Histopathological

组织病理学
  • 文章类型: Journal Article
    纳米技术已经显示出显著的进步,人们越来越担心NPs暴露可能引起的神经毒性和神经退行性作用。各种毒理学和流行病学研究报道,大脑是超细颗粒的主要目标。脑炎症被认为是可能的机制,可以参与神经毒性和神经退行性作用。纳米颗粒(NPs)是否会产生神经毒性并促进神经退行性变,目前尚无研究。本研究是为了调查鼻内和腹膜内暴露于氧化铈纳米颗粒(CeO2NP,通过进行一些行为测试,纳米氧化铈(NC))可能会导致脑组织中的神经毒性和神经退行性变化,生化评价,脑海马和基因表达的组织病理学检查。
    将15只小鼠分成3个相等的组。在组(I)“控制组”中,小鼠口服蒸馏水作为对照组。组(II)“NCI/P组”中的小鼠以40mg/kgb.wt,每周两次,共3周。在组(III)中,“NCI/N组”小鼠鼻内接受纳米铈(40mg/kgb.wt),每周两次,共3周。
    暴露于nanceria导致脑组织氧化损伤,丙二醛(MDA)和乙酰胆碱酯酶(AchE)水平显着增加,还原型谷胱甘肽(GSH)浓度显着降低,凋亡相关基因的上调(c-Jun:c-JunN末端激酶(JNKs),c-Fos:Fos原癌基因,AP-1转录因子亚基,c-Myc:c-骨髓细胞瘤癌基因产物或MYC原癌基因,bHLH转录因子),小鼠的运动能力和认知障碍,但腹膜内施用纳米铈后效果更明显。
    当腹膜内给予纳米二氧化铈比鼻内给予纳米二氧化铈时,纳米二氧化铈在小鼠脑组织中引起氧化损伤。
    UNASSIGNED: Nanotechnology has shown a remarkable progress nevertheless, there is a growing concern about probable neurotoxic and neurodegenerative effects due to NPs exposure. Various toxicological and epidemiological studies reported that the brain is a main target for ultrafine particles. Brain inflammation is considered as a possible mechanism that can participate to neurotoxic and neurodegenerative effects. Whether nanoparticles (NPs) may produce neurotoxicity and promote neurodegenerative is largely unstudied. The present study was done to investigate whether intranasal and intra-peritoneal exposure to cerium oxide nanoparticles (CeO2NPs, nanoceria (NC)) could cause neurotoxicity and neurodegenerative changes in the brain tissue through conducting some behavioral tests, biochemical evaluation, histopathological examinations of brain hippocampus and gene expressions.
    UNASSIGNED: Fifteen mice were separated into 3 equal groups. In group (I) \"control group\", mice were received distilled water orally and kept as a control group. Mice in the group (II) \"NC I/P group\" were injected i.p with cerium oxide nanoparticles at a dose of 40 mg/kg b.wt, twice weekly for 3 weeks. In group (III) \"NC I/N group\" mice were received nanoceria intranasally (40 mg/kg b.wt), twice weekly for 3 weeks.
    UNASSIGNED: Exposure to nanceria resulted in oxidative damage in brain tissue, a significant increase in malondialdehyde (MDA) and acetylcholinestrase (AchE) levels, significant decrease in reduced glutathione (GSH) concentration, upregulation in the apoptosis-related genes (c-Jun: c-Jun N-terminal kinases (JNKs), c-Fos: Fos protooncogene, AP-1 transcription factor subunit, c-Myc: c-myelocytomatosis oncogene product or MYC protooncogene, bHLH transcription factor), locomotor and cognitive impairment in mice but the effect was more obvious when nanoceria adminstred intraperitoneally.
    UNASSIGNED: Nanoceria cause oxidative damage in brain tissue of mice when adminstred nanoceria intraperitoneally more than those received nanoceria intranasal.
