Designing a Histological Analyzer for Diagnosing Pathomorphological
Changes in Tissues as an Example of Chlamydial Infection
SERGEY KOSTAREV1,2,3, RUSTAM FAYZRAKHMANOV1, NATALIYA TATARNIKOVA2,
OKSANA NOVIKOVA2,3, TATYANA SEREDA2
1Department of Information Technology and Automated Systems,
Perm National Research Polytechnic University,
29, Komsomolski Avenue, 614990, Perm,
RUSSIA
2Department of Infectious Diseases,
Perm State Agrarian-Technological University named after academician D. N. Pryanishnikov,
23, Petropavlovskaja Str, 614990, Perm,
RUSSIA
3Department of Animal Science
Perm Institute of the FPS of Russia,
125, Karpinskogo Str, 614012, Perm,
RUSSIA
Abstract: - The article is devoted to the development of a device to study tissue destruction caused by damage
to the histo-hematic barriers of the body, under the influence of chlamydial infection. Cell pathology refers to
changes in its components and ultrastructures with causal relationships. Chlamydiacea is a spectrum of diseases
that, because of their polymorphism, cannot be united by a specific symptom complex, and sometimes affect all
systems and organs. Due to the lack of organotropy and host specificity of the different representatives of
chlamydiae, the clinic of chlamydiae is extremely diverse. The pathological process in chlamydial infections
may localize in many organs, thus causing pathomorphologic changes in various body structures. The complex
of adequate and modern methods of investigation makes it possible to evaluate the changes occurring in the
macroorganism at the cellular and ultrastructural level. Emerging dystrophic, dyscirculatory, inflammatory
processes in general, while not specific for chlamydia, are complemented by signs pathognomonic for this
infection (presence of chlamydial antigens in cells in immunohistochemical method of study, detection of
chlamydial structures in cells in electron microscopy). Currently, automation and robotization of research are
penetrating all areas of medicine and veterinary medicine, including histological analysis. Currently, in the
preparation of histological preparation, the technological process is automated in a fragmented way. The
development of a histology robot will help to solve the problem of the shortage of highly qualified histology lab
technicians and pathologists and reduce the burden on medical personnel in general. Processes of automation
and modeling of technological flows and resources in the preparation of histological images and acceptance of
the diagnosis in medicine and veterinary medicine is an urgent tasks. In order to identify pathological processes
at the cellular level, as well as to reduce the error in the performance of histological manipulations, approaches
to the design of a histological robot were developed. The model of the express analyzer structurally consists of
two modules: a histological image preparation module and a pathology recognition module. Laboratory
experiments were carried out to identify indicators of pathologies. Software for programmed OMRON
controllers has been developed. Analysis of the simulation of the circuit operation showed positive results. The
probability of pathology recognition was 0.8-0.9.
Key-Words: - chlamydia, PLC Omron, ladder diagram, pattern recognition, neural networks
Received: May 27, 2022. Revised: February 21, 2023. Accepted: March 29, 2023. Published: April 28, 2023.
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DOI: 10.37394/23209.2023.20.18
Sergey Kostarev, Rustam Fayzrakhmanov,
Nataliya Tatarnikova,
Oksana Novikova, Tatyana Sereda
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1 Introduction
Numerous studies, [1], [2], [3], [4], have been
devoted to epidemiological and microbiological
infections caused by Chlamydia. The biological
properties of chlamydiae are closely related to
obligate intracellular parasitism. Chlamydiae are
prokaryotes, but their reproduction is closely
dependent on the host cell. Their unique cycle of
development determines their independent position
in the world of microorganisms, [5], [6]. According
to modern concepts, chlamydiae are small (0.251.5
µm in diameter) gram-negative microorganisms that
occupy an intermediate position between bacteria
and viruses. Originally, chlamydiae were classified
as viruses because of their ability to multiply in the
host cell cytoplasm and persist for a long time
intracellularly. Currently, it is believed that
chlamydiae are more similar to bacteria, being
similar to them due to the presence of a bacterial
envelope (containing muramic acid), DNA and
RNA content, maintenance of morphological
essence throughout the life cycle, division of
vegetative forms, enzymatic activity, sensitivity to
several antibiotics (tetracyclines, macrolides,
quinolones), [7], and the presence of a common
genus-specific antigen. All these facts made it
possible to classify them as bacteria and assign them
to the family Chlamydiaceae, [8]. Chlamydia refers
to such diseases in which the permeability of the
histo-hematic barriers is violated, leading to
degenerative changes in the cellular structures of the
body and, accordingly, to the development of the
symptom complex characteristic of this disease, [9].
