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| United States Patent | 5281517 |
| Link to this page | http://www.wikipatents.com/5281517.html |
| Inventor(s) | Bacus; James W. (Hinsdale, IL);
Marder; Robert J. (River Forest, IL) |
| Abstract | A method and apparatus are provided for selecting and analyzing a
subpopulation of cells or cell objects for a certain parameter such as DNA
using image analysis means. The cells are first stained with an alkaline
phosphatase technique including a monoclonal antibody specific to a
protein in at least one of the cell's cytoplasm or on a cell membrane,
thereby marking any cells including the protein as to type. A second
staining of the DNA in the nucleus is accomplished by a Feulgen technique
that destroys the cell cytoplasm. After the staining and marking, the
cells may then be gated using the image analysis means on the visual
parameter such as colored DNA or colored antigen into a subpopulation that
is to be measured. The selected cells may then be examined by digital
image processing and measured for a parameter such as a true actual
measurement of DNA in picograms. A quantitation of the measured parameter
may be generated and provided. |
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Title Information  |
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Drawing from US Patent 5281517 |
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Methods for immunoploidy analysis |
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| Publication Date |
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January 25, 1994 |
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| Filing Date |
February 5, 1992 |
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| Parent Case |
CROSS REFERENCE TO RELATED APPLICATIONS
This application is a continuation of application Ser. No. 320,274 filed
Mar. 7, 1989, now abandoned, which is a division of Ser. No. 121,674 filed
Nov. 17, 1987, now U.S. Pat. No. 5,016,283, which is a continuation in
part of application U.S. Ser. No. 927,285 filed Nov. 4, 1986, in the name
of James W. Bacus and entitled "Analysis Method and Apparatus for
Biological Specimens" and now abandoned, which in turn is a
continuation-in-part of a U.S. Ser. No. 794,937 filed Nov. 4, 1985, in the
name of James W. Bacus and entitled "Cell Analysis Apparatus and Method
With Calibration and Control Slide" and now U.S. Pat. No. 4,741,843 both
of which are commonly assigned with the present application. These
previous disclosures of Bacus are hereby expressly incorporated by
reference herein. |
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Title Information  |
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Description  |
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FIELD OF THE INVENTION
The invention relates generally to the measurement of cell object features
and other parameters by image analysis, and is more particularly directed
to quantitative measurement methods and apparatus for DNA analysis of
small cell populations.
BACKGROUND OF THE INVENTION
The present invention is directed to quantitative testing apparatus and
methods which may be used for a wide range of diagnostic and prognostic
evaluations of various cells, antigens, or other biological materials
taken from the human body. However, for purposes of illustration and ease
of understanding, the invention will be disclosed in conjunction with its
preferred use, which is the quantitative measurement of cellular DNA for
the purpose of cancer diagnosis and prognosis. More specifically, the
present invention is directed to methods and apparatus for interactive
image analysis which are adapted to analyze and quantify the DNA in
different classes of specimen cells taken from a human body.
The current state of the art in the pathology laboratory for measuring the
DNA content of a cell is by visual observation. A pathologist observes
through a microscope primarily the shape and texture of suspected cancer
cells and then classifies the cells into a normal category or into one of
several abnormal or cancer categories. Such evaluations are very
subjective and can not differentiate and precisely quantify small changes
in DNA within individual cells or in very small populations of abnormal
cells. These small changes may represent an incipient stage of cancer or a
change in cell structure due to treatment of the cancer by chemotherapy or
radiation. Such small changes are, therefore, important in the diagnosis
and prognosis of these diseases.
However, the advantage in diagnosis and/or prognosis of abnormal ploidy
distributions that a pathologist viewing a specimen under a microscope has
is the discerning expertise of a skilled person in classifying cells as
normal or abnormal. There is an innate human ability to make relatively
quick infinite gradations of classification, i.e., almost normal, slightly
abnormal, etc. On the other hand, the classification and measurement of
cell features and parameters manually by a pathologist on a cell-by-cell
basis is extremely tedious and time consuming. Statistical analysis of
such cell data taken by hand is relatively difficult because each record
has to be entered and then processed. For different records, taken at
different times, and under varying conditions broad statistical
categorizations may be unreliable.
