ENHANCE MENT OF THE EFFICIENCY OF CYTOLOGICAL DIAGNOSIS OF CHRONIC PANCREATITIS AND PANCREATIC ADENOCARCINOMA BY AN EXPERT SYSTEM
Abstract
Using the karyometry method, quantitative regularities of pathological changes in nuclei of cells of ductal epithelium of pancreas in adenocarcinoma and chronic pancreatitis were revealed. The expert system for diagnosis of these diseases on the basis of a set of threshold values of quantitative parameters of nuclei in the comparison groups and their weight coefficients has been created. The efficiency of the expert system in the preoperative diagnosis of adenocarcinoma and chronic pancreatitis was 100 % and its substantial contribution to the clarification of the diagnosis in the cases with the cytologic conclusion as "suspicion of cancer! was estimated.
About the Authors
V. A. KIRILLOVBelarus
K. A. LUHAVETS
Belarus
O. A. EROKHINA
Belarus
L. B. KLIUKINA
Belarus
References
1. Orell, S. R. Fine needle aspiration cytology / S. R. Orell, G. F. Sterrett, D. Whitaker. – 5th ed. – Elsevier, 2005. – P. 320–333.
2. Beger, H. G. D iseases of t he P ancreas / H. G. Beger, S. Matsuno, J. L. Cameron. – Berlin: Heidlberg; New York: Springer, 2008. – 949 p.
3. Шапиро, Н. А. Цитологическая диагностика опухолей печени, желчного пузыря и поджелудочной железы / Н. А. Шапиро, Ю. К. Батороев, В. В. Дворниченко. – М.: Репроцентр, 2012. – 256 с.
4. Путов, Н. В. Рак поджелудочной железы / Н. В. Путов, Н. Н. Артемьева, Н. Ю. Коханенко. – СПб.: Питер, 2005. – 396 с.
5. Кубышкин, В. А. Рак поджелудочной железы / В. А. Кубышкин, В. А. Вишневский. – М.: Медпрактика-М, 2003. – 386 с.
6. Маев, И. В. Хронический панкреатит / И. В. Маев, А. Н. Казюлин, Ю. А. Кучерявый. – М.: Медицина, 2004. – 502 с.
7. Thyroid carcinoma diagnosis based on a set of karyometric parameters of follicular cells / V. Kirillov [et al.] // Cancer. – 2001. – Vol. 92. – P. 1818–1827.
8. Morphometric analysis of the degree of aggregation of follicular cells in the diagnosis of malignant thyroid tumors / V. Kirillov [et al.] // Anal. Quant. Cytol. Histol. – 2003. – Vol. 25. – P. 159–168.
9. Quantitative change in thyroid lymphoid cells as marker of malignancy / V. Kirillov [et al.] // Anal. Quant. Cytol. Histol. – 2005. – Vol. 27. – P. 101–110.
10. Kirillov, V. Technology of building an expert system based on a set of quantitative features of tumor cell nuclear for diagnosing breast cancer / V. Kirillov // Diagn. Cytopathol. – 2013. – Vol. 41, N 6. – P. 475–484.
11. Kirillov, V. А. Regression analysis of the initial karyometric data on tumor cells in ductal carcinoma and fibroadenoma of the mammary gland / V. А. Kirillov, L. Akimova // Anal. Quant. Cytol. Histol. – 2010. – Vol. 32. – P. 102–105.
12. Зегер, Г. Б. Терапевтическая дилемма при очаговых поражениях поджелудочной железы – воспалительные или опухолевые? / Г. Б. Зегер // Хирургия поджелудочной железы на рубеже веков: Тез. докл. Российско-Германского симпозиума. – М., 2000. – С. 161–162.
13. Kirillov, V. Differential diagnosis of follicular tumor by expert systems based on a set of quantitative features of thyrocyte nuclei and aggregates / V. Kirillov, O. Emeliyanova // Anal. Quant. Cytol. Histol. – 2012. – Vol. 34, N 2. – P. 86–95.