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  • 文章类型: Case Reports
    孢子丝菌病是由孢子丝菌引起的亚急性或慢性传染病。它主要是由于在人类分娩过程中意外皮肤损伤后接种孢子丝菌引起的。孢子丝菌病的临床表现是可变的,从结节,斑块,溃疡,疣状病变,和皮下肿块。一些报道表明孢子丝菌病可以模仿牛皮癣样病变。我们在此报告一例孢子丝菌病模仿酒渣鼻病变。此外,病人有鼻外伤史,我们认为该患者在劳动活动中鼻部皮肤受损后接种了孢子丝菌。患者每天口服伊曲康唑200毫克,持续3个月,这有效地解决了皮疹。
    Sporotrichosis is a subacute or chronic infectious disease caused by sporothrix. It is mainly caused by Sporothrix inoculation after accidental skin injury during human labor. The clinical manifestations of sporotrichosis are variable, ranging from nodules, plaques, ulcers, verrucous lesions, and subcutaneous masses. Some reports indicate that sporotrichosis can mimic psoriasis-like lesions. We herein report a case of sporotrichosis mimicking rosacea lesions. In addition, the patient had a history of nasal trauma, and we believe that the patient was inoculated with Sporothrix after the nasal skin was damaged during labor activities. The patient was given itraconazole 200 mg orally daily for 3 months, which effectively resolved the rash.
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  • 文章类型: Case Reports
    默克尔细胞癌(MCC)是一种罕见的原发性神经内分泌皮肤肿瘤,面部呈肉色或蓝红色结节,脖子,或头。长期紫外线照射和Merkel细胞多瘤病毒与MCC发病机制相关。我们介绍了一名87岁男性患者右脸颊上的MCC病例。我们提出这个案子的主要目标是带来MCC,这是一个诊断挑战,引起皮肤科医生和肿瘤学家的注意,因为早期发现和及时治疗很重要。病人有明显的既往病史,包括糖尿病,高血压,血脂异常,慢性肾病3期,良性前列腺增生,慢性低钠血症,急性胰腺炎,羟基脲的原发性血小板增多症,缺血性心脏病.患者出现轻度肿胀的右上唇,显示定义不清,相对均匀的皮下病变,持续1.5个月。临床检查显示,脸颊右侧有5×3厘米的结节性病变,右上唇肿胀。免疫组织化学标记和组织病理学特征证实了MCC的诊断。患者被转诊至肿瘤科进行进一步治疗。皮肤MCC是一种侵袭性病变,具有很高的转移和复发风险,这在免疫功能低下的人群中更为常见。及时管理和治疗MCC至关重要,因为如果不及时治疗,它可以扩散到身体的其他部位,也可以转移到淋巴结和其他器官。患者87岁,有明显的糖尿病既往病史,高血压,血脂异常,慢性肾脏病3期良性前列腺增生,慢性低钠血症,急性胰腺炎,羟基脲的原发性血小板增多症,缺血性心脏病.目前,患者出现轻度肿胀的右上唇,显示定义不清,相对均匀的皮下病变,有1.5个月的存留史。临床检查显示,脸颊右侧有5x3厘米的结节性病变,右上唇肿胀。免疫组织化学标记物结果和组织病理学特征证实了默克尔细胞癌的诊断。患者被转诊至肿瘤科进行进一步治疗。皮肤默克尔细胞癌是一种侵袭性病变,具有很高的转移和复发风险,这在免疫功能低下的人群中更为常见。及时管理和治疗默克尔细胞癌至关重要,因为如果不及时治疗,它可以扩散到身体的其他部位,也可以转移到淋巴结和其他器官。
    Merkel cell carcinoma (MCC) is a rare primary neuroendocrine skin tumor that presents as a flesh-colored or bluish-red nodule on the face, neck, or head. Long-term ultraviolet radiation exposure and Merkel cell polyomavirus are associated with MCC pathogenesis. We present a case of MCC on the right cheek in a male patient aged 87 years. Our primary goal in presenting the case is to bring MCC, which is a diagnostic challenge, to the notice of dermatologists and oncologists, as early detection and prompt treatment are important. The patient had a significant past medical history, including diabetes mellitus, hypertension, dyslipidemia, stage 3 chronic kidney disease, benign prostatic hyperplasia, chronic hyponatremia, acute pancreatitis, essential thrombocytosis on hydroxyurea, and ischemic heart disease. The patient presented with a mildly swollen right upper lip