findings. Data from a new sample of 150 nonmelancholic patients support the hypothesis that true drug effect is characterized by a two-week delay in onset and persistence of improvement, once achieved. There was little evidence of the onset of antidepressant effect before two weeks. The theoretical and clinical implications of this work are discussed.

Actuarial Analysis