Zusammenfassung
Hintergrund
Ein möglicher Ansatz komplexe Muster im Tumorgewebe objektiv klassifizieren zu können, ist die mathematische Erfassung der Verteilung von Tumorzellkernen, die als geometrische Repräsentation der Krebszellen dienen, durch fraktale Dimensionen. Die Existenz, sowie die Veränderungen der fraktalen Struktur der Verteilung der Zellkerne haben wichtige Konsequenzen für eine objektive Klassifizierung der Tumoren. Weiterhin kann auch die Komplexität des Tumorwachstums in verschiedenen Karzinomen sowie die interzellulären Interaktionen im Gewebesystem dadurch verglichen werden.
Ergebnisse
In dieser Arbeit stellen wir eine theoretische Einführung in die fraktale Geometrie sowie in die Algorithmen, die auf der Rényi-Familie der fraktalen Dimensionen basieren, dar. Wir führen ein geometrisches Modell für die Bewertung von Prostatakarzinomgeweben ein und erklären den Zusammenhang zwischen dem geometrischen Tumormuster und den fraktalen Dimensionen der Rényi-Familie.
Abstract
Background
A possible approach to objectively classify complex patterns in tumor tissue is a mathematical and statistical investigation of the distribution of cell nuclei as a geometric representation of cancer cells by fractal dimensions. Both the existence and changes in the fractal structure of tumor tissue have important consequences for the objective system of tumor grading. In addition, the complexity of growth in different carcinomas or their intercellular interactions can be compared to each other.
Results
We present a theoretical introduction into fractal geometry as well as in the computer algorithms based upon the Rényi family of fractal dimensions. Finally, a geometric model of prostate cancer is introduced and the relationship between geometric patterns of prostate tumor and the fractal dimensions of the Rényi family are explained.
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Danksagung
Wir danken Herrn Dr. Martin Obert, einem erfahrenen Forscher auf dem Gebiet der fraktalen Geometrie, für hilfreiche Diskussionen.
Einhaltung ethischer Richtlinien
Interessenkonflikt. P. Waliszewski, F. Wagenlehner, S. Gattenlöhner und W. Weidner geben an, dass kein Interessenkonflikt besteht. Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.
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Waliszewski, P., Wagenlehner, F., Gattenlöhner, S. et al. Fraktale Geometrie zur Objektivierung des Gradings beim Prostatakarzinom. Urologe 53, 1186–1194 (2014). https://doi.org/10.1007/s00120-014-3472-x
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DOI: https://doi.org/10.1007/s00120-014-3472-x