showing a poorly defined, relatively homogeneous subcutaneous lesion with a history of persistence for 1.5 months. The clinical examination revealed a 5 × 3-cm nodular lesion on the right side of the cheek with swelling of the right upper lip. Immunohistochemistry markers and histopathological features confirmed the diagnosis of MCC. The patient was referred to the oncology department for further management. MCC of the skin is an aggressive lesion with a high risk of metastasis and recurrence, which is more common in immunocompromised people. Prompt management and treatment of MCC is essential because if left untreated, it can spread to other parts of the body and can also metastasize to lymph nodes and other organs. The patient is 87 years old and has a significant past medical history of diabetes mellitus, hypertension, dyslipidemia, chronic kidney disease stage 3, benign prostatic hyperplasia, chronic hyponatremia, acute pancreatitis, essential thrombocytosis on hydroxyurea, and ischemic heart disease. Currently, the patient presented with a mildly swollen right upper lip showing a poorly defined, relatively homogenous subcutaneous lesion with a history of persistence for 1.5 months. The clinical examination revealed a 5x3 cm nodular lesion on the right side of the cheek with swelling of the right upper lip. Immunohistochemistry markers results and histopathological features confirmed the diagnosis of Merkel cell carcinoma. The patient was referred to the oncology department for further management. Merkel cell carcinoma of the skin is an aggressive lesion with a high risk of metastasis and recurrence, which is more common in immunocompromised people. Prompt management and treatment of Merkel cell carcinoma is essential because if left untreated, it can spread to other parts of the body and can also metastasize to lymph nodes and other organs.
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  • 文章类型: Review
    Oncocytoma is a benign tumor of the salivary gland. Its incidence is very low and very seldom documen-ted in literature. Clear-cell dominant oncocytoma is even less common. The tumor\'s clinical symptoms and imaging results are nonspecific, so distinguishing other salivary gland tumors (such as oncocytic carcinoma) from clear-cell renal carcinoma is difficult, possibly leading to misdiagnosis and maltreatment. Here, a case of clear-cell dominant oncocytoma was presented, and the relevant literature was evaluated to investigate the diagnosis and management of clear-cell dominant oncocytoma.
    腮腺嗜酸细胞腺瘤是一种涎腺良性肿瘤,其发病率低,既往文献少有报道,而以透明细胞为主型的嗜酸细胞腺瘤病例报道更为少见。该肿瘤临床表现及影像学检查无特异性,在诊疗中与涎腺其他肿瘤如嗜酸细胞癌以及转移性肾透明细胞癌鉴别困难,易导致误诊误治。为探讨涎腺透明细胞为主型嗜酸细胞腺瘤的诊断和治疗,提高对该肿瘤的临床病理组织学特征的认识,现报告1例腮腺透明细胞为主型嗜酸细胞腺瘤病例,并对以往相关文献进行回顾复习。.
