Gland Type Research Articles

From Sudoscan to bedside: theory, modalities, and application of electrochemical skin conductance in medical diagnostics.

The human body has two main types of sweat glands: apocrine and eccrine. Eccrine glands are widely distributed across the skin, including areas with hair. While the eccrine glands on palms and soles help improve grip, those on the rest of the body primarily aid in thermoregulation. Sudomotor function, which controls sweating, is regulated by the sympathetic division of the autonomic nervous system through cholinergic and adrenergic pathways. The activation of eccrine glands involves intricate processes, including neurotransmitter binding, ion channel modulation, and voltage generation. Sudoscan technology utilizes electrochemical skin conductance (ESC) to non-invasively measure sudomotor function. This method, which has been standardized for accuracy, has established normative benchmarks and has proven reliable across diverse populations. Sudoscan's diagnostic performance is comparable to invasive methods such as intraepidermal nerve fiber density testing, making it a valuable tool for diagnosing small fiber neuropathy. Moreover, it has been shown to correlate with corneal nerve fiber length, providing insights into various neuropathic conditions. Compared to traditional sudomotor function tests, Sudoscan proves superior in terms of its accessibility, simplicity, and reliability, with the potential to replace or complement existing diagnostic methods. It is important to differentiate ESC, as measured by Sudoscan, from other skin conductance measures, such as galvanic skin response (GSR) or electrodermal activity (EDA). Although these methods share a common physiological principle, ESC is specifically designed for diagnosing sudomotor function, unlike GSR/EDA, which is typically used for continuous monitoring. Sudoscan's success has led to its integration into consumer health devices, such as the BodyScan from Withings, showcasing its versatility beyond clinical settings. Future research may explore ESC applications in diverse medical fields, leveraging real-world data from integrated consumer devices. Collaborative efforts between researchers and engineers promise to offer new insights into sudomotor function and its implications for broader health monitoring. This study provides a comprehensive overview of ESC, including topics such as eccrine gland physiology, sudomotor function, Sudoscan technology, normative benchmarks, diagnostic comparisons, and potential future applications.

Cuticular morphology of Schinus L. and related genera

Abstract The Anacardiaceae are a characteristic angiosperm family of the Neotropics where they comprise ~32 genera and 200 species (~80 genera and 800 species globally). Among Neotropical Anacardiaceae genera, Schinus has the greatest species richness with 42 species distributed from tropical latitudes of Brazil and Peru south to the temperate steppe, matorral, and Valdivian temperate forest communities of Patagonia. Previous studies have found some anatomical and morphological leaf traits (e.g. simple vs. compound leaf organization) useful in characterizing lineages within Schinus, but also document traits that are homoplastic within the genus (e.g. stomatal distribution) and convergent among Schinus and its close relatives Lithrea and Mauria (e.g. mesophyll arrangement). Here, we present a survey of leaf cuticular traits in 53 species of Schinus and its closest relatives Lithrea, Mauria, and Euroschinus based on characters observed with scanning electron and optical light microscopy. We use ordinated Bray–Curtis distances based on 18 characters and 2D nonmetric multidimensional scaling to show that cuticular morphology resolves the three most diverse genera, Euroschinus, Mauria, and Schinus, but does not resolve intrageneric sections of Schinus. We propose that a distinctive acuminate gland type occurring only within Euroschinus may constitute a potential synapomorphy for this genus. Within Schinus, we find inconsistency in stomatal distribution among specimens of a single species, among species of a single section, and between sections of the genus, and suggest that current evidence is insufficient to implicate either phenotypic plasticity or homoplasy as the causative mechanism of this variation.

Mutational Landscape of Gastric Adenocarcinoma of the Fundic Gland Type Revealed by Whole Genome Sequencing.

