Computer-based image analysis (IA) is a technology gaining importance
in diagnostic pathology. Applications of IA in pathology include DNA p
loidy analysis, quantitative immunohistochemistry, three-dimensional r
econstruction of tissue sections, motility studies, and chromosomal an
alysis. Morphometry, the quantitative measurement of size, shape, and
textural features of cells and tissues, is another rapidly developing
area of IA in pathology. Morphometric IA allows the objective evaluati
on of subtle histologic and cytologic features to yield useful diagnos
tic and prognostic information. Research is currently underway to deve
lop diagnostically useful applications of morphometric IA. Several ima
ge analysis workstations designed for the pathology laboratory are cur
rently available. However, the high cost and software inflexibility of
these instruments are prohibitive to many potential users limiting th
e practicality of IA and hindering research. We present a relatively i
nexpensive pathology IA workstation assembled from commercially availa
ble hardware and software components. System features and basic image
processing methods are described. A variety of practical applications
for the surgical pathology laboratory are illustrated, including spati
al measurements of tumors, nerve and muscle biopsy evaluation, and nuc
lear morphometry for classification of lymphoid effusions and hepatoce
llular carcinoma.