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  • 文章类型: Journal Article
    牛囊虫病被归类为严重的人畜共患寄生虫。感染主要是由带虫带囊,感染牛和人类。幼虫阶段,牛囊尾蚴(C.bovis),在受感染牛的骨骼肌和心肌中发现。尽管其潜在的公共卫生问题,在上埃及,很少有关于心脏囊虫病的研究。这项研究调查了患病率,流行病学,以及上埃及心脏囊虫病的影响,强调心肌和生理参数的组织病理学变化可能与感染有关。从2022年12月到2023年10月,来自Assiut省的941只动物,上埃及,被屠宰,并检查它们的心肌是否存在牛梭菌。通过宏观检查将囊肿分类为有活力的或退化的。牛梭菌感染的心脏的总体患病率占检查总数的10.8%。患病率最高的是夏季,其次是春季;冬季的感染率最低。感染组织的组织病理学检查显示,囊尾蚴感染区域周围有免疫细胞浸润。此外,Bax免疫染色证明了囊虫病的凋亡作用。关于测量的生理参数,与对照动物相比,感染囊虫病的牛的血浆总蛋白和白蛋白水平无明显变化。此外,总抗氧化能力(TAC)显着下降,脂质过氧化物(丙二醛)(MDA)显着增加,肌钙蛋白T,和感染动物的乳酸脱氢酶(LDH)活性。目前的工作记录了一组流行病学和病理学发现,表明C.bovis是一种潜在的有害寄生虫,可以在牛和人类中引起严重的健康问题。
    Bovine cysticercosis is categorized as a serious parasitic zoonotic infestation. The infection is mainly caused by the tapeworm Taenia saginata, which infects cattle and humans. The larval stage, Cysticercus bovis (C. bovis), is found in the skeletal and cardiac muscles of infected cattle. Despite its potential public health concern, few studies have been conducted on cardiac cysticercosis in Upper Egypt. This study investigates the prevalence, epidemiology, and impact of cardiac cysticercosis in Upper Egypt, emphasizing how histopathological changes in cardiac muscle and physiological parameters might be associated with the infection. From December 2022 to October 2023, a total of 941 animals from Assiut province, Upper Egypt, were slaughtered and their cardiac muscles were examined for the presence of C. bovis. Cysts were classified as viable or degenerated through macroscopic inspection. The overall prevalence of C. bovis infected hearts made up 10.8% of the total examined. The highest prevalence rate was in the summer season followed by spring; winter had the lowest infections. The histopathological examination of infected tissues revealed immune cell infiltration around Cysticercus-infected areas. Additionally, Bax immunostaining demonstrated the apoptotic effect of cysticercosis. Regarding the measured physiological parameters, there were non-significant changes in plasma levels of total protein and albumin in cattle infected with cysticercosis compared with control animals. Moreover, there was a significant decrease in total antioxidant capacity (TAC) combined with a significant increase in lipid peroxide (Malondialdehyde) (MDA), troponin T, and lactate dehydrogenase (LDH) activity in infected animals. The present work documented a set of epidemiological and pathological findings, revealing that C. bovis is a potentially harmful parasite and can cause significant health problems in both cattle and humans.
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  • 文章类型: Journal Article
    背景:腺样体肥大(AH)是儿童上呼吸道阻塞的最常见原因之一。药物和手术治疗是AH的典型治疗方法。对儿童AH炎症机制的研究为孟鲁司特钠(一种半胱氨酸白三烯受体拮抗剂)等抗炎药物的术前干预和非手术治疗提供了新思路。本研究旨在在光镜下评价孟鲁司特钠对AH患儿腺样淋巴组织病理的影响。目的:研究孟鲁司特钠治疗1个月的中重度单纯AH患儿术前与对照组相比,光镜下是否有腺样淋巴组织病理学改变。材料和方法:20例患者(8例男性,12名女性,3-8岁),选择准备手术治疗的中度至重度AH。所有患者术前均行鼻咽CT检查及血细胞分析。20例受试者随机分为两组:一组给予孟鲁司特咀嚼片5mg/d,qn,4周;对照组给予安慰剂5mg/d,qn,4周。4周后,摘除腺样体并进行组织病理学检查.结果:与对照组相比,研究组的血细胞分析中的淋巴细胞数量显着减少,差异有统计学意义(p<0.05)。研究组腺样体组织生发中心数量相对减少,在上皮中没有发现小囊肿,炎症细胞浸润程度减轻,差异有统计学意义(p<0.05)。结论:孟鲁司特可减少反应性细胞的数量,腺样淋巴组织中血细胞和血管中的淋巴细胞数量,为儿童腺样体肥大的术前干预和非手术治疗提供了新的思路。然而,这只是一项初步研究,需要更长的治疗时间来评估孟鲁司特钠对腺样淋巴组织的长期影响.临床试验注册:www。Chictr.org.cn,标识符ChiCTR2300075040。
