Diagnostic Study of Multi-spectral Intelligent Analyzer in Diagnosis of the Infiltration Degree of Lung Adenocarcinoma / 中国肺癌杂志

BACKGROUND@#Lung cancer is one of the most common malignant tumors in the world. The accuracy of intraoperative frozen section (FS) in the diagnosis of lung adenocarcinoma infiltration cannot fully meet the clinical needs. The aim of this study is to explore the possibility of improving the diagnostic efficiency of FS in lung adenocarcinoma by using the original multi-spectral intelligent analyzer.@*METHODS@#Patients with pulmonary nodules who underwent surgery in the Department of Thoracic Surgery, Beijing Friendship Hospital, Capital Medical University from January 2021 to December 2022 were included in the study. The multispectral information of pulmonary nodule tissues and surrounding normal tissues were collected. A neural network model was established and the accuracy of the neural network diagnostic model was verified clinically.@*RESULTS@#A total of 223 samples were collected in this study, 156 samples of primary lung adenocarcinoma were finally included, and a total of 1,560 sets of multispectral data were collected. The area under the curve (AUC) of spectral diagnosis in the test set (10% of the first 116 cases) of the neural network model was 0.955 (95%CI: 0.909-1.000, P<0.05), and the diagnostic accuracy was 95.69%. In the clinical validation group (the last 40 cases), the accuracy of spectral diagnosis and FS diagnosis were both 67.50% (27/40), and the AUC of the combination of the two was 0.949 (95%CI: 0.878-1.000, P<0.05), and the accuracy was 95.00% (38/40).@*CONCLUSIONS@#The accuracy of the original multi-spectral intelligent analyzer in the diagnosis of lung invasive adenocarcinoma and non-invasive adenocarcinoma is equivalent to that of FS. The application of the original multi-spectral intelligent analyzer in the diagnosis of FS can improve the diagnostic accuracy and reduce the complexity of intraoperative lung cancer surgery plan.
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Application of multispectral fundus imaging in central serous chorioretinopathy / 中华实验眼科杂志

Objective:To explore the application of multispectral fundus imaging (MSI) in central serous chorioretinopathy (CSC).Methods:A diagnostic test study was conducted.Eighty-five eyes from 69 patients with macular diseases were enrolled in Renmin Hospital of Wuhan University from September 2017 to May 2018.There were 62 males (77 eyes) and 7 females (8 eyes) among the 69 patients with an average age of (48.0±11.2) years.The patients were divided into CSC group (45 cases, 61 eyes) and non-CSC group (24 cases, 24 eyes) according to whether suffering from CSC or not.Color fundus photography, fundus fluorescein angiography (FFA), indocyanine green angiography, spectral domain-optical coherence tomography and MSI were performed in the two groups and the images were collected.With FFA as the gold standard, the sensitivity, specificity, false positive rate, false negative rate, positive predictive value and negative predictive value of MSI in the diagnosis of CSC were calculated.Kappa consistency test was used to evaluate the consistency of MSI and FFA in diagnosing CSC, and to evaluate the diagnostic value of MSI in CSC.This study protocol adhered to the Declaration of Helsinki and was approved by an Ethics Committee of Renmin Hospital of Wuhan University (No.WDRY2019-K037). Written informed consent was obtained from each subject prior to any medical examination.Results:The sensitivity, specicity, false positive rate, false negative rate, positive predictive value and negative predictive value of MSI for identifying CSC were 88.5%, 91.7%, 8.3%, 11.5%, 96.4% and 75.9%, respectively.The Kappa coefficient of agreement was 0.754.There was no significant difference in the identification of CSC between MSI and FFA ( χ2=1.780, P=0.180). Hyper-reflective signals corresponding to the leakage points were better detected with MSI images at 620-850 nm wavelength.The clear boundary of serous neuroepithelial detachment area was better detected with MSI images at 590-810 nm wavelength.The retinal pigment epithelium damage was better detected with MSI images at 660-850 nm wavelength. Conclusions:There is a good consistency between MSI and FFA.MSI can be an effective noninvasive inspection method for CSC.