Gastric adenocarcinoma of the fundic gland type (GA-FG) is a newly described variant of gastric adenocarcinoma with lack of knowledges regarding its genetic features. We performed whole-genome sequencing (WGS) in formalin-fixed paraffin-embedded (FFPE) tumor tissues and matched adjacent noncancerous specimens from 21 patients with GA-FG, and integrated published datasets from 1105 patients with traditional gastric adenocarcinoma with the purpose of dissecting genetic determinants both common to conventional gastric adenocarcinoma and unique to GA-FG disease. We characterized the genomic architecture of GA-FG disease, revealing the predominant proportion of C > T substitution among the six types of SNVs. GNAS was the most significantly mutated driver gene (14.29%). 42.8% of samples harbored "Kataegis." Distinct genomic alterations between GA-FG and conventional gastric cancer were identified. Specifically, low mutational burden and relatively moderate mutational frequencies of significantly mutated driver genes, coupled with the absence of non-silent alterations of formerly well-known drivers such as TP53, PIK3CA and KRAS were identified in GA-FG patients. Oncogenic signaling pathway analysis revealed mutational processes associated with focal adhesions and proteoglycans in cancer, highlighting both common and specific procedures during the development of GA-FG and conventional gastric cancer. Our study is the first to comprehensively depict the genomic landscape highlighting the multidimensional perturbations in GA-FG patients. These discoveries offered mechanistic insights for novel diagnostic and therapeutic strategies for patients with such disease.

Histological and Histochemical Detection for the Gastric gland in Neonatal Wild Rabbit (Oryctolagus Cuniculus) in Iraq

The aim of this study to determine the histological structure of stomach in neonatal wild rabbit in Iraqi. Ten neonatal wild rabbit are collected from the Wasit city markets which divide into two group, first group include five animals in 5day, second group include 5 animals in 10 day. Animals were deeply anesthetized with intramuscular injections of ketamine and xylazine, then slaughter were done. uptake 10 tissue specimens from stomach then cut into 3 parts cardiac, fundus, and pyloric, routine histological procedure to prepare histological slides. This study showed the stomach wall in neonatal was consist of tunics; mucosa, sub mucosa, muscularis & serosa. Mucosa surface lining by simple columnar (S.C) epithelium .it showed increase in thickness tunics of wall stomach with the progressive of age. Three types of stomach glands appears in wall of stomach and raise with the old progress. As bifurcated tubular spiral short gland in the first and third glands zone while in second glands zone they appear as simple bifurcated tubular long straight over most of their length and spiral at base portion, The cardiac glands zone revealed as composed of the prominent cells mucous secreting cells and few number of oxyntic cells which not obviously raise in numbers with age progress. The fundic glands consist of various kinds of cells but the two major cells are oxyntic & peptic cells which very mild raise in numbers with the old. Pylorus glands appear consist of mucous secreting cells which are the prominent cells with less numerals of oxyntic cells which not obviously raise in number with old progress.

Study of Brunner's Glands Using Histology and Histochemistry in Various Age Groups of Cats, Dogs, and Goats

The purpose of this research is to clarify what Brunner's glands are and how they are distributed in the duodenum of three different dietaryly diverse animals: cats, dogs, and goats. Each species had a total of 20 individuals, which were then divided into four groups of five animals each. The animals were categorized according to their age, which spans from one day to sixty days. After collecting samples from several locations in the duodenum and preserving them with formalin, they were later analyzed histologically. The sections were stained with various dyes, including hematoxylin and eosin, Masson's trichrome, Periodic acid Schiff, Alcian blue PH 2.5, and a mixture of the two stains. All of the species included in the study exhibited an abundance of vacuolated columnar cells in their epithelium-lining villi at the one-day mark. Short and uneven, with intervals in between, were the villi. Except in canines, where the crypts were plainly apparent, the bases of the villi did not have crypts in the lamina propria, but they did contain clusters of immature cells. Also, the muscularis mucosa did not remain constant from one age group to the next. Furthermore, with the exception of goats, a Brunner's gland vanished from the submucosa in as little as one day. It wasn't until the animal was twenty days old, though, that this happened. The muscularis mucosa did not have a completely matured circular layer, but the mucosa contained thin cylindrical villi. During histogenesis, Brunner's glands and the crypts both grew. The villi changed into their mature form in forty days, the crypts were visibly expanding, and the muscularis mucosa formed a circular layer with more Brunner's glands in the submucosa. The mucosa developed mature villi resembling leaves after sixty days. An advanced circular muscular layer covered the muscularis mucosa, and the crypts were more along in their development. Goats have a mix of gland types, in contrast to canines and cats whose duodenal glands are mucous-based. Within the submucosa, the glands were composed of closely packed acini. Positive reactions were detected in dogs and cats only with Periodic acid Schiff, but in goats, they were seen with Alcian blue, Periodic acid Schiff, and a mix of the two. The villi's morphology, crypt count, and gland count were all greatly affected by the age and diet of the subject. Furthermore, this study used a number of morphometrical analyses to show how the lining changed with time.