    Background: Adenoidal hypertrophy (AH) is one of the most common causes of upper airway obstruction in children. Drug and surgical treatment are the typical treatment of AH. The study on the inflammatory mechanism of AH in children provides a new idea for preoperative intervention and non-surgical treatment with anti-inflammatory drugs such as montelukast sodium (a cysteine leukotriene receptor antagonist). The aim of this study is to evaluate the effect of montelukast sodium on adenoidal lymphoid tissue pathology in children with AH under light microscope. Objective: To study whether there is any change in pathology of the adenoidal lymphoid tissue under the light microscope compared with the control group in children with moderate to severe simple AH treated with montelukast sodium for 1 month before operation. Materials and methods: Twenty patients (8 males, 12 females, 3-8 years old) with moderate to severe AH who were prepared for surgical treatment were selected. All the patients were examined by Nasopharyngeal CT and hemocyte analysis before operation. 20 subjects were randomly divided into two groups: One group was given montelukast chewable tablets 5 mg/d, qn, for 4 weeks; The control group was given placebo 5 mg/d, qn, for 4 weeks. After 4 weeks, the adenoids were removed and examined histopathology. Results: Compared with the control group, the number of lymphocytes in the blood cell analysis of the study group was significantly reduced, with a statistically significant difference (p < 0.05). And the number of germinal centers in adenoid tissue of the study group was relatively reduced, no small cyst was found in the epithelium, and the degree of inflammatory cell infiltration was reduced, with a statistically significant difference (p < 0.05). Conclusion: Montelukast can reduce the number of reactive cells, the number of lymphocytes in blood cells and blood vessels in adenoid lymphoid tissue, which can provide a new idea for preoperative intervention and non-surgical treatment of adenoid hypertrophy in children. However, this is only a pilot study and a longer treatment period is needed to assess the long-term effects of montelukast sodium on adenoid lymphoid tissue. Clinical Trial Registration: www.Chictr.org.cn, identifier ChiCTR2300075040.
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  • 文章类型: Journal Article
    背景:在过去的10年中,由于过度使用手机,对人类健康的风险有所增加。
    目的:该研究旨在确定4G手机辐射对免疫原性和血管基因表达的有害影响,鸡胚胎发育中的微观和生化变化。
    方法:暴露组中的60个人在培养箱中以12厘米的距离放置在比吸收率为1.4W/kg,频率为2100MHz的手机中,持续60分钟/晚,持续14天。组织病理学检查包括苏木精和伊红染色,而甲酚紫染色用于评估大脑中神经元的状况和数量。采用光度法对羊水的生化指标进行分析,并使用实时PCR(qPCR)技术测量VEGF-A和免疫基因(AvBD9、IL6)的表达。
    结果:与对照组相比,暴露组体重和身长明显下降(p<0.05)。暴露组见皮下出血。尿素,肌酐,碱性磷酸酶,谷草转氨酶和谷丙转氨酶水平均显著高于对照组(p<0.05)。暴露组肝有病理性病变,大脑皮层有轻度核染色的变性神经元。与对照组(6.6±0.44)相比,暴露组(58.8±2.28)的超色神经元明显更高(p<0.05)。与对照组(147.2±9.06)相比,4G暴露减少了盲肠扁桃体中的淋巴细胞计数(86.8±5.38)(p<0.05)。血管基因mRNA表达较高,但暴露组的免疫基因表达较低。
    结论:暴露于手机辐射可能会导致严重的,微观和生化变化,以及可能阻碍胚胎发育的基因表达改变。
    The risks to human health have grown over the past 10 years due to the excessive use of mobile phones.
    The study was designed to determine the harmful effects of 4G mobile phone radiation on the expression of immunogenic and vascular genes and gross, microscopic and biochemical alterations in the development of chicken embryos.
    Sixty individuals in the exposure group were subjected to mobile phones with a specific absorption rate of 1.4 W/kg and a frequency of 2100 MHz positioned at a distance of 12 cm in the incubator for 60 min/night for 14 days. The histopathological examination involved hematoxylin and eosin staining, whereas cresyl violet staining was used to evaluate the condition and number of neurons in the brain. The biochemical parameters of amniotic fluid were analysed using the photometry method, and the expression of VEGF-A and immunity genes (AvBD9, IL6) was measured using the real-time PCR (qPCR) technique.