Advances in the clinical application of imaging detection for caries / 口腔疾病防治

@#Dental caries detector is a kind of diagnostic tool specifically designed for dental professionals to detect and monitor the early occurrence and development of dental caries. They are widely used in the clinic because of their advantages of rapid detection, flexible applications, ease of carrying, intuitive detection results and lack of pain for the patient. However, due to the different types and principles of the instruments produced by various instrument manufacturers, the clinical application range, sensitivity and specificity of test results also show significant differences. In terms of the current clinical application effects, although the DIAGNOdent caries detector has the widest range of clinical use, the accuracy of its detection results needs to be improved because it is affected by factors such as pigments and dental materials. The Canary System caries detector can effectively avoid the interference of the above factors, but its classification of the degree of caries is not clear. The DIAGNOcam caries detector can effectively detect early caries, but it has low reliability for occlusal caries detection. The existing dental caries detectors on the market can be used only as clinical auxiliary tools, and the accuracy of the detection results and comprehensiveness of the detection range need further improvement. With the application of the new multispectral near-infrared scanning fiber endoscope (NIR-SFE) and high-frequency ultrasound imaging (HFUS) in the detection of dental caries, a more efficient and accurate diagnosis of dental caries is possible in the future. To this end, we still need to continue exploring new technology to help clinicians complete the early diagnosis and treatment of dental caries to improve the quality of life of their patients.

Cotton vegetation indices under diffentent control methods of ramularia leaf spot / Indices de vegetação no algodoeiro sob diferentes fungicidas de controle da mancha da ramulária

This work aimed to correlate treatments using fungicides to different vegetation indices in response to effects caused by ramularia leaf spot (Ramularia areola). The experiment was carried out in the municipality of Chapadão do Sul, state of Mato Grosso do Sul, in the harvest 2016/2017, and consisted of a randomized blocks design, with 17 treatments and four replications. Data were obtained from the Sequoia 4.0 passive sensor and the Green Seeker LT 200 active sensor. From the information recorded by the sensors, nine vegetation indices were generated and compared with the area under the curve of disease progression, plant height, yield, and agronomic efficiency, in 17 different treatments of fungicide products. Treatments responded differently to the product applied. The SAVI index (Soil Adjusted Vegetation Index), obtained from the band in the red spectral range, presented higher correlation to AACPD, agronomic efficiency, and yield. The NDVI index (Normalized Difference Vegetation Index) had a higher correlation to plant height and SR (simple ratio), both using the wavelength in the red spectral range. (AU)

Este trabalho objetivou correlacionar diferentes índices de vegetação em resposta aos efeitos causados pela mancha de ramulária (Ramularia areola) de vários tratamentos com produtos fungicidas. O experimento foi implantado no município de Chapadão do Sul, Estado de Mato Grosso do Sul, no ano agrícola 2016/2017. O delineamento experimental utilizado foi blocos casualizados com 17 tratamentos com quatro repetições. Foram obtidos dados a partir do sensor passivo Sequoia 4.0 e do sensor ativo Green Seeker LT 200. A partir das informações registradas pelos sensores, foram gerados nove índices de vegetação, que foram comparados com a área abaixo da curva de progresso da doença, altura de plantas, produtividade e eficiência agronômica em 17 diferentes tratamentos de produtos de ação fungicida. Os tratamentos responderam de forma distinta em relação ao produto neles aplicados, sendo que os índices SAVI (Soil Adjusted Vegetation Index), obtidos a partir da banda na faixa espectral do Red, apresentaram maior correlação com AACPD, eficiência e produtividade. Já o índice NDVI (Normalized Difference Vegetation Index) obteve maior correlação com a altura de plantas e SR(Simple Ratio),ambosutilizando o comprimento de onda na faixa espectral da banda Red. (AU)

La lente dermatológica… historia y algo más / Dermatological vision lens... history and something else

