A perimeter algorithm applied to lung pathology

A new image analyser, the NS 2000, explores the image using 256 photodiodes and, according to an adjustable threshold, converts it into a set of digital points of logical level 0 or 1. The method of fitting squares of increasing size consists of checking the presence of a square of a given size and of a given logical value throughout the image studied and gives the areas of successive erosions of the image. Using the parameters provided by the device one can obtain the total boundary BA per unit area for the phase studied, which is proportional to the number of squares having points of the two logical levels. Errors in length measurement as a function of orientation and for isotropic structures are compared to other automatic perimeter algorithms and to manual square grid measurement. Using the parameters provided by the device for the quantitative evaluation of lesions of elastase induced emphysema in hamster lungs, the values obtained for internal surface area (ISA) of alveoli, are lower by about 40% in elastase treated hamsters when compared to normal controls. This difference is highly significant (P less than 0.001) and the results obtained by the described method are in good agreement with those obtained by the classical manual procedure. Efficiency, defined as the precision of the estimate per unit measurement time on a given set of sample units (pictures in this paper), is given for both NS 2000 and manual procedures. The results obtained show comparable values but the automatic procedure includes a statistical treatment and it is significantly faster on histological sections than on micrographs, which was not the case with the manual method.