子宫复杂非典型增生与高分化腺癌的多重分形谱鉴别。

Adarsh Barwad, Pranab Dey
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引用次数: 0

摘要

目的:引入多重分形谱鉴别子宫内膜高分化腺癌(WDAC)与复杂不典型增生(CAH)的新领域。研究设计:从根治性子宫切除术标本中选取CAH患者13例,WDAC患者16例,从每例患者至少4-5张具有代表性的数字化图像中测量多重分形谱。数据收集自f(alpha) vs. alpha曲线。记录alpha max、alpha min的值及其差值δ alpha (alpha max-alpha min)并比较数据。结果:CAH α max、α min和δ alpha的平均+/- SD分别为2.36357 +/- 0.111623、1.71357 +/- 0.032160和0.64214 +/- 0.094248。WDAC的alpha max、alpha min和delta的平均+/- SD分别为2.50640 +/- 0.104545、1.72100 +/- 0.036436和0.77620 +/- 0.108268。WDAC组α max、α min和δ α均值均高于CAH组。Mann-Whitney U检验显示WDAC和CAH的α max和δ α ja有显著差异(p < 0.0001)。结论:WDAC和CAH的多重分形维数存在显著差异。多重分形维数是病理学研究的一个新领域。本研究证明了多重分形分析在组织病理学中的潜在用途。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Multifractal spectrum differentiation of well-differentiated adenocarcinoma from complex atypical hyperplasia of the uterus.

Objective: To introduce a new field of multifractal spectrum in distinguishing between endometrial well-differentiated adenocarcinoma (WDAC) and complex atypical hyperplasia (CAH).

Study design: Thirteen cases of CAH and 16 of WDAC were selected from radical hysterectomy specimens, and multifractal spectrum was measured from at least 4-5 representative digitized images of each case. The data were collected from f(alpha) vs. alpha curves. The values of alpha max, alpha min, and their difference delta alpha (alpha max-alpha min) were recorded and the data compared.

Results: The mean +/- SD of alpha max, alpha min, and delta alpha of CAH were 2.36357 +/- 0.111623, 1.71357 +/- 0.032160, and 0.64214 +/- 0.094248, respectively. The mean +/- SD of alpha max, alpha min, and delta of WDAC were 2.50640 +/- 0.104545, 1.72100 +/- 0.036436, and 0.77620 +/- 0.108268, respectively. The mean of alpha max, alpha min, and delta alpha of WDAC were higher than in CAH. Mann-Whitney U test showed significant difference (p < 0.0001) of alpha max and delta alpja of WDAC and CAH.

Conclusion: Multifractal dimension is significantly different in WDAC and CAH. The multifractal dimension is a new area in pathology. This study demonstrates the potential usefulness of multifractal analysis in histopathology.

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