scholarly journals Non-Tumor Cystic Lesions of the Adrenal Gland

PRILOZI ◽  
2015 ◽  
Vol 36 (3) ◽  
pp. 51-59 ◽  
Author(s):  
Vesna Janevska ◽  
Vlado Janevski ◽  
Oliver Stankov ◽  
Liljana Spasevska ◽  
Slavica Kostadinova-Kunovska ◽  
...  
Keyword(s):  
Imaging Techniques ◽  
Cystic Lesions ◽  
Pathological Features ◽  
Radiological Findings ◽  
Tissue Sections ◽  
Male Ratio ◽  
Radiologic Imaging ◽  
Vascular Origin ◽  
The Mean ◽  
Material Standard

Abstract Adrenal cystic lesions are uncommon but due to the improved radiologic imaging techniques their appearance seems to increase. Material and Methods: We analyzed the clinical and radiological findings of 10 patients with adrenal cysts and the pathological features of the operative material. Standard dissection procedure and paraffin embedded tissue sections were made, stained by HE and immunohistochemically with CD34, CD 31, Factor 8, Podoplanin, CKWS and AE1/AE3 Results: The mean age of the patients was 40.6 years; female to male ratio was 2.3:1. All the cysts were diagnosed as cystic lesions radiologically except one. The most present clinical symptom was abdominal pain. The diameter of the cysts measured from 2 to 7 cm. Four of the cysts were diagnosed as pseudocysts and six as endothelial. Six cysts were lined by CD34+ and CD31+ cells, four were lined by Factor 8+ and podoplanin+ cells and four had no lining. Conclusion: Endothelial cysts were more common cysts in our study and the immunohistochemical results suggested common vascular origin to all endothelial cysts and supported additional separation of angiomatous and lymphangiomathous adrenal vascular cysts.

scholarly journals Epidemiology, Diagnosis, and Management of Cystic Lesions of the Pancreas

2012 ◽  
Vol 2012 ◽  
pp. 1-8 ◽  
Author(s):  
Koen de Jong ◽  
Marco J. Bruno ◽  
Paul Fockens
Keyword(s):  
Imaging Techniques ◽  
Diagnostic Algorithm ◽  
Diagnostic Methods ◽  
Pancreatic Cysts ◽  
Cystic Lesions ◽  
Intraductal Papillary Mucinous Neoplasms ◽  
Cross Sectional ◽  
Serous Cystadenomas ◽  
Mucinous Neoplasms ◽  
Radiologic Imaging

Although little is known on the true prevalence of pancreatic cysts, physicians are currently more frequently confronted with pancreatic cysts because of the increasing use of sophisticated cross-sectional abdominal imaging. Cystic lesions of the pancreas comprise of a heterogeneous group of diagnostic entities, some of which are benign such as inflammatory pseudocysts or serous cystadenomas and do not require resection when asymptomatic. Others like mucinous cysts or intraductal papillary mucinous neoplasms (IPMN) have a malignant potential and in these cases surgical resection is often indicated. For this reason an adequate distinction between the various cysts is crucial to optimize management strategy. Different diagnostic methods that could be of value in the differentiation include radiologic imaging techniques such as CT, MR, and endosonography. In addition, fluid aspiration for cytopathology, tumormarkers or molecular analysis is widely used. Different guidelines are available but so far no optimal diagnostic algorithm exists. We summarize the epidemiology, classification, clinical presentation, diagnostics, management, and future perspectives.

scholarly journals PathoFusion: An Open-Source AI Framework for Recognition of Pathomorphological Features and Mapping of Immunohistochemical Data

Cancers ◽  
2021 ◽  
Vol 13 (4) ◽  
pp. 617
Author(s):  
Guoqing Bao ◽  
Xiuying Wang ◽  
Ran Xu ◽  
Christina Loh ◽  
Oreoluwa Daniel Adeyinka ◽  
...  
Keyword(s):  
Neural Network ◽  
Tumor Vasculature ◽  
Integrated System ◽  
Pathological Features ◽  
Adjacent Tissue ◽  
Tissue Sections ◽  
Contextual Feature ◽  
Hematoxylin And Eosin ◽  
Feature Information ◽  
Software Code

