Differential diagnosis of follicular tumor by expert systems based on a set of quantitative features of thyrocyte nuclei and aggregates.

Vladimir Kirillov, Olga Emeliyanova
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Abstract

Objective: To develop expert systems for classification of follicular thyroid tumor at a preoperative stage.

Study design: Fine needle aspiration biopsy of the thyroid gland with a histologic conclusion of follicular cancer and follicular adenoma were the object of the morphometric study. General sample size was 4500 nuclei and 3000 aggregates.

Results: Quantitative regularities of pathologic changes in thyrocyte nuclei and aggregates in follicular cancer and follicular adenoma were revealed. Threshold values and weighting coefficients of quantitative features of thyrocyte nuclei and aggregates characterizing cancer made the basis of the two expert systems. Expert systems included standard 2-D S-matrix containing threshold values of nuclei and aggregates in cancer and their weighting coefficients as well as 1-D scientific X-matrix designed for filling with quantitative features of the studied object. The diagnosis was verified by the value of a diagnostic index by means of comparing feature values in the corresponding elements of S- and X-matrices. After that, a diagnostic index was calculated taking into account the features' weighting coefficient.

Conclusion: The developed expert systems based on a set of quantitative features of thyrocyte nuclei and aggregates will allow assessing the malignant potential of a follicular thyroid tumor at a preoperative stage.

基于甲状腺细胞核和聚集体定量特征的专家系统对滤泡性肿瘤的鉴别诊断。
目的:建立甲状腺滤泡性肿瘤术前分类专家系统。研究设计:形态学计量学研究的对象是甲状腺细针穿刺活检,组织学结论为滤泡癌和滤泡腺瘤。一般样本量为4500个细胞核和3000个团聚体。结果:揭示了滤泡癌和滤泡腺瘤中甲状腺细胞核及聚集物病理变化的定量规律。甲状腺细胞核和肿瘤聚集定量特征的阈值和权重系数构成了这两个专家系统的基础。专家系统包括标准的二维s矩阵,其中包含癌症核和聚集体的阈值及其加权系数,以及为填充研究对象的定量特征而设计的一维科学x矩阵。通过比较S-和x -矩阵中相应元素的特征值,通过诊断指标的值来验证诊断结果。然后根据特征的权重系数计算诊断指标。结论:基于一组甲状腺细胞核和聚集的定量特征,开发的专家系统将允许在术前阶段评估滤泡性甲状腺肿瘤的恶性潜能。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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