The alternative is automated cell analysis where the pathologist uses
specialized equipment to perform the analysis. In automatic cell analysis,
such as that accomplished by a flow cytometer, mass tests are performed in
gross on a specimen cell population without a researcher being able to
exclude or include certain data of the population. The specimen is
measured "as is" without really knowing what cells are being measured and
how many. Important single cell data or data from relatively small groups
of cells are lost in the overall averaging of a specimen. Further,
relatively large amounts of a specimen have to be used to provide results
from these tests and the sample is consumed.
Although there are commercially available general purpose flow cytometers,
they are very expensive and can handle only liquid blood specimens or
tissue disaggregations. These cytometers are incapable of working on
standard tissue sections or using conventional microscope slides which are
the preferred specimen forms of pathology laboratories. Additionally, a
flow cytometer does not allow for the analysis of morphological features
of cells such as texture, size and shape of cell nuclei and alterations in
the nuclear-to-cytoplasmic ratios of cells.
The methods and apparatus illustrated in the referenced Bacus applications
have solved these and other problems relating to the analysis of various
features and parameters of cell objects. Bacus discloses a measurement
method and apparatus which can acquire accurate quantitative data
concerning a plurality of individual cells very quickly by an interactive
process with a pathologist or an operator.
The Bacus apparatus provides means for displaying on a video monitor an
image of a group of cells from a field of a microscope slide. The image is
further digitized and stored in a memory of the apparatus. From the
digitized image, a processor means identifies each possible cell object
automatically by a pattern recognition technique. An interactive program
allows the operator to point to each object or cell in succession and make
morphological decisions for classification and measurements concerning
each. For quantitative DNA analysis, the measurement is of the optical
density of the cell object and the classification is by a pathologist as
to whether the cell appears normal or cancerous. The decisions include
whether to accept or reject a particular cell for further measurement and
processing. The cell object, if selected, can then also be classified into
one of several classifications for later statistical analysis. The
apparatus further has means which permit the classification and storing of
more than one image.
When the apparatus is used for DNA analysis, tissue and cell specimens are
applied to a slide which is then stained with a specific stain that
combines proportionately with the DNA and essentially renders invisible
the remainder of the cell so that the image analysis apparatus can measure
the optical density of the DNA which is concentrated in the nucleus of the
cell. The stain associates with the DNA to provide a detailed nuclear
structure and pattern which may be visually observed and interpreted by
the pathologist using the apparatus for classification. The amount of DNA
in the malignant cells is substantially greater than that for normal cells
because the malignant cells are usually dividing and replicating rapidly
or the malignant cells have abnormal numbers of chromosomes or have
defective chromosomes.
The Bacus apparatus can not only detect minute alterations in the nucleus
by providing a real and accurate measurement of the DNA mass in picograms
but also can measure and quantify the amount of DNA and relate it to
stored statistical analyses to aid in diagnosis. More specifically, the
invention allows an iterative analysis of specimen population cells and
provides a histogram or other statistical display of the population
distribution of the cells with respect to their DNA content and with
respect to a standard DNA for normal cells so that subtle shifts in
population distribution can be readily understood. To this end cell nuclei
images are not only acquired and stored but the data therefrom can be
integrated with other statistical data to provide multivariable analysis,
discrimination of cells, histograms, and scattergrams of cells or cell
populations.
While the methods and apparatus described above are extremely advantageous
and advance the art of aneuploidy analysis by image processing, they are
not as sensitive as they could be. With the progress in measuring the
quantity and distribution of DNA in a cellular population, there has come
the need to further refine and sensitize that analysis and
characterization process. One area in which sensitivity of the above
described process can be improved is in the operator classification of
cell types.
The previous apparatus of Bacus relies mainly on the pathologist or
operator to make a subjective judgement concerning the classification of
cell types, and whether they are to be classified at all. This is a
principal advantage of the apparatus where the expertise of the
pathologist in discerning cell types is automated and measurement of
specified parameters of the chosen cells is accurately made. However, it
has been learned that different cell types which are really quite
different structurally appear morphologically similar under the
microscope.