We have developed a platform, termed PathoFusion, which is an integrated system for marking, training, and recognition of pathological features in whole-slide tissue sections. The platform uses a bifocal convolutional neural network (BCNN) which is designed to simultaneously capture both index and contextual feature information from shorter and longer image tiles, respectively. This is analogous to how a microscopist in pathology works, identifying a cancerous morphological feature in the tissue context using first a narrow and then a wider focus, hence bifocal. Adjacent tissue sections obtained from glioblastoma cases were processed for hematoxylin and eosin (H&E) and immunohistochemical (CD276) staining. Image tiles cropped from the digitized images based on markings made by a consultant neuropathologist were used to train the BCNN. PathoFusion demonstrated its ability to recognize malignant neuropathological features autonomously and map immunohistochemical data simultaneously. Our experiments show that PathoFusion achieved areas under the curve (AUCs) of 0.985 ± 0.011 and 0.988 ± 0.001 in patch-level recognition of six typical pathomorphological features and detection of associated immunoreactivity, respectively. On this basis, the system further correlated CD276 immunoreactivity to abnormal tumor vasculature. Corresponding feature distributions and overlaps were visualized by heatmaps, permitting high-resolution qualitative as well as quantitative morphological analyses for entire histological slides. Recognition of more user-defined pathomorphological features can be added to the system and included in future tissue analyses. Integration of PathoFusion with the day-to-day service workflow of a (neuro)pathology department is a goal. The software code for PathoFusion is made publicly available.

Elemental content of mast cell granules measured by X-ray microanalysis of rat thymic tissue sections

1986 ◽  
Vol 83 (1) ◽  
pp. 77-87 ◽  
Author(s):  
M.D. Kendall ◽  
A. Warley
Keyword(s):  
Mast Cell ◽  
Mast Cells ◽  
Elemental Content ◽  
Thymic Tissue ◽  
X Ray ◽  
Tissue Sections ◽  
Freeze Dried ◽  
The Mean ◽  
Highly Correlated ◽  
The Individual

Mast cell granules were examined by fully quantitative X-ray microanalysis of 20 cells in freeze-dried cryosections. The mast cells were situated mainly in the connective tissue of the thymic capsule of five adult male Carworth Sprague Europe rats. In addition 30 red blood cells were analysed from the same sections. Nineteen of the mast cells had granules rich in S and K. One cell had smaller granules, and in this cell the granules contained high [Ca] and [P] instead of high [S] and [K]. In the majority of cells (13) the S:K ratio was highly correlated and less than 2.2, whereas in the remaining six cells the individual granule ratios were very variable in any one cell and much higher. The mean granule [K] (994 +/− 57 mmol kg-1 dry wt) was about four times the mean cytoplasmic level of 227 +/− 81 mmol kg-1 dry wt. The existence of this difference in concentration between the granules and the cytoplasm suggests that the K in the granules must be bound. The relationship between the [K] and [S] is discussed with regard to the possible binding of heparin and amines in the granules.

scholarly journals Comparison between cystourethrography and sonourethrography in preoperative diagnostic management of patients with anterior urethral strictures

2018 ◽  
Vol 20 (4) ◽  
pp. 436
Author(s):  
Jakub Krukowski ◽  
Adam Kałużny ◽  
Jakub Kłącz ◽  
Marcin Matuszewski
Keyword(s):  
Imaging Techniques ◽  
Imaging Method ◽  
Urethral Strictures ◽  
Preoperative Diagnostic ◽  
Diagnostic Management ◽  
The Mean

Aim: To evaluate the urethral lesions and the degree of spongiofibrosis using cystourethrography (CUG) and sonourethrography (SUG) in order to propose the best imaging method for further surgical treatment.Material and methods: The study involved 66 patients with anterior urethral strictures with indication for urethroplasty. Results of CUG and SUG were compared with each other and data from surgical protocol.Results: Totally 72 strictures were detected; 47 in the bulbar part of urethra and 25 in the penile urethra. The mean length of the stenosis was 16.43 mm for CUG and 27.41 mm for SUG and 31.05 mm during surgery. The correlation levels between imaging techniques and intraoperative measurements were 0.55 (p<0.001) for CUG and 0.73 (p<0.001) for SUG. After dividing the strictures according to their location, better correlation for stenoses was obtained in penile urethra: 0.66 (p<0.001) for CUG and 0.86 (p<0.001) for SUG.Conclusions: SUG seems to be a simple and fast examination to evaluate urethral strictures. It is more accurate in comparison to CUG and gives a possibility to assess the spongiofibrosis. This information suggests that SUG can be a good complement to CUG in diagnosis of anterior urethtral strictures.

