IMAGE DNA ANALYSIS OF BONE MARROW MEGAKARYOCYTES IN DIFFERENTIAL DIAGNOSIS OF THROMBOCYTOSIS

<p>Background. Megakaryocyte (Mk) nuclear DNA content was measured by image analysis using new S-Form software. Feulgen-stained bone marrow aspirates from 11 patients with reactive thrombocytosis and 12 patients with clonal thrombocytosis of chronic myeloproliferative disorders (CMPDs) were an...

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Main Authors: Joško Vučković, Rok Pavlič, Mateja Grat, Ivan Žuran, Štefka Krivec
Format: Article
Language:English
Published: Slovenian Medical Association 2004-12-01
Series:Zdravniški Vestnik
Subjects:
Online Access:http://vestnik.szd.si/index.php/ZdravVest/article/view/2417
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author Joško Vučković
Rok Pavlič
Mateja Grat
Ivan Žuran
Štefka Krivec
author_facet Joško Vučković
Rok Pavlič
Mateja Grat
Ivan Žuran
Štefka Krivec
author_sort Joško Vučković
collection DOAJ
description <p>Background. Megakaryocyte (Mk) nuclear DNA content was measured by image analysis using new S-Form software. Feulgen-stained bone marrow aspirates from 11 patients with reactive thrombocytosis and 12 patients with clonal thrombocytosis of chronic myeloproliferative disorders (CMPDs) were analysed. Ploidy of 100 Mk was calculated for each patient and the fractions of hyperploid cells were compared. The presence of more than 5% of Mk with nuclear ploidy &gt; 96N or ≥ 2% of Mk with nuclear ploidy &gt; 128N in patients with thrombocytosis strongly suggests CMPD. On the other hand, the absence of hyperploid cells &gt; 128N or the presence of a small fraction (less than 5%) of moderately hyperploid cells (96–128 N) indicates reactive thrombocytosis. Image cytometry analysis therefore appears to add valuable information to conventional cytological examination in the diagnostic assesment of thrombocytosis.</p><p>Conclusions. S-Form software image analysis is much faster and more reliable than microdensitometric DNA analysis, which we previously used for cytometric studies. We believe the method of image DNA analysis has the potential for widespread clinical use in the differential diagnosis of megakaryocyte disorders.<br /><br /></p>
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spelling doaj.art-435e61dce14e4fceb7ccced01483f6da2022-12-21T18:22:38ZengSlovenian Medical AssociationZdravniški Vestnik1318-03471581-02242004-12-017301886IMAGE DNA ANALYSIS OF BONE MARROW MEGAKARYOCYTES IN DIFFERENTIAL DIAGNOSIS OF THROMBOCYTOSISJoško Vučković0Rok Pavlič1Mateja Grat2Ivan Žuran3Štefka Krivec4Interni oddelek Splošna bolnišnica Oblakova 5 3000 CeljeInterni oddelek Splošna bolnišnica Oblakova 5 3000 CeljeInterni oddelek Splošna bolnišnica Oblakova 5 3000 CeljeInterni oddelek Splošna bolnišnica Oblakova 5 3000 CeljeInterni oddelek Splošna bolnišnica Oblakova 5 3000 Celje<p>Background. Megakaryocyte (Mk) nuclear DNA content was measured by image analysis using new S-Form software. Feulgen-stained bone marrow aspirates from 11 patients with reactive thrombocytosis and 12 patients with clonal thrombocytosis of chronic myeloproliferative disorders (CMPDs) were analysed. Ploidy of 100 Mk was calculated for each patient and the fractions of hyperploid cells were compared. The presence of more than 5% of Mk with nuclear ploidy &gt; 96N or ≥ 2% of Mk with nuclear ploidy &gt; 128N in patients with thrombocytosis strongly suggests CMPD. On the other hand, the absence of hyperploid cells &gt; 128N or the presence of a small fraction (less than 5%) of moderately hyperploid cells (96–128 N) indicates reactive thrombocytosis. Image cytometry analysis therefore appears to add valuable information to conventional cytological examination in the diagnostic assesment of thrombocytosis.</p><p>Conclusions. S-Form software image analysis is much faster and more reliable than microdensitometric DNA analysis, which we previously used for cytometric studies. We believe the method of image DNA analysis has the potential for widespread clinical use in the differential diagnosis of megakaryocyte disorders.<br /><br /></p>http://vestnik.szd.si/index.php/ZdravVest/article/view/2417cytofotometryFeulgennuclear DNAmegakaryocyte ploidyprimary and secondary thrombocytosis
spellingShingle Joško Vučković
Rok Pavlič
Mateja Grat
Ivan Žuran
Štefka Krivec
IMAGE DNA ANALYSIS OF BONE MARROW MEGAKARYOCYTES IN DIFFERENTIAL DIAGNOSIS OF THROMBOCYTOSIS
Zdravniški Vestnik
cytofotometry
Feulgen
nuclear DNA
megakaryocyte ploidy
primary and secondary thrombocytosis
title IMAGE DNA ANALYSIS OF BONE MARROW MEGAKARYOCYTES IN DIFFERENTIAL DIAGNOSIS OF THROMBOCYTOSIS
title_full IMAGE DNA ANALYSIS OF BONE MARROW MEGAKARYOCYTES IN DIFFERENTIAL DIAGNOSIS OF THROMBOCYTOSIS
title_fullStr IMAGE DNA ANALYSIS OF BONE MARROW MEGAKARYOCYTES IN DIFFERENTIAL DIAGNOSIS OF THROMBOCYTOSIS
title_full_unstemmed IMAGE DNA ANALYSIS OF BONE MARROW MEGAKARYOCYTES IN DIFFERENTIAL DIAGNOSIS OF THROMBOCYTOSIS
title_short IMAGE DNA ANALYSIS OF BONE MARROW MEGAKARYOCYTES IN DIFFERENTIAL DIAGNOSIS OF THROMBOCYTOSIS
title_sort image dna analysis of bone marrow megakaryocytes in differential diagnosis of thrombocytosis
topic cytofotometry
Feulgen
nuclear DNA
megakaryocyte ploidy
primary and secondary thrombocytosis
url http://vestnik.szd.si/index.php/ZdravVest/article/view/2417
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AT ivanzuran imagednaanalysisofbonemarrowmegakaryocytesindifferentialdiagnosisofthrombocytosis
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