Chlamydia disrupts the barrier functions of the
endothelium, which forms a semi-permeable barrier
between the contents of blood vessels and the
surrounding tissues. As a result of this process,
some of the endotheliocytes slough off into the
lumen of the vessels and are destroyed, which
contributes to the generalization of infection
throughout the body, [10], [11]. At the same time,
we are talking about identifying general patterns of
cell tissue damage. These may include reception of
pathogenic information by the cell and response to
damage, disturbances in cell membrane permeability
and intracellular fluid circulation; cell metabolism
disorders, cell necrosis, cellular dysplasia and
metaplasia, hypertrophy and atrophy, pathology of
cell movement, its nucleus and genetic apparatus.
Currently, there are semi-automatic devices that
can automate some stages of histological specimen
preparation, which prolongs the process of making a
diagnosis of the disease and, accordingly, taking
measures for treatment. The device under
development will consist of two modules: a module
for the preparation of histological specimens,
including the necessary procedures for preparing a
slice, fixing the biomaterial, and processing with
reagents, and a module for recognizing morpho-
structural changes in tissues as an example of
pathologies initiated by chlamydial infection.
2 Problem Formulation
Scientific works on automation of research in
histology are mainly devoted to pattern
recognition, [12], [13], [14], [15]. The
development of automated instruments has been
greatly developed for liquid media. The field of
automation of studies for solid media for the
study of morpho-structural changes in tissues
has received much less attention. Some design
fragments on research automation for the food
industry have been developed, [16], [17].
Technological equipment for individual stages
of histological slice preparation and processing,
[18], [19], [20], is being developed. No
histological analyzer that performs a full cycle
of biomaterial preparation and diagnoses
morpho-structural changes in tissues has been
developed.
3 Materials and Methods
The following equipment was used for the
histological study: technical and analytical scales,
pH-meter, microtomes (sled, rotary, freezing),
cryostat or cryokite, water bath, table for melting
paraffin sections, set of automatic pipettes,
thermostat, refrigerator, microscope, wiring
machine.
Material for the study was fixed in 10%
formalin. The next day we cut out the slices, and
then we wired them in alcohol of increasing
strength. For histological studies, the material was
fixed in a 4% formaldehyde solution, and the tissues
were embedded in paraffin.
Histological sections were stained with
hematoxylin and eosin; hematoxylin stains the cell
nucleus membrane and chromatin in blue-violet
tones. Eosin stains the cytoplasm and some
structures (fibers) in pink-red-orange tones.
Slices up to 5 microns thick were made from
prepared blocks on a sledge microtome. The
obtained preparations were studied using a Zeiss
microscope (Axioskop40) at an eyepiece
magnification of x10, with lenses x4, and x10.
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The approaches of systems analysis theory,
circuit and signal theory, and finite state machines
were used in this work. The Ladder Diagram was
constructed and simulated using CX-One Software.
4 Designing the Histological Image
Preparation Module
4.1 Development of the Device Flowchart
The tasks currently performed by pathological
anatomy place it in a special position among
medical problems: on the one hand, it is a theory of
histological analysis, which, revealing the material
substrate of disease, serves clinical practice; on the
other hand, it is clinical morphology for establishing
a diagnosis. The study of the structural basis of
disease occurs at different levels: systemic, tissue,
cellular, and molecular. The study at the tissue and
cellular level is carried out with the help of
microscopic methods of examination. Making micro
preparations of good quality is impossible without
understanding the principles underlying the method
of staining and professional mastery of the
techniques of histological techniques. The last
decades are marked by rapid growth in the number
of new laboratory methods and the introduction of
immunehistochemical methods. The use of digital
technologies for image registration and archiving
creates prerequisites for creating new standards of
quality of images of micro samples. In pathology
departments, clinical morphology is performed by
pathologists, the quality of whose work directly
depends on the skills of the middle level of the
department - histology laboratory assistants.
Having analyzed the methods of histological
study, [16], [21], [22], we made a flow chart of the
device under design. Structurally, the device
analyzer is planned to be divided into two modules:
the histological image preparation module and the
tissue pathology recognition module.
