Application of cell‐image analysis to the diagnosis of cellular atypias in sputum: A review

S. Donald Greenberg, Norwood R. Hunter, Gerald R. Taylor, Paul R. Swank, Donnie G. Winkler, Harlan J. Spjut, Rolando G. Estrada, Cris Grenia, Marie Clark, Jay Herson

Research output: Contribution to journalReview articlepeer-review

3 Scopus citations

Abstract

The incidence of carcinoma of the lung continues to steadily rise, and attempts at early diagnosis to improve prognosis have not yet been rewarding. The goal of our research is to decrease the incidence of lung cancer by detecting premalignant bronchial dysplasias in individuals in whom development of lung cancer is potentially preventable. To achieve this, we have developed an atypia status index (ASI)—the assignment of numerical values to the various stages of atypical bronchial epithelial cells in sputum, and a cell atypia profile (CAP)—an ASI‐generated scale of 200 such atypical bronchial epithelial cells in a single sputum specimen. Computerized cell‐image analysis techniques and statistical data analysis are used to generate the ASIs and CAPs for each subject. This study is a step toward the development of an automated cell‐image analysis system for mass screening of premalignant atypias in sputum of those considered at high risk for lung cancer (i.e., men and women of 40 yr of age and older, with more than 20 pack‐yr of cigarette smoking). Diagn Cytopathol 1986;2:168‐174.

Original languageEnglish (US)
Pages (from-to)168-174
Number of pages7
JournalDiagnostic cytopathology
Volume2
Issue number2
DOIs
StatePublished - 1986
Externally publishedYes

Keywords

  • Beta‐carotene
  • Bronchial dysplasia
  • Carcinoma of lung
  • Cell‐image analysis
  • Premalignant bronchial atypia
  • Sputum atypia

ASJC Scopus subject areas

  • Pathology and Forensic Medicine
  • Histology

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