Near real time confocal microscopy of amelanotic tissue: detection of dysplasia in ex-vivo cervical tissue

T. Collier, A. Lacy, A. Malpica, M. Follen, R. Richards-Kortum
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引用次数: 21

Abstract

Invasive carcinoma of the uterine cervix is preceded by a number of morphological intraepithelial changes. Real-time confocal microscopy has been demonstrated to be successful in imaging subcellular detail in-vivo. The purpose of this pilot study is to image ex-vivo tissue using a near real time confocal microscope and determine whether the images can be used to distinguish between normal and dysplastic tissue. Biopsies from 19 patients were imaged at various depths with our confocal microscope. Nuclear morphologic features were extracted from the confocal images. The morphologic feature measurements compare well with the pathologic examination. Discriminating the images for the presence of dysplasia using morphologic feature detection resulted in a sensitivity and specificity of 100% and 91%, respectively.
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无色素组织的近实时共聚焦显微镜:离体宫颈组织中异常增生的检测
宫颈浸润性癌发生前有许多上皮内形态学改变。实时共聚焦显微镜已被证明是成功的成像亚细胞细节在体内。本初步研究的目的是使用近实时共聚焦显微镜对离体组织进行成像,并确定图像是否可以用于区分正常组织和发育不良组织。我们用共聚焦显微镜对19例患者的活检进行了不同深度的成像。从共聚焦图像中提取核的形态特征。形态学特征测量与病理检查比较良好。使用形态学特征检测来判别图像是否存在发育不良,其灵敏度和特异性分别为100%和91%。
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