The histological image preparation module
describes mechanical and chemical-biological
processes, which are reflected in the following
procedures: 1.1 loading of biomaterial; 1.2
excision (excision) of biomaterial; 1.3 fixation of
material in fixative liquid to stop biochemical
processes; 1.4 technological break; 1.5 washing
(fixative removal); 1.6 dehydration in alcohol of
ascending concentration; 1.7 sealing (pouring into
paraffin); 1.8 preparation of histological sections;
1.9 staining and conclusion of sections.
The issue pathology diagnosis recognition
module (2) includes a light and/or electron
microscope. Pathology diagnosis recognition uses
software based on the neural network construction
technique and the pathology indicator technique.
The technological map of the designed device is
shown in Figure 1.
Fig. 1: Technological map of the device:
Histological image preparation module:
1.1 loading of biomaterial, 1.2 excision,
1.3 material fixation, 1.4 technological break;
1.5 washing, 1.6 dehydration, 1.7 compaction
(CnH2n+2), 1.8 microtome, 1.9 staining and imaging
slices; 2 Pathology diagnosis recognition module (M11
indicator method;
M12 sequential automaton; M2 neural networks).
4.2 Designing the Histological Imaging
Module
4.2.1 Development of a Fabric Sample
Loading/Unloading Module
The tissue sample loading/unloading module is
designed to load the biomaterial to be examined for
chlamydial infections. The material should be taken
as early as possible after death or, if possible, from a
living subject to preserve the structure of the test
cells as best as possible. During sampling, the slice
should not be more than 5 mm thick to allow the
fixative solution to penetrate the full depth of the
tissue. The Equation (1) of the container operation is
written in the form:
,
11
11
11
QsetoffY
CloseOpenoffYUnLoadoffY
CloseOpenonYLoadonY
(1)
where Load button to load a tissue sample; Open,
Close end sensors; Q1 flag to load biomaterial.
4.2.2 Development of the Pre-Cutting Fabric
Module
The module is designed to cut the required amount
of tissue sample from the incoming biomaterial. The
cutting mechanism performs a reciprocating motion.
Lets describe the modules work with a logical
equation (2):
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,
22
22
212
QsetofY
BottomTopoffYCutoffoffY
BottomToponYCutQonY
(2)
where Cut cutting operation; Top, Bottom upper
and lower end sensors; Q2 operation completion
flag.
4.2.3 Development of the Module Fixing Material
The module is intended for the fixation of material
in fixing liquid to stop biochemical processes (in
practice different fixers are used: simple ones
containing one component (formalin, alcohol,
acetone) and complex ones containing two or more
components (Carnois liquid: absolute alcohol,
chloroform, glacial acetic acid; Zenker liquid:
potassium dioxide, sodium sulfate, bicarbonate,
formalin). The operation of the module consists in
feeding the reagent by means of a nozzle:
,33
33323
QsetY
TimerYLDQY
(3)
where LD3 is the activation of the material fixation
module; Q3 operation completion flag.
4.2.4 Development of the Technological Break
Module
The technological break is necessary for the final
fixation of the material and is 24 to 48 hours, [21],
[22]. The criterion for sufficient fixation is the
uniform compaction of the object and its identical
appearance both from the surface and in the control
section. In the pieces not fully fixed on the control
sections, red or pink focal points can be seen. Some
tissues take on a brown color after formalin fixation,
which depends on the transition of oxyhemoglobin
to methemoglobin. The technological break is
described by equation (4):
).4(4
44
QsetY
TimerY
(4)
4.2.5 Flushing Module
The flushing module is designed to remove the
fixative or its precipitates. Depending on the used
fixative, either flowing water or alcohol is used. The
operation of the flushing module is described by
equation (5)
.55
55545
QsetY
TimerYLDQY
(5)
4.2.6 Designing the Dewatering Module
The work of the module will consist of dehydration
of the sample with alcohols of increasing strength.
The module operation will be described by a system
of equations (6)
,6161
616161561
QsetY
TimerYLDQY
.6262
2662626162
QsetY
TimerYLDQY
(6)
4.2.7 Development of a Sealing Module
Paraffin acts as a sealing medium. Paraffin is
preheated to the melting temperature (560C) and
transitions to the liquid phase
,777627RTTimerYLDQY
(7)
where RT is the temperature relay.