Characteristics of the Integument of Phyllomedusa burmeisteri (Anura, Phyllomedusidae) and Boana semilineata (Anura, Hylidae) Males Can Contribute to Understanding its Relation to Habitat.

The integument of anurans plays vital physiological roles, crucial for understanding the species' survival in their environment. Despite its significance, there are few studies describing the cutaneous morphology of anurans from the Brazilian Atlantic Forest. This study aimed to characterize the integument of Phyllomedusa burmeisteri and Boana semilineata in males using microscopic and histochemical approaches. Histological sections were stained with various dyes, and additional fragments underwent electron microscopy and energy-dispersive X-ray spectroscopy. Results showed different projections on the dorsal and ventral regions of males from these species, without the Eberth-Katschenko layer. Differences in the arrangement of chromatophore cells in regions with varying solar incidence were observed in the spongy dermis. Various gland types were identified, aiding taxonomic differentiation and validation of behavioral data. Both species had seromucous and granular glands, while only P. burmeisteri displayed lipid glands. Histochemical analysis revealed higher production of polysaccharides and proteins, contributing to the integument's moisture and protection. Lipid secretions in P. burmeisteri helped waterproof the integument more effectively against desiccation. This study concludes that analyzing anuran integument provides valuable insights into their behavior, with integument composition potentially influenced by habitat choice among different species.

Does a Single Swallow make it a Summer? Report of an Unusual case of Adenocarcinoma Mammary Gland type of Vulva with Neuroendocrine Differentiation

Does a Single Swallow make it a Summer? Report of an Unusual case of Adenocarcinoma Mammary Gland type of Vulva with Neuroendocrine Differentiation

A mathematical simulation model to determine the optimal endoscopic screening strategy for detection of H. pylori-naïve gastric neoplasms.

The effectiveness of esophagogastroduodenoscopy (EGD) screening in cohorts with low Helicobacter pylori prevalence is unknown. This study aimed to develop an optimally efficient EGD screening strategy for detecting H. pylori-naïve gastric neoplasms (HpNGNs). EGD data of 12 institutions from 2016 to 2022 were retrospectively analyzed. Age-related HpNGN prevalence, tumor growth rate, missing rate, and detection threshold size were calculated from the databases. Subsequently, using clinical data, a novel mathematical model that simultaneously simulated demographic changes and HpNGN detection was developed. Screening strategies using different starting ages (40/45/50years) and intervals (2/5/10years) were also compared. The detection rates of all tumors occurring within the virtual cohort and number-needed-to-test (NNT) were measured as outcomes. Data of 519,368 EGDs and 97 HpNGNs (34 pure signet ring cell carcinomas, 26 gastric adenocarcinomas of the fundic gland type, 30 foveolar gastric adenoma-Raspberry type, and seven undifferentiated-type cancer cases) were analyzed. A virtual cohort with a 70-year time horizon was used to simulate the occurrence, growth, and detection of 346,5836 people. Among the strategies with detection rate > 50%, the screening strategy with a 5-year interval starting at 45years of age had the lowest NNT. Adopting this strategy, most HpNGNs were detected at < 20mm in size, and the deep submucosal invasion rate was less than 30%. A mathematical simulation model revealed that screening every 5years starting at 45years of age could efficiently assist in identifying HpNGNs at an early stage.

