[The actual possibilities of robotic microscopy in analysis automation and laboratory telemedicine].

The article discusses the possibilities of automation microscopy complexes manufactured by Cellavision and MEKOS to perform the medical analyses of blood films and other biomaterials. The joint work of the complex and physician in the regimen of automatic load stages, screening, sampling and sorting on types with simple morphology, visual sorting of sub-sample with complex morphology provides significant increase of method sensitivity, load decrease and enhancement of physician work conditions. The information technologies, the virtual slides and laboratory telemedicine included permit to develop the representative samples of rare types and pathologies to promote automation methods and medical research targets.

The state of erythrocytes in intact and vagotomized rats of different ages after massive hemorrhage.

Acute massive hemorrhage in rats is accompanied by consistent changes in the morphofunctional characteristics of erythrocytes: diameter, area, polarization, form factor, and integral and specific optical density. Thus, young initially intact rats showed significant increases in the mean diameter, area, and integral optical density at particular time points after hemorrhage, along with increases in erythrocyte polarization and form factor. Vagotomized rats of the same age group responded to hemorrhage only with an increase in the form factor. Initially intact aged rats in these conditions showed increases in the integral optical density and form factor. Aged vagotomized rats showed increases in erythrocyte mean diameter and area. The nature and dynamics of responses to hemorrhage in initially intact and vagotomized (14 days post-operative) animals were significantly different and had age-dependent features. Thus, the most marked changes in young initially intact animals were seen 3-10 h after hemorrhage, while maximum changes were seen at 3 and 96 h in vagotomized animals of the same age. In aged initially intact rats, the greatest changes in study parameters were seen at 3 and 96 h, while the greatest changes were seen in vagotomized rats at 3 and 24 h. The physiological mechanisms of these pathological states are discussed.

[Robotized microscopy introduces the test quality standard for blood smears].

The authors consider recommendations on blood smear microscopic tests, possibilities of implementing these recommendations when manual microscopy and automatic microscopy complexes (AMC) are used. Whether one may switch over from the recommendations to the quality standard implemented in practice when AMCs are applied is discussed. Conditions for effectively using AMC models with different functions, performance, and cost are considered.

[Condition of erythrocytes in intact and vagotomized rats of various age after massive hemorrhage].

Sharp massive hemorrhage (30-35 % of total amount of blood) in rats are accompanied by natural changes of morpho-functional characteristics of erythrocytes: diameter, the area, polarization, the factor of the form, integrated and specific optical density. Thus, in certain terms, after hemorrhage at young initially intact animals average diameter, the area, integrated optical density actually increase as well as the value of polarization and the factor of the form of erythrocytes growth. In vagotomized rats of the same age group, in reply to hemorrhage, the increase in value of the factor of the form only is obvious. In initially intact old animals in these conditions, an increase of integrated and specific optical density and of the factor of the form also takes place. In old vagotomized rats, the average diameter and the erythrocyte area accrue. Thus, the character and dynamics of response of erythrone in initially intact and vagotomized (through 14 days after operation) animals essentially differ and have certain features dependent on age. Thus, in young initially intact rats, the most expressed changes are marked in 3-10 hours whereas in vagotomized animals of the same age group - in 3 and 96 hours after hemorrhage. In old initially intact rats, the greatest deviations of the investigated parameters are observed in 3 and 96 hours, in the vagotomized animals - in 3 and 24 hours.

[Automatization of microscopic blood smear analyses and quality control using reference virtual slides].

MEKOC microscopy complexes have a group of specialized automatic functions for medical analyses of biomaterials integrated with general virtual microscopy accessories. Such functions provide a way of making specialized reference virtual slides (RVS). The latter contain the results of virtual analysis or expert evidence of the automatic analysis results presented in the virtual slide. The use of RVS yields an open system with a step-by-step control of the quality of automatic operations. RVS as realistic preparation models are also used to train staff. The results of step-by-step trials of the MEKOC--2 are presented in the paper.

[Analysis of reticulocytes: manual microscopy, flow analyzers or image analyzers? (analytical review)].

Three procedures for determining the quantity and composition of reticulocytes (visual analysis during manual microscopy; flow cytometry, semi-automatic analysis using a computerized microscopy unit) are compared. The errors characteristics for each procedure and the reasons why manual analysis still remains most used are discussed. The paper points out that it is impossible to draw a conclusion on the accuracy of the procedures, by using the values of the correlation coefficient. Evidence is provided for the thesis that the statistical accuracy may be achieved only when the image analyzer of a computerized microscopy unit is employed, therefore this procedure is recommended for use as a reference one. The characteristics of a procedure for analyzing reticulocytes by means of a MEKOS-Ts2 computerized microscopy unit are presented.

[Equipment components and system board for an automated microscopy system].

Characteristics of modern equipment components for general- or special-purpose modular systems of automated microscopy are considered. Medical, technical, and economic assessment of various configurations of automated microscopy systems is performed. These systems can be used in telemedicine and hematological, cytological, and parasitologic analysis. Schemes for optimization of the configuration of automated microscopy systems are described. The structure of MECOS-Ts2 automated microscopy systems is considered. The system board of MECOS-Ts2 systems makes it possible to use a wide variety of equipment components and software from different manufacturers.

[Automated MECOS-Ts2 microscopy complex in pathologoanatomic practice].

