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  • 1
    In: CHEST, Elsevier BV, Vol. 164, No. 4 ( 2023-10), p. A755-
    Type of Medium: Online Resource
    ISSN: 0012-3692
    RVK:
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2023
    detail.hit.zdb_id: 2007244-2
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  • 2
    In: Journal of Pathology Informatics, Elsevier BV, Vol. 9, No. 1 ( 2018-01), p. 43-
    Type of Medium: Online Resource
    ISSN: 2153-3539
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2018
    detail.hit.zdb_id: 2579241-6
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  • 3
    Online Resource
    Online Resource
    Elsevier BV ; 2020
    In:  Medical Journal Armed Forces India Vol. 76, No. 4 ( 2020-10), p. 418-424
    In: Medical Journal Armed Forces India, Elsevier BV, Vol. 76, No. 4 ( 2020-10), p. 418-424
    Type of Medium: Online Resource
    ISSN: 0377-1237
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2020
    detail.hit.zdb_id: 2164392-1
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  • 4
    Online Resource
    Online Resource
    Medknow ; 2019
    In:  Journal of Cytology Vol. 36, No. 3 ( 2019), p. 146-
    In: Journal of Cytology, Medknow, Vol. 36, No. 3 ( 2019), p. 146-
    Type of Medium: Online Resource
    ISSN: 0970-9371
    Language: English
    Publisher: Medknow
    Publication Date: 2019
    detail.hit.zdb_id: 2418980-7
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  • 5
    Online Resource
    Online Resource
    Medip Academy ; 2019
    In:  International Journal of Research in Medical Sciences Vol. 7, No. 3 ( 2019-02-27), p. 871-
    In: International Journal of Research in Medical Sciences, Medip Academy, Vol. 7, No. 3 ( 2019-02-27), p. 871-
    Abstract: Background: Morphometric studies based on image analysis are a useful adjunct for quantitative analysis of microscopic images. However, effective separation of overlapping objects if often the bottleneck in image analysis techniques. We employ the watershed transform for counting reticulocytes from images of supravitally stained smears.Methods: The algorithm was developed with the Python programming platform, using the Numpy, Scipy and OpenCV libraries. The initial development and testing of the software were carried out with images from the American Society of Hematology Image Library. Then a pilot study with 30 samples was then taken up. The samples were incubated with supravital stain immediately after collection, and smears prepared. The smears were microphotographed at 100X objective, with no more than 150 RBCs per field. Reticulocyte count was carried out manually as well as by image analysis.Results: 600 out of 663 reticulocytes (90.49%) were correctly identified, with a specificity of 98%. The major difficulty faced was the slight bluish tinge seen in polychromatic RBCs, which were inconsistently detected by the software.Conclusions: The watershed transform can be used successfully to separate overlapping objects usually encountered in pathological smears. The algorithm has the potential to develop into a generalized cell classifier for cytopathology and hematology.
    Type of Medium: Online Resource
    ISSN: 2320-6012 , 2320-6071
    Language: Unknown
    Publisher: Medip Academy
    Publication Date: 2019
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  • 6
    Online Resource
    Online Resource
    Springer Science and Business Media LLC ; 2022
    In:  Scientific Reports Vol. 12, No. 1 ( 2022-09-30)
    In: Scientific Reports, Springer Science and Business Media LLC, Vol. 12, No. 1 ( 2022-09-30)
    Abstract: Deep neural networks (DNNs) have shown success in image classification, with high accuracy in recognition of everyday objects. Performance of DNNs has traditionally been measured assuming human accuracy is perfect. In specific problem domains, however, human accuracy is less than perfect and a comparison between humans and machine learning (ML) models can be performed. In recognising everyday objects, humans have the advantage of a lifetime of experience, whereas DNN models are trained only with a limited image dataset. We have tried to compare performance of human learners and two DNN models on an image dataset which is novel to both, i.e. histological images. We thus aim to eliminate the advantage of prior experience that humans have over DNN models in image classification. Ten classes of tissues were randomly selected from the undergraduate first year histology curriculum of a Medical School in North India. Two machine learning (ML) models were developed based on the VGG16 (VML) and Inception V2 (IML) DNNs, using transfer learning, to produce a 10-class classifier. One thousand (1000) images belonging to the ten classes (i.e. 100 images from each class) were split into training (700) and validation (300) sets. After training, the VML and IML model achieved 85.67 and 89% accuracy on the validation set, respectively. The training set was also circulated to medical students (MS) of the college for a week. An online quiz, consisting of a random selection of 100 images from the validation set, was conducted on students (after obtaining informed consent) who volunteered for the study. 66 students participated in the quiz, providing 6557 responses. In addition, we prepared a set of 10 images which belonged to different classes of tissue, not present in training set (i.e. out of training scope or OTS images). A second quiz was conducted on medical students with OTS images, and the ML models were also run on these OTS images. The overall accuracy of MS in the first quiz was 55.14%. The two ML models were also run on the first quiz questionnaire, producing accuracy between 91 and 93%. The ML models scored more than 80% of medical students. Analysis of confusion matrices of both ML models and all medical students showed dissimilar error profiles. However, when comparing the subset of students who achieved similar accuracy as the ML models, the error profile was also similar. Recognition of ‘stomach’ proved difficult for both humans and ML models. In 04 images in the first quiz set, both VML model and medical students produced highly equivocal responses. Within these images, a pattern of bias was uncovered–the tendency of medical students to misclassify ‘liver’ tissue. The ‘stomach’ class proved most difficult for both MS and VML, producing 34.84% of all errors of MS, and 41.17% of all errors of VML model; however, the IML model committed most errors in recognising the ‘skin’ class (27.5% of all errors). Analysis of the convolution layers of the DNN outlined features in the original image which might have led to misclassification by the VML model. In OTS images, however, the medical students produced better overall score than both ML models, i.e. they successfully recognised patterns of similarity between tissues and could generalise their training to a novel dataset. Our findings suggest that within the scope of training, ML models perform better than 80% medical students with a distinct error profile. However, students who have reached accuracy close to the ML models, tend to replicate the error profile as that of the ML models. This suggests a degree of similarity between how machines and humans extract features from an image. If asked to recognise images outside the scope of training, humans perform better at recognising patterns and likeness between tissues. This suggests that ‘training’ is not the same as ‘learning’, and humans can extend their pattern-based learning to different domains outside of the training set.