Morphological Quantitation of Emphysema: A Debate

2006 ◽  
Vol 100 (4) ◽  
pp. 1419-1421 ◽  
Author(s):  
Ewald R. Weibel
Keyword(s):  
Normal Tissue ◽  
Equivalent Diameter ◽  
Reliable Index ◽  
Letters To The Editor ◽  
Large Variability ◽  
Tissue Sections ◽  
Automated Method ◽  
Linear Dimensions ◽  
Mean Linear Intercept ◽  
The Mean

The following series of letters to the editor concerns a recently published morphologic method proposed by Parameswaran and colleagues for sensitive, early detection of emphysema ( J Appl Physiol 100: 186–193, 2006). The validity of the proposed method was critiqued by Ewald Weibel, and, in turn, this critique was rebutted by Parameswaran et al. Additional brief commentaries were contributed by scientists working in the field. Further comments on this important topic are welcome. The following is the abstract of the article discussed in the subsequent letter: The mean linear intercept ( Lm) can be used to estimate the surface area for gas exchange in the lung. However, in recent years it is most commonly used as an index for characterizing the enlargement of airspaces in emphysema and the associated severity of structural destruction in the lung. Specifically, an increase in Lm is thought to result from an increase in airspace sizes. In this paper, we examined how accurately Lm measures the linear dimensions of airspaces from histological sections and a variety of computer-generated test images. To this end, we developed an automated method for measuring linear intercepts from digitized images of tissue sections and calculate Lm as their mean. We examined how the shape of airspaces and the variability of their sizes influence Lm as well as the distribution of linear intercepts. We found that for a relatively homogeneous enlargement of airspaces, Lm was a reliable index for detecting emphysema. However, in the presence of spatial heterogeneities with a large variability of airspace sizes, Lm did not significantly increase and sometimes even decreased compared to its value in normal tissue. We also developed an automated method for measuring the area and computed an equivalent diameter of each individual airspace that is independent of shape. Finally, we introduced new indexes based on the moments of diameter that we found to be more reliable than Lm to characterize airspace enlargement in the presence of heterogeneities.

scholarly journals Automated imaging cytometry reveals dysplastic indices of colonic serrated adenomas

2020 ◽  
pp. FSO459
Author(s):  
Nicholas S Samel ◽  
Qin Huang ◽  
Hiroshi Mashimo
Keyword(s):  
Dna Content ◽  
Chromosome Instability ◽  
Neoplastic Progression ◽  
Hyperplastic Polyps ◽  
Dna Index ◽  
Tissue Sections ◽  
Automated Imaging ◽  
Imaging Cytometry ◽  
The Mean ◽  
Serrated Adenomas

Aim: Left-sided colonic serrated adenomas (L-SAs) were evaluated for aneuploidy using automated imaging cytometry to quantify DNA content and compared with normal colonic tissues (NCT), tubular adenomas (TA), left-sided hyperplastic polyps (L-HP) and adenocarcinomas. Materials & methods: We used standard paraffin-embedded Feulgen-stained tissue sections. Results: The mean DNA index (DI) of NCT was 0.95, L-HP was 1.08, TA was 1.22, L-SA was 1.11 and adenocarcinomas was 1.46. DI of L-SA was statistically higher than that of NCT, but not statistically different from L-HP. Conclusion: This study demonstrates that DIs correlate with the described neoplastic progression of L-SA, TA and L-SA compared with NCT and suggests that L-SA may be involved in a chromosome instability pathway of neoplastic progression.