Morphoanatomy and evolution of the bracteole and sepal glands of the Amazonian genus Lophanthera A. Juss. (Galphimioid clade)

Abstract The presence of diverse secretory structures is emblematic of Malpighiaceae, such as the presence of nectaries secreting sugary nectar and elaiophores secreting oil-resin. Recent studies have demonstrated the morphoanatomical and chemical similarities between these two glands but, in general, there are no comparative morphoanatomical analysis on inflorescence glands. The Galphimioid clade is an excellent model for studies on the presence of secretory tissue due to the variation found among genera with regards to both their bracteole and sepal glands. In this work, we describe the morphoanatomy and histochemistry of bracteole and sepal glands in species of Lophanthera. Furthermore, we update the species geographic distribution map and explore the morphological diversity of both sepal and bracteole glands in the Neotropical Galphimioid clade. Samples collected in the field and obtained from herbarium specimens were processed under usual anatomical techniques. The bracteole glands varied in surface shape, while the calyx glands varied mainly in size. Anatomically, both types of gland have palisade secretory epidermis and vascularized secretory parenchyma. The presence of proteins, polysaccharides, phenolic compounds, and reducing sugar was detected by histochemical tests. The bracteole glands of the inflorescences in Lophanthera were characterized as nectaries that produce a hydrophilic secretion. The sepal glands were identified as elaiophores by the presence of lipids and fixed oil. The results reinforce the functional role of floral nectaries of bracteoles and elaiophores of sepals according to the nature of the secretion, its potential visitors, and reported literature. The morphofunctional diversity reported in this work is unprecedented for the clade and is fundamental in the adaptive evolution of the family.

New type of gland discovered in cestodes: neurosecretory neurons release a secret into the fish host

New type of gland discovered in cestodes: neurosecretory neurons release a secret into the fish host

From fibres to adhesives: evolution of spider capture threads from web anchors by radical changes in silk gland function.

Spider webs that serve as snares are one of the most fascinating and abundant type of animal architectures. In many cases they include an adhesive coating of silk lines-so-called viscid silk-for prey capture. The evolutionary switch from silk secretions forming solid fibres to soft aqueous adhesives remains an open question in the understanding of spider silk evolution. Here we functionally and chemically characterized the secretions of two types of silk glands and their behavioural use in the cellar spider, Pholcus phalangioides. Both being derived from the same ancestral gland type that produces fibres with a solidifying glue coat, the two types produce respectively a quickly solidifying glue applied in thread anchorages and prey wraps, or a permanently tacky glue deployed in snares. We found that the latter is characterized by a high concentration of organic salts and reduced spidroin content, showing up a possible pathway for the evolution of viscid properties by hygroscopic-salt-mediated hydration of solidifying adhesives. Understanding the underlying molecular basis for such radical switches in material properties not only helps to better understand the evolutionary origins and versatility of ecologically impactful spider web architectures, but also informs the bioengineering of spider silk-based products with tailored properties.

Fordyce Spot Symptoms and Treatment: An Updated Review

Fordyce granules occur frequently, and most people consider their quality to be a typical variation of the oral mucosa. The multiple yellow granules that primarily show up in the lower lip are a clear sign of Fordyce granules, a type of benign ectopic sebaceous gland. Most often, it affects adult males. Although it has been proven that such glands have been there since the time you were born, their tubes flow directly onto the skin’s surface. When they develop as a consequence of steroid hormones released by the gonadal and adrenal glands, they are not visible until pubescence. Around 70 to 80% of the population are adults. A comprehensive analysis of the literature search was conducted. A number of databases have been searched using the common terms “sebaceous glands,” “oral mucosa”, “Fordyce patches”, “Fordyce granules,” “Fordyce spots,” and “Fordyce glands” using Science Direct, Springer PubMed and Google Scholar as search engines. We have focused on the reviews and research papers published between 2001 and 2024. Although they are a common occurrence in the body, they are not connected to any disease or condition and are not contagious. They can be treated with isotretinoin, picrolimus, 5-aminolaevulinic acid, CO2 laser therapy, and micropuncture therapy. Hormonal fluctuations, greasy sebaceous glands, and hyperlipidemia bring on Fordyce spots. This is a rare but serious condition that causes lesions on the skin’s surface along with pain and discomfort in the affected part of the body.