Computer-aided and information systems of a MECOS-Ts2 microscopy complex designed to transmit a representative image of a specimen along communication lines are considered. The above systems allow the use of the complex: 1) in on-line and off-line modes to provide tele-medical services (cytology, histology, etc.); moreover, the requirements for channel traffic may be decreased over and over again as compared to the routine on-line videomicroscopy mode; 2) for telemedical tests of specialized local automatic procedures of microscopical analysis (analysis of smears of blood and bone-marrow smears, parasitological analysis, etc.); 3) for collection of a representative electronic archive of the "virtual" specimens of rare nosological entities, which have been obtained in different medical institutions, w hich will provide valid statistical assessments of diagnostic decisions; 4) for remote accompaniment of MECOS-Ts2 complexes by the manufacture (update of versions, training, quality control of sample preparation, collection of commission statistics); 5) for training and certification of remote laboratory staff. The functions considered cannot be implemented in analyzers of other types, in flow analyzers, in particular.

[Automated procedures for microscopic analyses of blood smears: medical testing a MECOS-Ts2 complex].

The paper presents the results of medical tests of a group of computer-aided procedures for microscopic analysis by means of a MECOS-Ts2 complex (ZAO "MECOS", Russia), which have been conducted at the Republican Children's Clinical Hospital, the Research Institute of Emergency Pediatric Surgery and Traumatology, and Moscow City Clinical Hospital No. 23. Computer-aided procedures for calculating the differential count and for analyzing the morphology of red blood cells were tested on blood smears from a total of 443 patients and donors, computer-aided calculation of the count of reticulocytes was tested on 318 smears. The tests were carried out under the US standard NCCLS-H20A. Manual microscopy (443 smears) and flow blood analysis on a Coulter GEN*S (125 smears) were used as reference methods. The quality of collection of samples and laboriousness were additionally assessed. The certified MECOS-Ts2 subsystems were additionally used as reference tools. The tests indicated the advantage of computer-aided MECOS-Tsl2 complex microscopy over manual microscopy.

[An automated microscopy system MECOS-Ts2 and its trial use for blood and bone-marrow smear analysis].

Disadvantages of conventional procedures for testing of medical automated microscopy systems are considered. A testing procedure based on step-by-step testing of the system units is suggested. The procedure makes use of remote data analysis through communication lines. The structure of MECOS-Ts2 automated microscopy system and the procedure for its testing are considered.

[Cytomorphometric diagnosis of dysplasias during dyshormonal and hyperplastic processes in the mammary gland].

A hundred and twenty-nine cytograms of benign tumors of the breast with different degrees of its dysplasia were morphometrically analyzed, by using a "MECOS-Ts" set for digital microscopy. The informative differentially diagnostic morphometric signs of nuclei were identified in mild, moderate, and severe epithelial dysplasias of the breast. The derived quantitative decision rules may reduce the error of a differential diagnosis of severe dysplasia by 2-3.5 times, as compared with a visual microscopy-based diagnosis.

[A comparative morphometric analysis of cytograms of invasive ductal and invasive lobular breast cancer]. / Sravnitel'nyi morfometricheskii analiz tsitogramm invazivnogo protokovogo i invazivnogo dol'kovogo raka molochnoi zhelezy.

The most informative for differential diagnosis parameters (surface and nucleus polarization) were determined on the basis of morphometric analysis of 42 cytograms of invasive duct cancer (IDC) and 39 cytograms of invasive lobular breast cancer (ILC) using the computer analyzer MEKOC-C. Combination of these two parameters allowed the authors to elaborate a decisive rule for differential diagnosis of these two cancers (the mistake is reduced to 8.6%). The analysis of 8 informative morphometric nuclear parameters has shown that in ILC the nuclei are more monomorphic, less in square and perimeter, nucleoli are less numerous than in IDC. The study gives objective criteria for preoperative differential cytological diagnosis between IDC and ILC.

[Automated cytophotomorphometric tests of blood smears in general clinical studies and population screening]. / Avtomatizirovannye tsitofotomorfometricheskie testy mazkov krovi dlia obshchei kliniki i skriningovykh obsledovanii naseleniia.

Automation of routine operations of photomorphometry of blood smears realized in the MEKOS-C cytoanalyzer helped create a new level of using a set of cytological tests, such as assessment of the leukocyte and erythrocyte formulae and of the histogram of hemoglobin distribution in red cells, estimation of leukocyte subtypes, assessment of the characteristics of the nucleolar system and the nucleoli-forming sites. Automated complex analysis of an increase in the measured characteristics of red and white blood cells impossible in common microscopy and flow cytoanalyzers appreciably improves the sensitivity and accuracy of tests and extends the range of their application. Low cost of analysis of a blood smear permits the use of MEKOS-C not only in clinical studies, but even in overall prophylactic screenings of the population.

[Analysis of erythrocytes in the MEKOS-C system]. / Analiz éritrotsitov v sisteme "MEKOS-Ts".

Quantitative cytofluorimetric analysis of red cells by the MEKOS-C device provides complete information about peripheral blood erythrocytes, which cannot be obtained by other methods and equipment. An analysis is cheap and sensitive, this recommending it for practical hematology, toxicology, and narcology. The MEKOS-C device permits the preclinical diagnosis of a number of diseases and monitoring their treatment. The device is cheap and available for therapeutic and diagnostic institutions of all levels.