Analysis of rare high-DNA cell populations in serous effusions using continuous-motion imaging

Anal Cell Pathol. 1991 Jul;3(4):233-42.

Abstract

The rare high-DNA cell sub-populations in a series of serous effusion specimens were analysed to determine whether such measurements could provide a basis for the improved diagnosis of malignancy. Monolayer specimens stained with gallocyanin chrome-alum were scanned with the CERVIFIP continuous-motion image analyser to locate and measure the highest-DNA cells in the sample. Two types of features were obtained for the detected sub-populations; firstly, 'percentile ploidy' values which characterise the ploidy levels above which specified proportions of the total cells are found; and secondly 'percentage abnormal' values which characterise the proportion of the cells diagnosed as malignant during examination by a cytopathologist. The classification accuracy for one or both of these features was then obtained by comparison with the clinical outcome of each patient. The results gave a classification error of 9/44 (20%) using the 0.01% percentile ploidy alone, 6/44 (14%) using the 75% percentage abnormal feature alone, but only 2/44 (5%) from a box discriminant using both features. It was therefore concluded that the analysis of the high-DNA cell population could be of value in the diagnosis of malignancy in serous effusion specimens.

Publication types

  • Comparative Study

MeSH terms

  • Adenocarcinoma / pathology*
  • Ascitic Fluid / pathology*
  • Cytodiagnosis / instrumentation
  • DNA / analysis*
  • Female
  • Humans
  • Image Processing, Computer-Assisted / instrumentation
  • Male
  • Peritoneal Neoplasms / pathology*
  • Pleural Effusion / pathology
  • Ploidies

Substances

  • DNA