Evidence map›Paper›PMID 10419868›Full record

ArticleAnnals of the rheumatic diseases1999

Quantitative analysis of synovial membrane inflammation: a comparison between automated and conventional microscopic measurements.

G Cunnane, L Bjork, A K Ulfgren, S Lindblad, O FitzGerald, B Bresnihan, U Andersson

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Article in Annals of the rheumatic diseases, 1999. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

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20citing papers in PubMed
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3 · Its place in the literature

Who cites it

20 citing papers in PubMed.

  1. Trial
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  5. Article
  6. Article
  7. Evaluation of arthroscopy and macroscopic scoring.Arthritis research & therapy · 2009
    Article
  8. Utility of synovial biopsy.Arthritis research & therapy · 2009
    Review
  9. Article
  10. Computer-assisted validation of the synovitis score.Virchows Archiv : an international journal of pathology · 2008
    Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
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  20. Article
4 · The record

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5 · Who and what money

Authors and funding

7 authors.

G CunnaneDepartment of Rheumatology, St Vincents University Hospital, Dublin 4, Ireland.
L Bjork
A K Ulfgren
S Lindblad
O FitzGerald
B Bresnihan
U Andersson

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe objective of this study was to quantify selected features of chronic synovial tissue inflammation by computerised image analysis and to validate the results by comparison with conventional microscopic measurements.

methodsSynovial biopsy samples were obtained from the knee joints of patients with chronic arthritis and prepared for immunohistochemical analysis using standard techniques. Following the development of special software, four parameters of chronic synovial inflammation were evaluated: intimal layer thickness, CD3+ cell infiltration, CD8+ cell infiltration and vascularity. Intimal layer thickness was expressed in microns. The intensity of CD3+ and CD8+ cell infiltration was expressed as the percentage area of the tissue section occupied by positively stained cells. Vascularity was expressed as the percentage area occupied by blood vessels. Conventional quantitative microscopic analysis was also undertaken and the results from both methods compared.

resultsSeventy eight tissue sections were selected for study. Measurements of intimal layer thickness by both techniques correlated strongly: r = 0.85, p = 0.0006. Measurements of CD8+ cell infiltration, usually widely dispersed, also correlated well: r = 0.64, p = 0.005. Measurements of CD3+ cell infiltration, often densely aggregated, correlated less well: r = 0.55, p = 0.02. Measurements of vascularity demonstrated no statistically significant correlation: r = 0.41, p = 0.07. Proficiency in the use of computerised image analysis was readily acquired.

conclusionComputerised image analysis was successfully applied to the measurement of some features of synovial tissue inflammation. Further software development is required to validate measurement of blood vessels of variable size.

Indexed as

ArthritisBiopsyCD3 ComplexCD8-Positive T-LymphocytesHumansImage Processing, Computer-AssistedImmunoenzyme TechniquesSynovial MembraneTime FactorsCD3 Complex

Identifiers

PMID10419868
PMCPMC1752933

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