4.2.8 Development of a Module for Preparing
Histological Sections
A Microtome or Laser can be used to obtain
histological sections of 5 μm thickness. This
procedure produces the final slice of the biomaterial
for the examination of abnormalities.
.88
88
88
QsetofY
BottomTopoffYCutoffoffY
BottomToponYCutonY
(8)
4.2.9 Staining and Section Conclusion Module
Histological sections were stained with hematoxylin
and eosin; hematoxylin stains the cell nucleus
membrane and chromatin in blue-violet tones. Eosin
stains cytoplasm and some structures (fibers) in
pink-red-orange tones. Figure 2, Figure 3, Figure 4,
and Figure 5 showcase some of the cell
abnormalities studied experimentally in chlamydia
infection and cancer, [14].
Fig. 2: Atypical cells in
cancer. X 200
Fig. 3: Karyopycnosis.
Х 400
Fig. 4: Hydropic
Fig. 5: Cardiomyocyte
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dystrophy. X 400
dystrophy. X 400
4.3 Designing the Recognizer Module
The development of automated devices for rapid
diagnosis of diseases in veterinary and medicine is
currently given much attention. One of the
directions in medical instrumentation is the
development of techniques for automated disease
diagnosis. In this regard, one of the research tasks
was to automate the diagnosis (determination) of
pathologies in histological analysis. The topology of
the pathology of morphostructural changes in cells
can have a tree-like structure, which makes it
relevant to develop a methodology and hardware-
software implementation of tools for determining
the pathology of the disease. When designing the
recognizer module, methods based on the
construction of a neural network, [15], and the
method of pathology indicators using a light
microscope were previously investigated. Electron
microscopy and sequential automaton synthesis
technique can be used to study cell nucleus
pathology in more depth, [23].
The method of pathology indicators consists of
the establishment of patterns and the synthesis of
logical equations. The development of this module
can be found in [14]. The scheme of the method of
pathology indicators and instrument panel of
histology lab technicians are shown in Figure 6 and
Figure 7.
Fig. 6: Scheme of the pathology indicator method
Fig. 7: Histology lab technician's instrument panel
with an example of recognition of pathology
indicators
A fragment of the truth table implementing the
methodology of pathology indicators is shown in
Table 1.
Table 1. Fragment of the truth table
N
Pathology
1.1
Cell wall
pathology
Fenestration
1.2
Edema
1.3
Decay
1.4
Plasma impregnation
2.1
Pathology of
the cytoplasm
Plosmorexis
2.2
Plasmolysis
2.3
Inclusion
3.1
Lysosome
pathology
Swelling of lysosomes
3.2
Lysosome breakdown
4.1
Ribosome
pathology
Ribosome swelling
4.2
Ribosome breakdown
5.1
Pathology of
mitochondria
The collapse of the cristae
5.2
Homogenization of the internal
structure
5.3
Decay of the organoid
6.1
Core
pathology
Karyopyknosis
6.2
Karyorrhexis
6.3
Karyolysis
The implementation of the ladder diagram
according to Table 1 is shown in Figure 8.
Fig. 8: Ladder diagram simulation implementing the
pathology indicator method
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For a more in-depth analysis of the cause-and-
effect relationships of pathological processes, we
can consider the sub-tree of pathologies presented in
Figure 9, Figure 10 and Figure 11.
Fig. 9: Phase 1. Inflammatory process causing
placental sheath edema (1). Van Gieson staining. x
100
Fig. 10: Phase 2. The process of exudation causing
full-thickness veins (1) of the soft dura mater of the
fetal cortex and detachment of the soft dura mater
(tissue separation) (2). Hematoxylin and eosin
staining. x 400
Fig. 11: Phase 3. Alteration process causing
necrobiosis of pear-shaped neurocytes in the
cerebellum. Nissl staining. x 100
The method of synthesizing a sequential
automaton is to identify the cause-and-effect
patterns that form the tree (Figure 12).
Fig. 12: Method for synthesizing a sequential
automaton
The method of synthesis of the sequential
automaton consists of the construction of the
primary table of states and transitions and further
synthesis of the logical equations (Figure 13), [24].
Fig. 13: Generalized structure of automatic
pathology indicator-recognizer
The first branch of pathologies can be coded as
follows (Table 2).
