Stroke, Vol 21, 299-304, Copyright © 1990 by American Heart Association
A Eke, KA Conger, M Anderson and JH Garcia
We describe a method for typing neurons into four progressive stages of
ischemic deterioration based on visual characterization of the nucleus in
terms of its optical contrast, delineation along the nuclear- cytoplasmic
interface, and its shape. Difficulty in assessing nuclear shape required
the introduction of an angularity comparator chart to improve the
investigator's accuracy. Three investigators typed neurons obtained from
normal, ischemic, and ischemic-reperfused rat brains. Accuracy and
reproducibility of the investigators' typing decisions with and without the
angularity comparator charts were evaluated. The accuracy of subjective
shape assessment was compared with objective digitizer measurements of the
same. The angularity comparator charts reduced subjective shape
classification error by two thirds, and group error (overall performance
expressed by the coefficient of variance) decreased from 15.9% to 4.7% for
Type I (normal cells), from 33.9% to 17.3% for Type II (cells with angular
nuclei), from 15.5% to 14.1% for Type III (cells with smeared nuclei), and
from 3.2% to 5.5% for Type IV (dead cells). Thus, Type I and IV neurons can
be assessed at a higher reproducibility than the intermediate Types II and
III. Our typing method can also be used to evaluate the effect of treatment
regimes on ischemic neuronal damage.
ARTICLES
Histologic assessment of neurons in rat models of cerebral ischemia
Department of Pathology, University of Alabama, Birmingham 35294.
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