White out hemithorax secondary to salivary gland type of lung cancer with metastasis in liver and bone: a case report

BackgroundSalivary gland-type lung carcinomas are uncommon neoplasms of the lung, representing less than 1% of all lung tumors. The two most common among them are adenoid cystic carcinoma and mucoepidermoid carcinoma. Although they usually have an indolent behavior, adenoid cystic carcinomas can be more aggressive, with 5-year survival as low as 55%. Very few cases are reported in literature. We report a similar rare case of salivary gland type lung carcinoma that presented for the first time with unilateral opacification of left hemithorax.Case presentationA 38-year-old man of North Indian origin, who was a a nonsmoker, presented with complaints of shortness of breath and cough for 1 year, which has increased in the last 2 months and was associated with significant weight loss. A frontal radiograph of the chest and computed tomography of the chest were performed, which showed a mass in the left upper lobe of the lung with its epicenter in the left main bronchus. A bronchoscopic guided biopsy was performed, and histopathology confirmed the diagnosis of lung carcinoma of salivary gland type (adenoid cystic carcinoma). There was invasion of major vessels, hence the patient was offered and started on palliative management instead of surgical treatment.In spite of palliative management of two cycles of chemotherapy and radiotherapy, the patient succumbed to the disease within 2 months from the time of diagnosis.ConclusionLung carcinoma of the salivary gland type (especially adenoid cystic carcinoma) usually presents at a later stage. The resectability of the tumor depends on the involvement of the surrounding major vessels. Interestingly, these cancers have no association with smoking. The prognosis depends on the extent of the disease at the time of diagnosis. Hence, imaging plays a major role in deciding the further plan of management.

Ultrastructural analysis and 3D reconstruction of the frontal sensory-glandular complex and its neural projections in the platyhelminth Macrostomum lignano.

The marine microturbellarian Macrostomum lignano (Platyhelminthes, Rhabditophora) is an emerging laboratory model used by a growing community of researchers because it is easy to cultivate, has a fully sequenced genome, and offers multiple molecular tools for its study. M. lignano has a compartmentalized brain that receives sensory information from receptors integrated in the epidermis. Receptors of the head, as well as accompanying glands and specialized epidermal cells, form a compound sensory structure called the frontal glandular complex. In this study, we used semi-serial transmission electron microscopy (TEM) to document the types, ultrastructure, and three-dimensional architecture of the cells of the frontal glandular complex. We distinguish a ventral compartment formed by clusters of type 1 (multiciliated) sensory receptors from a central domain where type 2 (collar) sensory receptors predominate. Six different types of glands (rhammite glands, mucoid glands, glands with aster-like and perimaculate granula, vacuolated glands, and buckle glands) are closely associated with type 1 sensory receptors. Endings of a seventh type of gland (rhabdite gland) define a dorsal domain of the frontal glandular complex. A pair of ciliary photoreceptors is closely associated with the base of the frontal glandular complex. Bundles of dendrites, connecting the receptor endings with their cell bodies which are located in the brain, form the (frontal) peripheral nerves. Nerve fibers show a varicose structure, with thick segments alternating with thin segments, and are devoid of a glial layer. This distinguishes platyhelminths from larger and/or more complex invertebrates whose nerves are embedded in prominent glial sheaths.

Morphology of sweat glands in the skin of Saimaa (Pusa hispida saimensis) and Baltic ringed (Pusa hispida botnica) seals.