Table 2. Coding of the first branch level indicators
N
I2 I1
Process indicator name
Indicator
0
0 0
Infectious specific
P0
1
0 1
Infectious nonspecific
P1
2
1 0
Non-Infectious
P2
3
1 1
Reserve
The second branch of the first branch P1 will also
be coded in the same way (Table 3).
Table 3. Coding of the indicators of the second
sublevel of the P1 branch
N
I2 I1
Process indicator name
Indicator
0
0 0
Irreversible adhesion to
endothelium
n00
1
0 1
Reversible adhesion
n 01
2
1 0
Hypertrophy
n 02
3
1 1
Exudation
n 03
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The coding of the indicators of the third sublevel
of the "Infectious Specific / Exudation" branch is
shown in Table 4.
Table 4. Coding of the indicators of the third
sublevel of the "Infectious Specific / Exudation"
branch
N
I2 I1
Process indicator name
Indicator
0
0 0
Lymphostasis
п030
1
0 1
Sclerosis
п031
2
1 0
Alteration
п032
3
1 1
Desquamation
п033
The other branches of the pathology tree (Figure
12) can be coded using the same technique. Let us
consider the problem of recognizing indicators for
the pathology "Infective Specific / Exudation /
Alteration", which corresponds to the branch coding
- (P0)/ n03/ n032, then this branch will represent a
sequential set: 032.
Further, using the method of synthesis of a
sequential automaton, [24], the logical equations for
this branch of pathologies were synthesized:
,
2
с1
1
21
21
12
ииcOut
ииcOut
сииtс
(9)
where c trigger (Figure 13).
Similarly, we can obtain logical equations for the
other branches of the pathology tree.
The neural network method is currently widely
used for the development of pattern recognition
software, [25], [26]. The application of the neural
network method to recognize the diagnosis of
pathologies using the example of the rat soft dura
mater can be seen in [27] (Figure 14 and Figure 15).
Fig. 14: Neural network method
Fig. 15: Examples of training samples
The probability of pathology recognition was
0.80.9.
5 Conclusion
Currently, no fully automated histological analyzer
exists. This article develops a design of an express
analyzer covering all stages from the loading of the
examined biomaterial to the issuance of a diagnosis
on the recognition of pathologies caused by
chlamydial infection. We obtained logical equations
implemented in the combinational scheme of the
device. Structurally, the express analyzer consists of
two blocks: a histological image preparation block
and a histological image analyzer block. The image
preparation block contains 9 processes including
necessary procedures of histological image
formation. The recognizer block includes
recognition programs based on neural networks and
methods based on the definition of pathology
indicators. Simulation modeling was performed to
determine the indicators of the types of pathologies,
which are represented in the form of a tree structure.
The developed method of determining indicators of
diseases is proposed to be used when designing an
automated histological analyzer. The developed
software-diagnostic complexes will allow the
revealing of infectious pathologies at early stages
that will promote the maintenance of a stable
epidemiological situation. Designing and
manufacturing the histological express analyzer will
help solve the problem of the shortage of highly
qualified personnel in the field of preparation and
diagnosis of histological images.
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Sergey Kostarev, Rustam Fayzrakhmanov,
Nataliya Tatarnikova,
Oksana Novikova, Tatyana Sereda
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Contribution of Individual Authors to the
Creation of a Scientific Article (Ghostwriting
Policy)
Conceptualization and research Oksana Novikova;
methodology and formal analysis Sergey Kostarev;
writing-reviewing and editing Natalya Tatarnikova
and Tatyana Sereda; project administration and
fundraising Rustam Fayzrakhmanov.
Sources of Funding for Research Presented in a
Scientific Article or Scientific Article Itself
This research was carried out with the financial
support of the Ministry of Science and Higher
Education of the Russian Federation in the
framework of the program of activities of the Perm
Scientific and Educational Center “Rational Subsoil
Use”.
Conflict of Interest
The authors have no conflicts of interest to declare.
Creative Commons Attribution License 4.0
(Attribution 4.0 International, CC BY 4.0)
This article is published under the terms of the
Creative Commons Attribution License 4.0
https://creativecommons.org/licenses/by/4.0/deed.en
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WSEAS TRANSACTIONS on INFORMATION SCIENCE and APPLICATIONS
DOI: 10.37394/23209.2023.20.18
Sergey Kostarev, Rustam Fayzrakhmanov,
Nataliya Tatarnikova,
Oksana Novikova, Tatyana Sereda
E-ISSN: 2224-3402
162
Volume 20, 2023