    Type of Medium: Online Resource
    ISSN: 2045-2322
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2022
    detail.hit.zdb_id: 2615211-3
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  • 7
    Online Resource
    Online Resource
    Medip Academy ; 2017
    In:  International Journal of Research in Medical Sciences Vol. 5, No. 9 ( 2017-08-26), p. 4013-
    In: International Journal of Research in Medical Sciences, Medip Academy, Vol. 5, No. 9 ( 2017-08-26), p. 4013-
    Abstract: Background: Lymph node fine needle aspiration cytology (FNAC) is the first line investigation for evaluation of lymph node disease. Existing literature reports high degree of correlation between lymph node FNAC and histological examination. The aim of the present study is to re-evaluate the diagnostic accuracy of FNAC in view of frequent discordance between FNAC and diagnosis on biopsy.Methods: Among a total of 495 lymph node FNACs and 291 biopsies, 69 adequate FNACs which were followed up with biopsy were evaluated with standard statistical methods for assessment of diagnostic accuracy.Results: The commonest diagnosis on biopsy was reactive lymph node (34.71%) followed by granulomatous disease (26.12%) and lymphoid neoplasms (20.96%). Reactive lymphadenitis and granulomatous disease were also the two commonest categories on FNAC (34.34% and 24.85% respectively). However, the sensitivity of FNAC in diagnosis of granulomatous disease was found to be 45.83%, which increases to 70.03% if necrosis is included as a marker of granulomatous disease. The greatest sensitivity was achieved in diagnosis of metastatic disease (88.89%), followed by lymphoid neoplasms (69.23%).Conclusions: FNAC is a useful tool for excluding specific categories of lymph node diseases, esp. metastatic disease. However, the technique needs improvement as to sample more representative areas of the node, to improve its sensitivity.
    Type of Medium: Online Resource
    ISSN: 2320-6012 , 2320-6071
    Language: Unknown
    Publisher: Medip Academy
    Publication Date: 2017
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  • 8
    Online Resource
    Online Resource
    Hindawi Limited ; 2013
    In:  Case Reports in Pathology Vol. 2013 ( 2013), p. 1-3
    In: Case Reports in Pathology, Hindawi Limited, Vol. 2013 ( 2013), p. 1-3
    Abstract: Intracranial teratomas represent a rare lesion accounting for 0.1%–0.7% of all intracranial tumors. Those in the fourth ventricle have rarely been reported. The present case is that of a 28-year-old man with occipital headache for two months. MRI examination revealed a well-defined extra-axial cystic lesion in posterior fossa in the midline herniating through the foramen magnum. Pre operatively, the mass was seen to be occupying the whole of the posterior fossa and arising from the roof of the fourth ventricle. On gross examination, the lesion had both solid and cystic components. Histopathological examination showed multiple cystic areas lined by brain tissue admixed with islands of cartilage and salivary gland elements and intestinal type glands. A diagnosis of mature cystic teratoma was made.
    Type of Medium: Online Resource
    ISSN: 2090-6781 , 2090-679X
    Language: English
    Publisher: Hindawi Limited
    Publication Date: 2013
    detail.hit.zdb_id: 2648758-5
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  • 9
    In: Journal of Cytology, Medknow, Vol. 35, No. 2 ( 2018), p. 71-
    Type of Medium: Online Resource
    ISSN: 0970-9371
    Language: English
    Publisher: Medknow
    Publication Date: 2018
    detail.hit.zdb_id: 2418980-7
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  • 10
    Online Resource
    Online Resource
    Scientific Scholar ; 2019
    In:  International Journal of Molecular and Immuno Oncology Vol. 4 ( 2019-09-14), p. 67-71
    In: International Journal of Molecular and Immuno Oncology, Scientific Scholar, Vol. 4 ( 2019-09-14), p. 67-71
    Abstract: Ovarian cancers pose diagnostic dilemma and is problematic for decision making for the gynecological oncologist as well as the pathologist. The use of intra-operative frozen section can aid significantly in decision making and assist in choosing the correct operative path once a mass lesion of ovaries is discovered. Materials and Methods: Over a two-year period, 50 cases of Suspected Ovarian cancers were examined by intra- operative frozen section as well as followed up with histopathology in paraffin sections. Results were categorized in two strata—benign and malignant. Results: A comparison between frozen-section diagnosis and findings on paraffin section showed that the sensitivity of frozen section in diagnosis of malignant lesions is 97.14%, with specificity 93.33%, positive predictive value 97.14% and negative predictive value 93.33%. Among 50 cases, one case was reported as false positive and one was reported as false negative. Conclusion: Intra-operative frozen section is a highly sensitive and specific modality for the diagnosis of malignant lesions of the ovary.
    Type of Medium: Online Resource
    ISSN: 2456-3994
    Language: English
    Publisher: Scientific Scholar
    Publication Date: 2019
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