290 research outputs found
Comparative Study of Human and Automated Screening for Antinuclear Antibodies by Immunofluorescence on HEp-2 Cells
Background: Several automated systems had been developed in order to reduce inter-observer variability in
indirect immunofluorescence (IIF) interpretation. We aimed to evaluate the performance of a processing system in
antinuclear antibodies (ANA) screening on HEp-2 cells.
Patients and Methods: This study included 64 ANA-positive sera and 107 ANA-negative sera that underwent IIF on two
commercial kits of HEp-2 cells (BioSystems® and Euroimmun®). IIF results were compared with a novel automated
interpretation system, the “CyclopusCADImmuno®” (CAD).
Results: All ANA-positive sera images were recognized as positive by CAD (sensitivity = 100%), while 17 (15.9%) of the
ANA-negative sera images were interpreted as positive (specificity = 84.1%), =0.799 (SD=0.045). Comparison of IIF
pattern determination between human and CAD system revealed on HEp-2 (BioSystems®), a complete concordance in
6 (9.37%) sera, a partial concordance (sharing of at least 1 pattern) in 42 (65.6%) cases and in 16 (25%) sera the
pattern interpretation was discordant. Similarly, on HEp-2 (Euroimmun®) the concordance in pattern interpretation was
total in 5 (7.8%) sera, partial in 39 (60.9%) and absent in 20 (31.25%). For both tested HEp-2 cells kits agreement was
enhanced for the most common patterns, homogenous, fine speckled and coarse speckled. While there was an issue in
identification of nucleolar, dots and nuclear membranous patterns by CAD.
Conclusion: Assessment of ANA by IIF on HEp-2 cells using the automated interpretation system, the
“CyclopusCADImmuno®” is a reliable method for positive/negative differentiation. Continuous integration of IIF images
would improve the pattern identification by the CAD
Preliminary results of the project A.I.D.A. (Auto Immunity: Diagnosis Assisted by computer)
In this paper, are presented the preliminary results of the A.I.D.A. (Auto Immunity: Diagnosis
Assisted by computer) project which is developed in the frame of the cross-border cooperation Italy-Tunisia.
According to the main objectives of this project, a database of interpreted Indirect ImmunoFluorescence (IIF)
images on HEp 2 cells is being collected thanks to the contribution of Italian and Tunisian experts involved in
routine diagnosis of autoimmune diseases. Through exchanging images and double reporting; a Gold Standard
database, containing around 1000 double reported IIF images with different patterns including negative tests,
has been settled. This Gold Standard database has been used for optimization of a computing solution (CADComputer
Aided Detection) and for assessment of its added value in order to be used along with an
immunologist as a second reader in detection of auto antibodies for autoimmune disease diagnosis. From the
preliminary results obtained, the CAD appeared more powerful than junior immunologists used as second
readers and may significantly improve their efficacy
Computer-Assisted Classification Patterns in Autoimmune Diagnostics: The AIDA Project
Antinuclear antibodies (ANAs) are significant biomarkers in the diagnosis of autoimmune diseases in humans, done by mean of
Indirect ImmunoFluorescence (IIF)method, and performed by analyzing patterns and fluorescence intensity. This paper introduces
the AIDA Project (autoimmunity: diagnosis assisted by computer) developed in the framework of an Italy-Tunisia cross-border
cooperation and its preliminary results. A database of interpreted IIF images is being collected through the exchange of images
and double reporting and a Gold Standard database, containing around 1000 double reported images, has been settled. The Gold
Standard database is used for optimization of aCAD(Computer AidedDetection) solution and for the assessment of its added value,
in order to be applied along with an Immunologist as a second Reader in detection of autoantibodies. This CAD system is able to
identify on IIF images the fluorescence intensity and the fluorescence pattern. Preliminary results show that CAD, used as second
Reader, appeared to perform better than Junior Immunologists and hence may significantly improve their efficacy; compared with
two Junior Immunologists, the CAD system showed higher Intensity Accuracy (85,5% versus 66,0% and 66,0%), higher Patterns
Accuracy (79,3% versus 48,0% and 66,2%), and higher Mean Class Accuracy (79,4% versus 56,7% and 64.2%)
Highlights from the Pierre Auger Observatory
The Pierre Auger Observatory is the world's largest cosmic ray observatory.