scholarly journals Type 1 Choroidal Neovascularization Evolution by Optical Coherence Tomography Angiography: Long-Term Follow-Up

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Marco Rispoli ◽  
Maria Cristina Savastano ◽  
Bruno Lumbroso ◽  
Lisa Toto ◽  
Luca Di Antonio
Keyword(s):  
Optical Coherence Tomography ◽  
Choroidal Neovascularization ◽  
Structural Changes ◽  
Imaging Techniques ◽  
Optical Coherence ◽  
Anti Vegf ◽  
The Mean

Purpose. To evaluate structural changes in response to antivascular endothelial growth factor (anti-VEGF) treatment in patients with long-term type 1 choroidal neovascularization (CNV) by optical coherence tomography (OCT) and OCT angiography (OCTA). Method. This is a longitudinal study that involved a total of 51 eyes with type 1 CNV (35 female and 16 male eyes). Structural OCT and OCTA were performed on all the subjects. AngioVue OCTA (XR Avanti, Optovue, Inc., Fremont, CA) was used to obtain qualitative and quantitative information. All eyes were treated with an anti-VEGF ProReNata (PRN) approach and were followed for a mean of 38.9 months (SD±7.22). Best-corrected visual acuity (BCVA) was assessed at each follow-up timepoint. Results. We observed two kinds of possible evolution of type 1 CNV: “positive evolution,” including stabilization in 20% of patients and chronicity in 35%, and “negative evolution,” in which fibrosis was shown in 18% of patients, chorioretinal atrophy in 25%, and hemorrhage or RPE tears in 2%. The mean BCVA at baseline was 33.67±15.85 ETDRS letters; after 1 and 2 years, it was 31.61±18.04 and 31.18±18.58 ETDRS letters, respectively. The mean BCVA at the end of follow-up was 25.27±20 ETDRS letters. The difference between the values at baseline and at the end of follow-up was not statistically significant (P=0.06, r2=0.10). Conclusions. This study describes an in vivo structural long-term evolution of type 1 CNV by OCT and OCTA. Different possible CNV outcomes were observed. This study suggests that new retinal imaging techniques could be useful tools for assessing the potential retinal changes in the evolution of type 1 CNV to develop personalized medicine. Further studies using OCTA in the long term are needed to better understand why similarly treated type 1 CNV cases evolve differently and produce different results.

Imaging of the small bowel: a review of current practice

2020 ◽  
Vol 81 (9) ◽  
pp. 1-10
Author(s):  
Dilane Peiris ◽  
Mark Wills
Keyword(s):  
Crohn’S Disease ◽  
Small Bowel ◽  
Crohn's Disease ◽  
Current Practice ◽  
Imaging Techniques ◽  
Radiological Imaging ◽  
Radiological Findings ◽  
Advantages And Disadvantages

This article summarises radiological imaging of the small bowel, with an emphasis on Crohn's disease. Different imaging techniques are discussed, including the advantages and disadvantages of each modality, and radiological findings for common small bowel pathologies are described, supplemented with pictorial examples.

Occult Intrasacral Meningocele: Clinical and Radiographic Diagnosis

Neurosurgery ◽  
1989 ◽  
Vol 24 (4) ◽  
pp. 616-625 ◽  
Author(s):  
James R. Doty ◽  
Jeffrey Thomson ◽  
Gary Simonds ◽  
Setti S. Rengachary ◽  
E. Neal Gunby
Keyword(s):  
Magnetic Resonance Imaging ◽  
Surgical Technique ◽  
Imaging Techniques ◽  
Preoperative Evaluation ◽  
Radiographic Imaging ◽  
Resonance Imaging ◽  
Radiological Findings ◽  
Radiographic Diagnosis ◽  
Intrasacral Meningocele

ABSTRACT We evaluated four patients who had occult intrasacral meningocele with multimodality radiographic imaging techniques. The clinical features, radiological findings, gross appearances of the lesion at surgery, surgical technique, histopathological features of the cyst wall, and surgical outcome are described. The role of magnetic resonance imaging in the preoperative evaluation compared with standard radiographic techniques is discussed. Theories regarding the pathogenesis of this lesion are reviewed.

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