Todorović Jasna, Dinčić Marko, Nešović Ostojić Jelena, Zaletel Ivan, Lopičić Srdjan, Dundjerović Duško, Tatić Svetislav, Kovačević Sanjin, Paunović Ivan, Puškaš Nela, Marković Ljiljana
Faculty of Medicine,Institute of Pathological Physiology, University of Belgrade,Serbia.
Faculty of Medicine,Institute of Histology and Embryology, University of Belgrade,Serbia.
Microsc Microanal. 2019 Jun;25(3):762-768. doi: 10.1017/S1431927619000163. Epub 2019 Feb 28.
Previous evidence suggested that lymphocytic thyroiditis (LT) was a variant of Hashimoto's thyroiditis (HT), thus the aim of the current study is to quantify structural changes in histological specimens taken from HT and LT patients. A total of 600 images containing a single lymphocyte nucleus (300 nuclei per group) were obtained from 20 patients with HT and LT. In order to quantify changes in the nuclear architecture of investigated lymphocytes, the fractal dimension (FD) and some gray-level co-occurrence matrix texture parameters (angular second moment, inverse difference moment, contrast, entropy, and correlation) were calculated for each nucleus. A statistically significant difference in the FD of the "binary-outlined" nucleus and that of the corresponding "black-and-white" nucleus was detected between HT and LT lymphocyte nuclei. In addition, there was also a statistically significant difference in contrast and correlation between HT and LT lymphocyte nuclei. In conclusion, the results of this study suggested that there was a difference in structural complexity between investigated lymphocyte nuclei; additionally, LT lymphocytes possessed probably more complex texture and larger variations as well as more asymmetrical nuclei compared with HT lymphocytes. Accordingly, these findings indicate that LT is probably not a variant of HT; however, more complex studies are necessary to estimate differences between these types of thyroiditis.
先前的证据表明淋巴细胞性甲状腺炎(LT)是桥本甲状腺炎(HT)的一种变体,因此本研究的目的是量化从HT和LT患者获取的组织学标本中的结构变化。从20例HT和LT患者中总共获得了600张包含单个淋巴细胞核的图像(每组300个核)。为了量化所研究淋巴细胞的核结构变化,对每个核计算了分形维数(FD)和一些灰度共生矩阵纹理参数(角二阶矩、逆差矩、对比度、熵和相关性)。在HT和LT淋巴细胞核之间检测到“二元轮廓”核与相应“黑白”核的FD存在统计学显著差异。此外,HT和LT淋巴细胞核之间的对比度和相关性也存在统计学显著差异。总之,本研究结果表明所研究的淋巴细胞核在结构复杂性上存在差异;此外,与HT淋巴细胞相比,LT淋巴细胞可能具有更复杂的纹理、更大的变异性以及更不对称的核。因此,这些发现表明LT可能不是HT的变体;然而,需要更复杂的研究来评估这些类型甲状腺炎之间的差异。