    Compared to the control, the exposure group\'s body weight and length significantly decreased (p < 0.05). Subcutaneous bleeding was seen in the exposure group. Urea, creatinine, alkaline phosphatase, aspartate aminotransferase and alanine aminotransferase levels were all significantly higher than in the control group (p < 0.05). The exposed group showed pathological lesions in the liver and degenerated neurons with lightly stained nuclei in the cerebral cortex. Hyperchromatic neurons were significantly higher in the exposure group (58.8 ± 2.28) compared to the control (6.6 ± 0.44) (p < 0.05). 4G exposure reduced lymphocyte count in the caecal tonsil (86.8 ± 5.38) compared to the control (147.2 ± 9.06) (p < 0.05). Vascular gene mRNA expression was higher, but immune gene expression was lower in the exposed group.
    Exposure to mobile phone radiation may result in gross, microscopic and biochemical changes, as well as alterations in gene expression that could hinder embryonic development.
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  • 文章类型: Journal Article
    近几十年来最危险的疾病是肺癌。最准确的癌症诊断方法,根据研究,是通过使用活检获得的组织病理学图像。深度学习技术在生物信息学中取得了成功,尤其是医学成像。在本文中,我们提出了一种创新的方法,通过将新提出的卷积神经网络(CNN)模型与一些总参数和增强的光梯度增强模型(LightGBM)分类器相结合,来快速识别和分类肺组织的组织病理学图像。在本研究中对图像进行预处理后,提出的CNN技术用于特征提取。然后,具有多个线程的LightGBM模型已用于肺组织分类。仿真结果,应用于LC25000数据集,证明了这项新技术成功地对肺组织进行分类,准确率和灵敏度为99.6%。此外,提出的CNN模型实现了只有一百万个参数的最低训练参数,在整个特征提取过程中,它还实现了仅一秒的最短处理时间。当这个结果与最新的最先进的方法进行比较时,建议的方法在疾病分类准确性和处理时间方面都提高了有效性。
    The most dangerous disease in recent decades is lung cancer. The most accurate method of cancer diagnosis, according to research, is through the use of histopathological images that are acquired by a biopsy. Deep learning techniques have achieved success in bioinformatics, particularly medical imaging. In this paper, we present an innovative method for rapidly identifying and classifying histopathology images of lung tissues by combining a newly proposed Convolutional Neural Networks (CNN) model with a few total parameters and the enhanced Light Gradient Boosting Model (LightGBM) classifier. After the images have been pre-processed in this study, the proposed CNN technique is provided for feature extraction. Then, the LightGBM model with multiple threads has been used for lung tissue classification. The simulation result, applied to the LC25000 dataset, demonstrated that the novel technique successfully classifies lung tissue with 99.6% accuracy and sensitivity. Furthermore, the proposed CNN model has achieved the lowest training parameters of only one million parameters, and it has also achieved the shortest processing time of just one second throughout the feature extraction process. When this result is compared with the most recent state-of-the-art approaches, the suggested approach has increased effectiveness in the areas of both disease classification accuracy and processing time.
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  • 文章类型: Journal Article
    背景:淋巴结转移(LNM)显著影响诊断为宫颈癌的个体的预后,因为它与疾病复发和死亡率密切相关,从而影响患者的治疗方案选择。然而,在治疗前准确预测LNM仍然具有挑战性。因此,这项研究旨在利用从原发性宫颈癌患者的组织病理学切片中提取的数字病理特征在术前预测LNM的存在。
    方法:使用视觉转换器(ViT)和递归神经网络(RNN)框架训练深度学习(DL)模型以预测LNM。该预测基于对山东大学齐鲁医院获得的554张组织病理学整片图像(WSI)的分析。要验证模型的性能,使用其他四家医院的336个WSI进行了外部测试。此外,在前瞻性组中,使用190例宫颈活检WSI评估了DL模型的效率.
    结果:在内部测试集中,我们的DL模型的曲线下面积(AUC)为0.919,敏感性和特异性值分别为0.923和0.905,精度(ACC)为0.909。DL模型的性能在外部测试集中保持强劲。在前瞻性队列中,AUC为0.91,ACC为0.895.此外,在LNM评估中,与影像学检查相比,DL模型具有更高的准确性.通过利用变压器可视化方法,我们生成了一个热图,说明与LNM相关的原发性病变的局部病理特征.