The endangered Saimaa ringed seal (Pusa hispida saimensis) is an endemic freshwater subspecies inhabiting Lake Saimaa in Finland. The Baltic ringed seal (Pusa hispida botnica) inhabits the brackish Baltic Sea, which is almost entirely landlocked. Recent research shows that Saimaa and Baltic ringed seals may be genetically even further apart from each other than from other ringed seal subspecies. We documented histologically the integument microstructure of Saimaa and Baltic ringed seals to determine whether the geographic and genetic isolation was manifested as variation in the integument microstructure of these subspecies adapted to icy aquatic environments. The skin structures of these subspecies were similar to those of other phocids. The association of the sweat glands with hair follicles in both subspecies suggested that they were small apocrine sweat glands described previously in terrestrial or aquatic mammals. None of the apocrine glands had large lumina, and some of the ducts were relatively straight and short. Further studies analysing the mode of secretion, for example, apocrine versus eccrine, in the sweat glands are necessary to confirm the types of sweat glands in seals.

The venom and telopodal defence systems of the centipede Lithobius forficatus are functionally convergent serial homologues

BackgroundEvolution of novelty is a central theme in evolutionary biology, yet studying the origins of traits with an apparently discontinuous origin remains a major challenge. Venom systems are a well-suited model for the study of this phenomenon because they capture several aspects of novelty across multiple levels of biological complexity. However, while there is some knowledge on the evolution of individual toxins, not much is known about the evolution of venom systems as a whole. One way of shedding light on the evolution of new traits is to investigate less specialised serial homologues, i.e. repeated traits in an organism that share a developmental origin. This approach can be particularly informative in animals with repetitive body segments, such as centipedes.ResultsHere, we investigate morphological and biochemical aspects of the defensive telopodal glandular organs borne on the posterior legs of venomous stone centipedes (Lithobiomorpha), using a multimethod approach, including behavioural observations, comparative morphology, proteomics, comparative transcriptomics and molecular phylogenetics. We show that the anterior venom system and posterior telopodal defence system are functionally convergent serial homologues, where one (telopodal defence) represents a model for the putative early evolutionary state of the other (venom). Venom glands and telopodal glandular organs appear to have evolved from the same type of epidermal gland (four-cell recto-canal type) and while the telopodal defensive secretion shares a great degree of compositional overlap with centipede venoms in general, these similarities arose predominantly through convergent recruitment of distantly related toxin-like components. Both systems are composed of elements predisposed to functional innovation across levels of biological complexity that range from proteins to glands, demonstrating clear parallels between molecular and morphological traits in the properties that facilitate the evolution of novelty.ConclusionsThe evolution of the lithobiomorph telopodal defence system provides indirect empirical support for the plausibility of the hypothesised evolutionary origin of the centipede venom system, which occurred through functional innovation and gradual specialisation of existing epidermal glands. Our results thus exemplify how continuous transformation and functional innovation can drive the apparent discontinuous emergence of novelties on higher levels of biological complexity.

Confocal laser endomicroscopy for the diagnosis of gastric adenocarcinoma of the fundic gland type

Confocal laser endomicroscopy for the diagnosis of gastric adenocarcinoma of the fundic gland type

Gastric Polyps in Long-Term Proton Pump Inhibitor Use: Identification of Risks and Characteristics.

Aim Estimate the prevalence of gastric polyps linked to long-term use of proton pump inhibitor (PPI), determine the various risk factors that promote this association, and identify the characteristics associated with these polyps. Methods This prospective cross-sectional study was conducted on approximately 1000 patients presenting to the Gastroenterology Endoscopic Department for upper GI endoscopy at two hospital centers in Beirut, Lebanon, over a period of 12 months from September 2021 to September 2022. The demographic and clinical data of patients who had been taking PPIs for at least one month were collected via a questionnaire. All patients with a previous Helicobacter pylori (H. pylori) infection, presence of hypergastrinemia, or a personal/family history of gastric polyps were excluded from this study. Statistical analyses were performed using SPSS 20 software. Categorical variables were compared by Fisher's exact test; p-values of less than 0.05 were considered statistically significant. Results The prevalence of gastric polyps linked to long-term PPI use was 30%. The minimum duration of daily PPI use required for the formation of polyps is around 24 months. The dosage did not play a significant role in increasing this prevalence. A significant correlation was found between chronic PPI use and factors such as sex, age range, duration, and type of PPI used. These polyps were predominantly found in females (with an OR of 2.9), increased with age, were mostly of the fundic gland type, and their size was proportionally linked to both the dosage and duration of daily PPI use. No cases of dysplasia within the fundic gland polyps (FGPs) were demonstrated in our study. Conclusion To date, there is no current data that prove an association between gastric cancer and PPI-induced FGPs. Additionally, the incidence of FGPs has increased with the widespread chronic use of PPIs. Therefore, attention should be drawn to the potential risk of dysplasia. Thus, the present study highlights the importance of limiting the prescription of PPIs to globally well-defined indications and determining the various risk factors that promote the association between gastric polyps and PPI use. This abstract was recently presented as an E-poster at the ESGE Days 2024 Congress on April 25-27, 2024, in Berlin, Germany.