This is particularly true when the nuclear DNA has been enhanced by Feulgen
staining. Such nuclear staining is for the purpose of enhancing the
optical characteristics of the nuclei of the cells which contain the DNA,
but that necessarily de-emphasizes the visual characteristics of the
cytoplasm in the rest of the cell outside of the nucleus. The result is to
allow easier image analysis and precise measurement of the DNA of the
nuclear material, but at the same time this enhancement causes the loss of
the visual morphological characteristics of the cytoplasm which a
pathologist might use to distinguish one type of cell from another.
Additionally, there are different cell types, which it is advantageous to
classify separately, but which provide no or only faint visual clues as to
their differences.
Thus, there is the need to alert a pathologist classifying the cell
populations for DNA analysis with the Bacus instrument about the different
cell types, whether by optical enhancement or otherwise. A more definitive
mechanism would be the use of some demonstrable marker on the cells
themselves by which the pathologist can objectively separate the various
cell types. There are known in the art many optical enhancement or marking
techniques for cell populations, including those described in the above
referenced Bacus applications. For example, since the advent of monoclonal
antibody production, numerous antibodies have been developed which are
specific for cellular components, either in the cytoplasm, nucleus or on
the cell membrane. Some have already been used to type cells in pathology
to assist in the definition of the cell of origin of a number of tumors
where subjective morphology is equivocal.
Among the most notable of these antibodies are antibodies to Leukocyte
Common Antigens, which identify inflammatory cells, and antibodies to a
family of cytoplasmic structural proteins called cytokeratins which
identify cells arising from epithelial structures. Other antibodies to
cytoplasmic components such as intermediate filaments can be utilized to
identify cells which provide structural support, the so called stromal
cells. In addition, numerous antibodies exist which are more specifically
related to individual tumor types.
However, further optical enhancement of the cytoplasm for different types
of cells is problematic in view of the current DNA staining technique.
There are many difficulties, the least of which is that an optical
enhancement factor for the cytoplasm should be compatible with the present
imaging techniques using computer analysis of optical density and be
required to provide such compatibility without impairing the sensitivity
of the imaging techniques for the present nuclear staining. Chemical
compatibility with the present Feulgen staining technique also presents a
major hurdle. Optical enhancement of the cytoplasm after Feulgen staining
of the DNA is substantially unavailable because the Feulgen process is
destructive of the cell cytoplasm and changes the way it appears normally.
However, prior optical enhancement of the cytoplasm is equally as
difficult because the Feulgen staining process is caustic with the use of
highly acidic reagents which can easily destroy other optical enhancement
factors. Moreover, if done prior to Feulgen staining, the optical
enhancement process of the cytoplasm cannot affect the nuclear material in
a manner such that the result of the subsequent Feulgen staining will be
changed.
SUMMARY OF THE INVENTION
The invention provides methods and apparatus for the measurement of
selective features and parameters of cells in a population by the optical
identification of their type. More specifically, the invention measures
the DNA content of selected cells of a subpopulation which is selected
from a larger population based on optically marking certain cells in the
population.
In a preferred embodiment the optical marking of the cell types is effected
by binding an optical enhancement factor, such as a chromogen, to a
specific protein in the cytoplasm of a cell in order to type a cell.
Particularly, a monoclonal antibody specific to the cytoplasmic protein
binds to the protein site and is magnified by an enzyme development
technique. After certain types of cells in the population have been tagged
with a protein specific optical enhancement, a Feulgen staining process is
used to stain the nuclear DNA in all of the cells. An imaging apparatus is
then used for the computerized image analysis of the cell population. The
apparatus provides means for displaying on a video monitor an image of the
cell population from a field of a microscope slide. The image is further
digitized and separated into two separate images where in the first the
DNA stained areas are visible and in the second the optically enhanced
cytoplasm areas are visible. The two image areas are combined and those
cells which contain optically enhanced cytoplasm areas are marked so that
the operator can visualize those specific cells.
From the digitized DNA areas, the imaging apparatus identifies each
possible cell object automatically by a pattern recognition technique. An
interactive program allows a pathologist to point on the video monitor to
each identified object or cell in succession to make decisions for
classification and measurements concerning each. The marked cells can be
specifically excluded from a subpopulation by the classification process
or specifically included. They may further be identified as to DNA content
in a separate classification.
