title: Computer-assisted digital image analysis to quantify the mass and purity of isolated human islets before transplantation.
abstract: BACKGROUND
  Accurate determination of islet purity and mass before transplantation is an essential part of quality control. The standard method is based on manual evaluation of these parameters and thus subjective and prone to errors. Therefore, we developed a computerized approach aimed at evaluating more objectively the number and purity of isolated human islets.
  
  
  METHODS
  Islets were isolated and purified from human pancreata according to a standard method. For each preparation, two samples were dithizone stained. One sample was analyzed manually by microscopy, following the standard procedure, and the other was digitally photographed for both digital manual and computerized analyses. Computerized analysis was performed using the MetaMorph and ImageJ softwares to automatically quantify purity and size of islets. Islet equivalent (IEQ) number was calculated using the Ricordi algorithm or considering the individual volume of each islet. Computerized analysis was validated using calibrated red glass microspheres.
  
  
  RESULTS
  When digital manual and computerized analyses were compared, mean values of total islet number, IEQ number calculated using the Ricordi algorithm, and purity were similar. Comparisons of individual values showed good correlations (r>or=0.89). By standard manual analysis, total islet number and purity were higher and IEQ number similar compared with digital manual and computerized analyses. IEQ number was 10% lower (P<0.0001) when calculated using individual sphere volumes compared with the Ricordi algorithm. Measurement of red glass microspheres showed identical values comparing standard manual and computerized analyses.
  
  
  CONCLUSIONS
  Computer-assisted digital image analysis is an objective and a reliable method for analyzing pancreatic islets before transplantation.
authors.affiliation: Department of Surgery, Cell Isolation and Transplantation Center, Geneva University Hospitals and University of Geneva, Geneva, Switzerland. nadja.niclauss@unige.ch
authors.forename: Nadja
authors.initials: N
authors.lastname: Niclauss
authors.forename: Antonino
authors.initials: A
authors.lastname: Sgroi
authors.forename: Philippe
authors.initials: P
authors.lastname: Morel
authors.forename: Reto
authors.initials: R
authors.lastname: Baertschiger
authors.forename: Mathieu
authors.initials: M
authors.lastname: Armanet
authors.forename: Anne
authors.initials: A
authors.lastname: Wojtusciszyn
authors.forename: Geraldine
authors.initials: G
authors.lastname: Parnaud
authors.forename: Yannick
authors.initials: Y
authors.lastname: Muller
authors.forename: Thierry
authors.initials: T
authors.lastname: Berney
authors.forename: Domenico
authors.initials: D
authors.lastname: Bosco
mesh_terms: D000465:Algorithms; D002469:Cell Separation / Q000379:methods; D005898:Glass; D006801:Humans; D007091:Image Processing, Computer-Assisted / Q000379:methods; D007515:Islets of Langerhans / Q000166:cytology* / Q000378:metabolism; D016381:Islets of Langerhans Transplantation / Q000295:instrumentation* / Q000379:methods*; D008853:Microscopy; D008863:Microspheres; D010179:Pancreas / Q000473:pathology; D011786:Quality Control; D015203:Reproducibility of Results; D012984:Software; D009927:Tissue and Organ Procurement / Q000379:methods