The white ring sign is useful for differentiating between fundic gland polyps and gastric adenocarcinoma of the fundic gland type

Abstract Background and study aims Gastric adenocarcinoma of the fundic gland type (GA-FG) is characterized by an elevated lesion with vessel dilation exhibiting branching architecture (DVBA). However, this feature is also found in fundic gland polyps (FGPs), posing a challenge in their differentiation. In this study, we aimed to investigate the clinicopathological features of gastric elevated lesions with DVBA and assess the efficacy of the white ring sign (WRS) as a novel marker for distinguishing between FGPs and GA-FGs. Methods We analyzed 159 gastric elevated lesions without DVBA and 51 gastric elevated lesions with DVBA, further dividing the latter into 39 in the WRS-positive group and 12 in the WRS-negative group. The clinicopathological features, diagnostic accuracy, and inter-rater reliability were analyzed. Results Univariate and multivariate analyses for gastric elevated lesions with DVBA identified the histological type consistent with FGPs and GA-FGs, along with the presence of round pits in the background gastric mucosa, as independent predictors. FGPs were present in 92.3% (36/39) of the WRS-positive group and GA-FGs were observed in 50.0% (6/12) of the WRS-negative group. WRS positivity and negativity exhibited high diagnostic accuracy, with 100% sensitivity, 80.0% specificity, and 94.1% accuracy for FGPs, and 100% sensitivity, 86.7% specificity, and 88.2% accuracy for GA-FGs. Kappa values for WRS between experts and nonexperts were 0.891 and 0.841, respectively, indicating excellent agreement. Conclusions WRS positivity and negativity demonstrate high diagnostic accuracy and inter-rater reliability for FGPs and GA-FGs, respectively, suggesting that WRS is a useful novel marker for distinguishing between FGPs and GA-FGs.

Differential evolutionary optimization fuzzy entropy for gland segmentation based on breast mammography imaging

ObjectiveThe integration of fuzzy entropy into image segmentation techniques has proven effective in addressing issues related to ambiguous boundaries and uncertainties in complex image structures. This study aims to improve breast mammography image segmentation by optimizing minimum fuzzy entropy. The primary challenges identified are the presence of glandular burrs and irregular edges, as well as premature convergence and local optima in entropy optimization. MethodsWe propose an enhanced differential evolution algorithm combined with fuzzy entropy to address these challenges. This algorithm specifically targets glandular burrs, irregular edges, premature convergence, and local optimal entropy issues. The algorithm's performance was evaluated using breast mammography images representing four types of glands and benchmarked against five state-of-the-art algorithms. ResultsExperimental results demonstrate that the proposed algorithm significantly improves segmentation accuracy compared to the other advanced algorithms. It effectively resolves issues related to glandular burrs, irregular edges, premature convergence, and local optimal entropy, leading to superior segmentation outcomes. ConclusionThe proposed algorithm, which combines an improved differential evolution approach with fuzzy entropy, delivers the best segmentation results for breast gland segmentation. It successfully overcomes the challenges of glandular burrs, irregular edges, premature convergence, and local optimal entropy, thus enhancing breast mammography image segmentation.