By combining the marking or identification of certain types of cells by an
immunohistochemical technique with DNA Feulgen staining, the ability to
perform DNA content analysis with a greater degree of accuracy and
sensitivity is enhanced. This greater sensitivity provides at least two
more avenues of diagnostic and prognostic utility for human tumors. In one
method, the immunologic marking can be used to mark which of the cells of
a particular population are not derived from the tumor, leaving the
remaining cells which are not marked immunologically to be analyzed for
DNA content. This method is advantageous where a moderate number of
inflammatory cells are present in a tumor. Thus, using an antibody to
leukocyte common antigen, the immunological marking can identify these
inflammatory cells so they can be excluded from the DNA assay.
Alternatively, when the tumor cells are relatively rare and non-tumor
cells make up the majority of the cells available for analysis, using
immunohistochemical marking which specifically identify tumor cells
provides a much easier and more sensitive determination of DNA mass for a
cell population. In this case, antibodies to cytokeratin are utilized to
identify epithelial derived tumors such as carcinomas. The analysis will
then be focused on these cell types while discarding cells negative for
cytokeratin as being inflammatory or support cells.
One specific embodiment of the invention includes staining of the cell
population with an alkaline phosphatase technique utilizing a monoclonal
antibody against a specific cytoplasmic antigen. The resulting stain is
substantially specific to the cytoplasm and does not stain the nucleus of
the cells. A Feulgen staining process using Thionin is then performed to
stain the DNA in the nucleus of each cell. The alkaline phosphatase
staining method is used because of its compatibility with the Feulgen
staining technique. The alkaline phosphatase staining is specific to the
cytoplasmic antigen binding the chosen monoclonal antibody and does not
harm the nuclear material so that it may receive the Feulgen stain in a
subsequent step. The alkaline phosphatase staining is accomplished first
before the destruction of the cytoplasm by the Feulgen staining technique.
The chromogen chosen for the staining technique is a fast red dye which is
advantageous for two reasons. In the first instance the fast red dye which
is precipitated is not susceptible to being washed out by the Feulgen
stain process and thus will remain for the optical visualization. The
second reason is that the chromogen provides excellent optical separation
from the blue Thionin dye used in the Feulgen staining process.
Accordingly, a general object of the invention is to provide a new and
improved method and apparatus for analyzing cells or other biological
materials by using image analysis techniques.
Another object of the invention is to provide new and improved methods and
apparatus for making a quantitative ploidy analysis of cells using image
pattern recognition equipment.
These and other objects, features, and aspects of the invention will become
apparent upon reading the following detailed description when taken in
conjunction with the appended drawings wherein:
BRIEF DESCRIPTION OF THE DRAWINGS
FIG. 1 is a pictorial representation of an image analysis system
constructed in accordance with the invention;
FIG. 2 is a functional block diagram of the image analysis system
illustrated in FIG. 1 which is adapted to perform the methods for the
quantitation of nuclear DNA in accordance with the invention;
FIG. 3 is a schematic block diagram of the image acquisition apparatus
illustrated in FIG. 2;
FIG. 4 is a functional system diagram illustrating the major operations of
the system control illustrated in FIG. 2;
FIGS. 5 and 6 are top perspective and cross-sectional views, respectively,
of a slide particularly adapted for use in the image analysis system
illustrated in FIG. 1 and having separate areas for calibration cell
objects and specimen cell objects;
FIG. 7 is a pictorial view at the microscopic level of the binding effects
of a monoclonal antibody;
FIG. 8 is a graphical representation of the % of light transmission as a
function of light wavelength for the two stains and the two color filters
used in accordance with the invention;
FIGS. 9, 10, and 11 are pictorial representations of images of a cell
population showing an unfiltered image, a red filtered image, and a blue
filtered image, respectively;
FIG. 12 is a functional flow chart of one preferred method of quantitating
DNA for human carcinoma in accordance with the invention;
FIG. 13 is a pictorial representation of the image monitor 37 during the
selection process, illustrating the marked cells;
FIG. 14 is a pictorial representation of the many optical fields on the
slide illustrated in FIGS. 5 and 6;
FIG. 15. is a pictorial representation of the calibration screen which
appears on the instruction monitor illustrated in FIG. 1;
FIG. 16 is a pictorial representation of the analysis screen which appears
on the instruction monitor illustrated in FIG. 1;
FIG. 17 is a system flow chart of the analysis system screen architecture
of the image analysis system illustrated in FIG. 1;
FIG. 18 is a functional flow chart of the main menu of the main screen
illustrated in FIG. 17;
FIG. 19 is a functional flow chart of the calibrate menu of the calibrate
screen illustrated in FIG. 17;
FIG. 20 is a functional flow chart of the adjust blue boundary menu of the
adjust blue boundary screen illustrated in FIG. 17;
FIG. 21 is a functional flow chart of the adjust red boundary menu of the
adjust red boundary screen illustrated in FIG. 17; and
FIG. 22 is a functional flow chart of the analysis menu of the analysis
screen illustrated in FIG. 17;
FIGS. 23A-23D illustrate different histograms for aneuploidy analysis.
DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS
The apparatus illustrated in FIGS. 1 and 2 and the methods described herein
can be used to develop histograms, and other statistical data, of cell
populations for the diagnosis and prognosis of malignancies and other
diseases. Specifically, the quantity and distribution of nuclear DNA in
separate or combined classifications of cell populations is available. To
illustrate the utility of such statistical analyses reference is directed
to FIGS. 23A-23D.
Referring now to FIG. 23A there is shown a normal ploidy histogram having a
typical cell number versus mass distribution for healthy, non-dividing
cells. The number of cells is provided on the ordinate axis and their
nuclear DNA mass on the abscissa. If the cell population shown in the
figure is not dividing, the DNA content should be peaked around a normal
peak G0/G1 which is the diploid amount, 7.18 picograms/cell. This relative
mass of DNA is labelled as 1.0 to normalize the abscissa of the histogram.
FIG. 23B also shows a normal cell population which is dividing, such that
there is a significant G0/G1 peak at 1.0 and a second peak G2 at 2.0. The
peak at 2.0 is normal because some of the cells are in division and have
double the normal diploid amount of DNA. The saddle S between the two
peaks is relatively low and does not indicate any malignancy.
Comparing the histogram in FIG. 23C with the first two, it is seen that
this cell population is skewed from normal by having a higher first peak
around 1.5 and second peak around 3.0. Further, the saddle S is more
pronounced and can be rough in cell count. This histogram may show a
malignancy because of the abnormally high DNA content for many of the
cells. This high DNA content is likely indicative of the increased ploidy
amount of malignant cells which are rapidly dividing.
Likewise, in FIG. 23D it is shown that the G0/G1 peak occurs at 1.0 with a
normal diploid amount of DNA but has a relatively large trailing saddle
from 1.0 to 2.8. A normal G2 second peak is not noted and is indicative of
an abnormal cell population. The shape of the histogram is likely due to
abnormal DNA amounts in cells and clones of cells indicative of
malignancy. Therefore, from the shapes and changes in cell distribution
histograms, diagnostic and prognostic information can be obtained.
DNA analysis of human cells has been shown to have both diagnostic and
prognostic utility for human tumors. As with any test, its usefulness is
dependent on both the accuracy and sensitivity of the technique employed
for the analysis. If a tumor specimen were composed only of the tumor
cells, the accuracy and sensitivity of the illustrated technique would be
a function of the DNA staining and the accuracy of the measuring
instrument. However, tumors are most commonly composed of a mixture of
cell types. In addition to the tumor cells one finds the normal tissue
from which the tumor arose, supportive and structural elements and a
variety of inflammatory cells and cells which are part of the repair and
defense process of the host. These cells vary in amount from tumor to
tumor and may indeed numerically overshadow the tumor cells in many cases.
If non-tumor cells are included in the histograms of the DNA analysis
illustrated, several errors can occur:
1. An insufficient number of tumor cells may be identified resulting in a
tumor inappropriately being assigned a normal DNA content;
2. In tumors with a normal DNA content, the normal cells will exaggerate
the peak on the histogram where the resting tumor cells appear and
artifactually lower the percentages of proliferating tumor cells;
3. If the non-tumor cells themselves are proliferating, they will give an
artifactual elevation to the assessment of proliferating activity in the
tumor.
