Characterizing the Effect of Automated Cell Sorting Solutions on Cytomorphological Changes.

INTRODUCTION: Liquid-based cytology has become a widely adopted, automated screening system for gynecologic and nongynecologic cytology. Automated screening systems function by distinguishing atypical cells based on their cytoplasmic and nuclear areas, densitometric measurement, and so on. However, the morphological influence of the washing solution has not been fully considered. Here, we examined the morphological effect and temporal change resulting from saving the cytologic samples in various solutions. METHODS: Cytologic specimens were obtained from the ascites (AS) of patients with peritoneal cancer. Various solutions of a physiological saline, a Ringer's solution, a low-molecular dextran L injection, VOLUVEN 6% solution, MIXID L injection (ML), RPMI-1640 medium, and horse serum (HS) were added to aliquot sediments. All samples were refrigerated at 4°C, and aliquots were subsequently processed at specific time points (0, 1, 2, 4, 7, and 14 days). For all samples, cytoplasmic and nuclear size of the Papanicolaou-stained specimens were measured. RESULTS: In terms of cytoplasmic and nuclear areas, samples stored in ML and HS showed no significant difference compared to the AS sample; in contrast, the other samples were significantly larger in both cytoplasmic and nuclear areas than the AS sample. In examining the temporal change among the solutions, we found that the cytoplasms and nuclei became small over the time course for all of the tested solutions. CONCLUSION: We showed that cells swell in the solution after 1 h of storage and contract as time progresses. Together, our findings have important implications for how mathematical analysis is applied during the automated screening process.

Effects of the Storage Solution Type and Prolonged Storage on the Immunoreactivity of Cells.

INTRODUCTION: In effusion cytology, immunocytochemistry is a useful staining approach to provide important information for diagnosis. Effusion cytology is performed not only for pleural effusions and ascites but also for peritoneal and needle washing from fine needle aspirations or instruments. Although various solutions are used for washing cytology, the effect of the solution type on immunocytochemical reactivity is not fully understood. In this study, we examined the immunocytochemical reactivity of cytological samples after storage in various solutions. METHODS: Cell block specimens were obtained from ascites of patients with peritoneal cancer and pleural effusions of patients with diffuse malignant mesothelioma. Various solutions, including physiological saline (PS), Ringer solution, a low-molecular-weight dextran L injection, Voluven 6% solution, Mixid L injection, RPMI-1640 medium, and horse serum were added to the sediment layers of aliquots. All samples were kept at 4°C, and aliquots were subsequently processed at specific time points (0, 1, 2, 4, 7, and 14 days). Formalin-fixed, paraffin-embedded, cell block samples were prepared for immunocytochemical staining. Immunocytochemical results were analyzed for differences in the percentages of positive cells, using the effusion sample stored for 1 h as standard (100%). RESULTS: For all solutions other than PS, the median and central 50% of values were <100% (with respect to the effusion sample as a standard) after 1 h of storage. Immunoreactivity decreased for most solutions as time progressed. CONCLUSION: Of note, immunocytochemistry results obtained using a washing solution are different from those using an effusion sample. For cytology, when a washing solution was used or when a sample was stored for a long time, the accuracy of the immunocytochemical results was low.

Online estimation of a cognitive performance using heart rate variability.

This paper presents online estimation framework of a cognitive performance using heart rate variability (HRV). Although our former framework could estimate relative changes in one user's cognitive performance after it had finished measuring his/her HRV, it was unable to estimate a cognitive performance repeatedly or to compare the estimated results obtained for multiple users. To address these problems, we have developed a framework for online estimation of a cognitive performance. Experimental results show our framework estimates a cognitive performance more accurately than the previous study did using multiple vital sensors. It can also estimate a user's cognitive performance by comparing it with those estimated for others. It therefore has the potential to help managerial personnel monitor their workers' performances in real time to suggest rest periods or changes in work duties.

Grouping preprocess to accurately extend application of EM algorithm to haplotype inference.

Haplotype inference is an indispensable technique in medical science, especially in genome-wide association studies. Although the conventional method of inference using the expectation-maximization (EM) algorithm by Excoffier and Slatkin is one standard approach, as its calculation cost is an exponential function of the maximum number of heterozygous loci, it has not been widely applied. We propose a method of haplotype inference that can empirically accommodate up to several tens of single nucleotide polymorphism loci in a single haplotype block while maintaining criteria that are exactly equivalent to those of the EM algorithm. The idea is to reduce the cost of calculating the EM algorithm by using a haplotype-grouping preprocess exploiting the symmetrical and inclusive relationships of haplotypes based on the Hardy-Weinberg equilibrium. Testing of the proposed method using real data sets revealed that it has a wider range of applications than the EM algorithm.