Our current exposure reaches nearly 40,000 km str and provides us with an
unprecedented quality data set. The performance and stability of the detectors
and their enhancements are described. Data analyses have led to a number of
major breakthroughs. Among these we discuss the energy spectrum and the
searches for large-scale anisotropies. We present analyses of our X
data and show how it can be interpreted in terms of mass composition. We also
describe some new analyses that extract mass sensitive parameters from the 100%
duty cycle SD data. A coherent interpretation of all these recent results opens
new directions. The consequences regarding the cosmic ray composition and the
properties of UHECR sources are briefly discussed.Comment: 9 pages, 12 figures, talk given at the 33rd International Cosmic Ray
Conference, Rio de Janeiro 201
A search for point sources of EeV photons
Measurements of air showers made using the hybrid technique developed with
the fluorescence and surface detectors of the Pierre Auger Observatory allow a
sensitive search for point sources of EeV photons anywhere in the exposed sky.
A multivariate analysis reduces the background of hadronic cosmic rays. The
search is sensitive to a declination band from -85{\deg} to +20{\deg}, in an
energy range from 10^17.3 eV to 10^18.5 eV. No photon point source has been
detected. An upper limit on the photon flux has been derived for every
direction. The mean value of the energy flux limit that results from this,
assuming a photon spectral index of -2, is 0.06 eV cm^-2 s^-1, and no celestial
direction exceeds 0.25 eV cm^-2 s^-1. These upper limits constrain scenarios in
which EeV cosmic ray protons are emitted by non-transient sources in the
Galaxy.Comment: 28 pages, 10 figures, accepted for publication in The Astrophysical
Journa
Reconstruction of inclined air showers detected with the Pierre Auger Observatory
We describe the method devised to reconstruct inclined cosmic-ray air showers
with zenith angles greater than detected with the surface array of
the Pierre Auger Observatory. The measured signals at the ground level are
fitted to muon density distributions predicted with atmospheric cascade models
to obtain the relative shower size as an overall normalization parameter. The
method is evaluated using simulated showers to test its performance. The energy
of the cosmic rays is calibrated using a sub-sample of events reconstructed
with both the fluorescence and surface array techniques. The reconstruction
method described here provides the basis of complementary analyses including an
independent measurement of the energy spectrum of ultra-high energy cosmic rays
using very inclined events collected by the Pierre Auger Observatory.Comment: 27 pages, 19 figures, accepted for publication in Journal of
Cosmology and Astroparticle Physics (JCAP
Anisotropy studies around the galactic centre at EeV energies with the Auger Observatory
Data from the Pierre Auger Observatory are analyzed to search for
anisotropies near the direction of the Galactic Centre at EeV energies. The
exposure of the surface array in this part of the sky is already significantly
larger than that of the fore-runner experiments. Our results do not support
previous findings of localized excesses in the AGASA and SUGAR data. We set an
upper bound on a point-like flux of cosmic rays arriving from the Galactic
Centre which excludes several scenarios predicting sources of EeV neutrons from
Sagittarius . Also the events detected simultaneously by the surface and
fluorescence detectors (the `hybrid' data set), which have better pointing
accuracy but are less numerous than those of the surface array alone, do not
show any significant localized excess from this direction.Comment: Matches published versio
Operations of and Future Plans for the Pierre Auger Observatory
Technical reports on operations and features of the Pierre Auger Observatory,
including ongoing and planned enhancements and the status of the future
northern hemisphere portion of the Observatory. Contributions to the 31st
International Cosmic Ray Conference, Lodz, Poland, July 2009.Comment: Contributions to the 31st ICRC, Lodz, Poland, July 200
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