Thus, an improvement to the DNA analysis could be made with a mechanism to
appropriately eliminate irrelevant cells. Among the potential mechanisms
are to attempt to distinguish tumor cells from non-tumor cells by cell
size and shape characteristics, either quantitatively or by subjective
morphologic assessment by a pathologist. The quantitative method is not
useful in that tumor cells themselves can vary significantly in size and
shape and there is substantial overlap between these parameters in tumor
cells and those seen in the non-tumor type cells. The subjective
morphologic method is more useful in that it takes into account multiple
diagnostic criteria. The present apparatus takes advantage of this by
allowing the pathologist to use his subjective skills to separate the
tumor cells from the non-tumor cells for DNA analysis. One problem is that
the pathologist traditionally uses characteristics of both the nucleus and
the cytoplasm to make these subjective judgments. However, when dealing
with the previously disclosed method of analysis, only the nucleus is
stained making any morphologic assessment more difficult. The invention
solves this problem by the optical enhancement or the marking of selected
cells, which exhibit a certain characteristic or type to identify them
immediately.
In the implementation shown, the system is a computerized image analysis
system designed to measure a number of cell object features and parameters
from their image on a typical glass slide. The instrument includes a
sophisticated digital image processing system controlled by software to
perform quantitative analysis on individual cells for nuclear DNA content
by Feulgen staining as well as measurement of other nuclear features. The
imaging system couples the ability of a pathologist to identify and
classify cells to be studied with the capability of computer enhanced,
high resolution digital video image processing to quantify optical and
stain density accurately. Further, the system optically marks certain
types of cells such that the pathologist in making his classifications can
include or exclude them from the study to improve the sensitivity of the
process.
In general, a pathologist first prepares a needle aspirate preparation of
fresh tissue. The sample is first stained with a alkaline phosphatase
technique using a monoclonal antibody specific against an antigen in the
cellular cytoplasm. The nuclear DNA in the sample is then stained by the
Feulgen technique using Thionin as the dye or optical enhancement factor.
After fixation and staining, the preparation is ready for analysis.
The operator has the option of classifying the cells morphologically into
any one of six categories or rejecting inappropriate cells or debris. The
cell data are processed by a system control and the cellular elements are
characterized by a quantitative DNA analysis for each cell class. The
information when compared with either a standard cell calibration or
published data allows a pathologist to accurately quantify and classify
abnormalities that might ordinarily be described only verbally from the
image.
The addition of quantitative data enables pathologists to perform their
work in a more standardized and reproducible manner. The system is of
value in classifying lesions that may be malignant and in providing
prognostic information for known malignancies based on DNA content. The
image identification system is more advantageous than common flow
cytometry methods of evaluating DNA content. Flow cytometry permits an
operator to classify neoplastic cells based only on cell markers. The
pathologist, however, never sees the cells that the instrument has
examined. In addition, the cell preparation must be used in a short time
frame and is consumed in the course of the study. Although a permanent
section of a tumor under study may be examined at the same time, there is
no guarantee that the same cells are examined in both areas. Also the
quantity of tumor available may not be large enough to permit a flow
cytometric examination.
In the invention, the quantitative DNA analysis is performed rapidly for
the measurement of DNA and ploidy distribution pattern in a cell
population under study. The pathologist advantageously selects the cells
which are to be used in the population measurements. The measurement of
DNA content is useful and believed to be relevant in diagnosing and
determining prognosis for a variety of tumors that involve the breast,
colorectum, and prostate. The system takes advantage of the skill of the
pathologist and the selected cell marking to visually identify and
classify abnormal cells, and then uses the computer aided imaging analysis
to analyze quantitatively those particular cells selected for the
parameters desired. Such instrument advantageously extends and augments
the recognition and diagnostic skills of the pathologist.
