microscopic examination

显微镜检查
  • 文章类型: Journal Article
    疟疾是一种由疟原虫属寄生虫引起的传染病。它是通过受感染的雌性按蚊叮咬传播给人类的。它是资源匮乏地区最常见的疾病,根据世界卫生组织的数据,2020年报告了2.41亿疟疾病例。血液涂片的光学显微镜检查是疟疾诊断的金标准技术;然而,这是一种耗时的方法,需要训练有素的显微镜来进行微生物学诊断。基于深度学习和人工智能方法的数字成像分析的新技术是诊断传染病的具有挑战性的替代工具。特别是,基于卷积神经网络的疟疾寄生虫图像检测系统模仿专家的显微镜可视化。显微镜自动化提供了一个快速和低成本的诊断,需要更少的监督。智能手机是显微镜诊断的合适选择,允许图像捕获和寄生虫的软件识别。此外,图像分析技术可能是诊断疟疾的快速和最佳解决方案,结核病,或资源匮乏的流行地区被忽视的热带病。通过在低收入地区使用智能手机应用程序和新的数字成像技术来实现自动诊断是一项挑战。此外,通过硬件实现使显微镜载玻片的移动和样品的图像自动聚焦自动化将使程序系统化。这些新的诊断工具将加入全球抗击大流行性疟疾和其他传染病和与贫困有关的疾病的努力。
    Malaria is an infectious disease caused by parasites of the genus Plasmodium spp. It is transmitted to humans by the bite of an infected female Anopheles mosquito. It is the most common disease in resource-poor settings, with 241 million malaria cases reported in 2020 according to the World Health Organization. Optical microscopy examination of blood smears is the gold standard technique for malaria diagnosis; however, it is a time-consuming method and a well-trained microscopist is needed to perform the microbiological diagnosis. New techniques based on digital imaging analysis by deep learning and artificial intelligence methods are a challenging alternative tool for the diagnosis of infectious diseases. In particular, systems based on Convolutional Neural Networks for image detection of the malaria parasites emulate the microscopy visualization of an expert. Microscope automation provides a fast and low-cost diagnosis, requiring less supervision. Smartphones are a suitable option for microscopic diagnosis, allowing image capture and software identification of parasites. In addition, image analysis techniques could be a fast and optimal solution for the diagnosis of malaria, tuberculosis, or Neglected Tropical Diseases in endemic areas with low resources. The implementation of automated diagnosis by using smartphone applications and new digital imaging technologies in low-income areas is a challenge to achieve. Moreover, automating the movement of the microscope slide and image autofocusing of the samples by hardware implementation would systemize the procedure. These new diagnostic tools would join the global effort to fight against pandemic malaria and other infectious and poverty-related diseases.
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  • 文章类型: Journal Article
    目的:我们的目标是在专门的妇女和儿童医院为血细胞分析建立适当的审查标准。此外,CellaVisionDI-60被开发为自动数字细胞形态分析仪之一,我们评估了在某些审查标准下是否显示出最有效。
    方法:共检测了2890份血液样本,以优化先前建立的SysmexXE-2100对妇女和儿童的审查标准。总共623个样品用于验证标准。
    结果:基于初始审查标准的显微镜审查率为51.0%。优化后,降低至17.3%,假阴性率为3.85%。当样品触发血小板或红细胞相关规则时,手动审查结果与CellaVisionDI-60预分类之间的一致性>80%。异常的敏感性(未成熟粒细胞,有核红细胞)的重新分类为90%至100%,假阴性率<5%。然而,当触发\"Blass/AbnLympho?\"和\"非典型Lympho?\"标志时,需要进行直接显微镜检查。
    结论:妇女和儿童需要专门的审查标准。自动形态识别系统可能有助于改善审查标准。
    OBJECTIVE: We aimed to establish appropriate review criteria for blood cell analysis in a specialized women\'s and children\'s hospital. Also, the CellaVision DI-60, was developed as one of the automated digital cell morphology analyzer, we evaluated if it was shown to be most effective under the certain review criteria.
    METHODS: A total of 2890 blood samples were detected to optimize the previously established review criteria for women and children with the Sysmex XE-2100. A total of 623 samples were used to validate the criteria.
    RESULTS: The microscopic-review rate based on the initial review criteria was 51.0%. After optimization, it was reduced to 17.3% and the false-negative rate was 3.85%. There was > 80% consistency between manual review results and CellaVision DI-60 preclassification when samples triggered the platelet- or red cell-related rules. The sensitivity for abnormalities (immature granulocytes, nucleated red blood cells) of reclassification was 90% to 100% and the false-negative rate was < 5%. However, direct microscopic review was required when the \"Blasts/AbnLympho?\" and \"Atypical Lympho?\" flags were triggered.
    CONCLUSIONS: Specialized review criteria are needed for women and children. An automated morphology identification system might help to improve the review criteria.
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  • 文章类型: Journal Article
    局部淀粉样变是一种罕见的疾病,其特征是错误折叠蛋白在组织中沉积,没有其他系统性表现。迄今仅报道了少数舌的局部淀粉样变性病例,与系统性淀粉样变性相反,在舌头上的定位是常见的。这项研究提出了一种罕见的舌头局部淀粉样变性(淀粉样变性)病例,并提供了已知的局部淀粉样变性文献的总结。这项研究描述了一名36岁女性舌根肿胀的情况。根据体格检查的结果诊断为淀粉样瘤,头颈部MRI表现及偏振光下刚果红染色的组织病理学检查。组织病理学诊断如下:局部λ轻链淀粉样变性。耳鼻喉科和血液/肿瘤科进行了彻底的体检,没有发现全身性疾病的迹象.还进行了一系列血液学和成像测试以验证没有全身受累的迹象。患者拒绝手术切除,2年的随访未发现肿瘤尺寸有任何变化。尽管局限性淀粉样变性的病因尚不清楚,组织浆细胞对环境抗原的长时间反应可能是肿瘤形成过程开始的原因。
    Localized amyloidosis is a rare condition characterized by the deposition of misfolding protein in a tissue, without other systemic manifestations. Only a small number of cases of localized amyloidosis of the tongue have been reported to date, in contrast to systemic amyloidosis, in which localization on the tongue is common. This study presents a rare case of localized amyloidosis of the tongue (amyloidoma) and provides a summary of the known literature of localized amyloidosis. This study describes the case of a 36-year-old female who presented with a swelling of the tongue base. The diagnosis of amyloidoma was made based on the findings of the physical examination, head and neck MRI findings and the histopathological examination with Congo red stain under polarized light. The histopathological diagnosis was as follows: Localized lambda light-chain amyloidosis. A thorough physical examination was performed by the ENT and Hematology/Oncology departments, without revealing signs of systemic disease. A series of hematological and imaging tests were also performed to verify that there was no sign of systemic involvement. The patient declined surgical excision and the 2-year follow-up did not reveal any changes in tumor dimension. Although the etiology of localized amyloidosis is yet not clear, the prolonged reaction of tissue plasma cells to environmental antigens may be a causative factor for the initiation of the neoplastic process.
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