    结论:基于DL的图像分析已证明通过利用活检WSI预测早期可手术宫颈癌的LNM是有效的。这种方法有可能增强诊断为宫颈癌的患者的治疗决策。
    Lymph node metastasis (LNM) significantly impacts the prognosis of individuals diagnosed with cervical cancer, as it is closely linked to disease recurrence and mortality, thereby impacting therapeutic schedule choices for patients. However, accurately predicting LNM prior to treatment remains challenging. Consequently, this study seeks to utilize digital pathological features extracted from histopathological slides of primary cervical cancer patients to preoperatively predict the presence of LNM.
    A deep learning (DL) model was trained using the Vision transformer (ViT) and recurrent neural network (RNN) frameworks to predict LNM. This prediction was based on the analysis of 554 histopathological whole-slide images (WSIs) obtained from Qilu Hospital of Shandong University. To validate the model\'s performance, an external test was conducted using 336 WSIs from four other hospitals. Additionally, the efficiency of the DL model was evaluated using 190 cervical biopsies WSIs in a prospective set.
    In the internal test set, our DL model achieved an area under the curve (AUC) of 0.919, with sensitivity and specificity values of 0.923 and 0.905, respectively, and an accuracy (ACC) of 0.909. The performance of the DL model remained strong in the external test set. In the prospective cohort, the AUC was 0.91, and the ACC was 0.895. Additionally, the DL model exhibited higher accuracy compared to imaging examination in the evaluation of LNM. By utilizing the transformer visualization method, we generated a heatmap that illustrates the local pathological features in primary lesions relevant to LNM.
    DL-based image analysis has demonstrated efficiency in predicting LNM in early operable cervical cancer through the utilization of biopsies WSI. This approach has the potential to enhance therapeutic decision-making for patients diagnosed with cervical cancer.
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  • 文章类型: Case Reports
    子宫内膜间质肉瘤(ESS)是一种罕见的子宫间叶性肿瘤。ESS的主要子宫外位置非常罕见。我们介绍了一例39岁的妇女出现严重的腹痛,MRI在T2加权成像(T2WI)和T1加权成像(T1WI)上显示双侧卵巢肿瘤强度不均,限制扩散,包括T1WI上的高强度区域,在T1加权脂肪抑制成像中没有擦除,T2WI上为低信号,对比后没有增强。该肿块延伸至道格拉斯,并侵入子宫和直肠浆膜,提示潜在的子宫内膜异位症。未发现子宫内膜异常。探索发现卵巢与小肠和乙状结肠结节相关,产生了易碎的肿块。该患者接受了双侧附件切除术,解剖病理学研究显示为低度子宫内膜间质肉瘤。这是涵盖卵巢低度子宫外ESS放射学特征的少数报道之一,这可能是继发于子宫内膜异位症变性,没有原发性子宫ESS的证据。
    Endometrial stromal sarcoma (ESS) is an uncommon uterine mesenchymal neoplasm. The primary extra-uterine location of ESS is a very rare occurrence. We present a case of a 39-year-old woman presented with severe abdominal pain, MRI showed bilateral ovarian tumors with heterogeneous intensity on T2-weighted imaging (T2WI) and T1-weighted imaging (T1WI), with restricted diffusion, including hyperintense areas on T1WI, not erased on T1-weighted fat-suppressed imaging, hypointense on T2WI, and not enhanced after contrast. This mass extended to the Douglas and invaded the uterine and the rectum serosa suggesting an underlying endometriosis. No abnormalities were suspected in the endometrium. The exploration revealed a friable mass arising from ovaries associated with nodules in the small intestine and sigmoid. The patient underwent bilateral adnexectomy and the anatomopathological study revealed a low-grade endometrial stromal sarcoma. This is one of the few reports covering the radiological features of low-grade extra-uterine ESS in the ovary which is probably secondary to degeneration of endometriosis with no evidence of primary uterine ESS.
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