El microscopio es un instrumento, que desde hace muchos años es herramienta diagnóstica en Dermatología. La evolución del microscopio ha ido en sinergia con el avance de la tecnología, siendo el desarrollo de imágenes microscópicas digitalizadas, fuente de estudio en la época actual. El uso de estas imágenes en Dermatología ha permitido realizar diagnósticos en tiempo real; situación que vence la celeridad diagnóstica y aminora tanto para el médico como para el paciente, la lentitud de otras técnicas. El conocimiento sobre los diferentes métodos que se utilizan actualmente, para confirmar diagnósticos de enfermedades cutáneas, como: la dermatoscopía, la dermatoscopía multiespectral y la microscopía confocal de reflectancia, son imprescindibles para la formación del dermatólogo de hoy en día, ya que, con ellos se resumen pasos para el manejo definitivo de los pacientes. Con esta disertación, realizaremos un breve análisis de la historia de la microscopía, desde sus inicios hasta la era digital y los beneficios que se obtienen, con el uso de cada una de estas técnicas diagnósticas.

The microscope, is an instrument that for many years is used as a diagnostic tool in Dermatology. The evolution of the microscope has gone in synergy with the advancement of technology, being the development of digitized microscopic images a source of study and research in the present time. The use of these images in Dermatology has carried out diagnoses in real time; situation that overcomes the diagnostic speed and reduces for both the doctor and the patient the slowness of other techniques. The knowledge about the different methods currently used to confirm skin diseases, such as dermatoscopy, multispectral dermoscopy and confocal reflectance microscopy, is essential for the formation of today's dermatologist, since they summarize the steps for the definitive management of patients. With this dissertation, we will make a brief analysis of the history of microscopy from its beginnings to the digital age, and the benefits obtained with the use of each of these diagnostic techniques.

Construção e caracterização de um sistema de imagens / Construction and characterization of a hyperspectral imaging system

O uso de interação da luz com a matéria não é um conceito novo em biologia para a detecção de processos físico-químicos, embora ainda seja utilizado de uma forma rudimentar. Já é sabido que imagens de refletância e fluorescência podem revelar informações importantes sobre tais processos em amostras biológicas. Apesar deste potencial, os sistemas experimentais disponíveis para a obtenção de tais imagens costumam serem complexos e de difícil implementação. Neste trabalho é descrita a construção e a caracterização de uma montagem experimental para produção de imagens hiperespectrais entre 400 e 1.000 nm. O sistema é composto de um espectrômetro, um conjunto de lentes para formação da imagem e uma câmera CCD para capturá-la. São descritos em detalhes o procedimento de calibração do sistema, o qual envolve os parâmetros largura da imagem, campo de visão, resolução espectral e espacial. O sistema de iluminação utiliza diodos emissores de luz de alta potência, tanto de luz branca quanto em 470 e 405 nm. Demonstramos que o sistema construído é capaz de obter imagens de fluorescência e/ou refletância de amostras biológicas. Como exemplos de aplicações, o instrumento aqui desenvolvido foi utilizado em dois campos distintos, a agricultura e a odontologia. Foram obtidas imagens de fluorescência de folhas de citros contaminadas com cancro cítrico, e de processos de desmineralização em dentes. Os resultados demonstram que o sistema construído está operando como projetado.

The use of light-mater interaction for the detection of chemicalphysical processes is not a new concept in biology, though it is still used in a rudimentary form. It is already known that reflectance as well as fluorescence images can reveal important information on such processes in biological samples. In spite of this potential, the experimental available image systems usually are complexes and of difficult implementation. In this work, we describe the construction and characterization of an experimental device to produce hyperspectral images between 400 and 1,000 nm. The system is composed of a spectrometer, a set of lenses for image formation and a CCD camera to capture it. We describe in details also the calibration procedure of the system, which involves parameters as image width, field of view, spectral and space resolution. The illumination system uses high power light emitting diodes, either at white light or at 470 and 405 nm. We demonstrate that our system is able to obtain reflectance as well as fluorescence images of biological samples. As examples of applications, we use it into two different fields, agriculture and dentistry. We obtained fluorescence images of citrus leaves contaminated with citrus canker and demineralization processes in teeth. Our results demonstrate that our system isoperating as designed.