With reference to FIGS. 1 and 2 of the drawings, the invention is embodied
as an apparatus 11 (FIG. 1) which functionally operates as a digital image
analysis and processing system 13 (FIG. 2). The apparatus 11 comprises a
high resolution microscope 15 with which an operator can view magnified
specimens on a support which, in a preferred embodiment is a glass slide
14. The microscope 15 includes adjustment or positioning means 70 for
focusing its optics 16 on the slide 14 and a platform 51 movable
incrementally in X and Y directions via positioning means 12 and 17 in
order to view different areas thereof. Positioning means 12, 17 and 70 are
the form of mechanical adjustment verniers which are conventional for
instrument quality microscopes.
The specimens in the field under study are further viewable by the imaging
system 13 via image acquisition apparatus 18 (FIG. 2). The apparatus 18
receives the light intensities of the image of the field and converts them
into two analog signals (Red, Blue) which can be sampled and processed by
the image analysis system 13. The image analysis system 13 is controlled
by a system control 22 in the form of a digital processor such as a
personal computer.
An operator, such as a pathologist or laboratory technician, can
interactively communicate with the system control 22 via a keyboard 36,
and interacts further with the system to quantitate nuclear DNA and
classify cell objects by the viewing of two displays or monitors. A first
display, image monitor 37, is a conventional RGB video monitor which
displays through the system control 22 and the image acquisition apparatus
18, the same image field as seen through the microscope 15. A second
display, instruction monitor 62, is another conventional RGB video monitor
and is used to provide the operator with interactive prompts, messages,
information, and instruction screens from a system program executed by the
system control 22.
The keyboard 36 is preferably a conventional AT type keyboard which has on
the left-hand side a plurality of function keys F1-F10, in the middle a
plurality of alphanumeric keys including the special keys of ENTER, SHIFT,
CONTROL, and ALTERNATE, and on the right-hand side cursor control keys
including up, down, left and right arrow keys, a numeric keypad, a numeric
lock key, and an escape key. A keyboard interface 35 translates the
keystrokes of the operator into numerical codes recognized by the system
control 22 for specific key indications. A printer 38 is provided for
producing reliable hard copy output of the statistical data and reports
produced by the apparatus 11.
A functional schematic of the apparatus 11 is illustrated in FIG. 2 as
image analysis and processing system 13. The image processing system 13 is
used to analyze a plurality of specimen cell objects on the support or
glass slide 14 of the microscope 15. Suitable high resolution microscope
optics 16 receive light from a variable intensity source 19 and transmit
the light through the slide 14.
Because the source 19 transmits light through the cell objects on slide 14,
the optical density of each pixel of the image will convert the light into
a different intensity depending upon its percentage of transmission. Areas
with no cell objects in them will appear relatively light or intense and
areas having nontransmissive objects will appear darker. In general,
unmodified cell objects are relatively transparent and their features
difficult to distinguish. Staining the cell objects allows an optical
enhancement of the features stained so they will appear darker than other
features and their background.
The optical image of each of the cell objects on the slide 14 passes
through an optical image splitter 25. On one side of the splitter 25, the
image acquisition apparatus 18, or other detector, converts the optical
images point by point into two scanned electronic signals (Red, Blue)
representing a monochromatic representation of the optical intensity of
each point in the image on the other side of the splitter 25, a true color
image of the field is provided to the operator by viewing optics 24.
FIG. 3 illustrates the optical filtering and splitting of the image
performed by the image acquisition apparatus 18. The focused image formed
by the light intensities is transmitted substantially vertically through
the slide 14 (not shown) and enters the beam splitter 25 mounted in a
holder 53. The first true color image passes vertically therethrough. A
second true color image is further transmitted by the beam splitter 25
perpendicular to the vertical path through the focusing lens 154 to image
acquisition apparatus 18. The image acquisition apparatus 18 comprises a
plurality of optical elements including a second image splitter 156,
mirrors 158, 160 and 162, and two monochromatic optical filters 164 and
166. The image acquisition apparatus 18 further includes dual video
cameras 168 and 170 which each receive a portion of the split image. After
the second true color image is split from the microscope optics, it passes
into the second beam splitter 156 where along one path the image is
reflected by mirror 158 through filter 164 and imaged by camera 168. Along
a second path, the image is reflected from mirror 160, to mirror 162, and
then through a second filter 166 to be imaged by camera 170. The filters
164 and 166 are narrow bandpass filters substantially blocking all light
frequencies outside their pass band. The images from cameras 168 and 170
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