Computer-based image processing and analysis techniques were developed for
quantitative analysis of skin structures in color histological sections. Pe
rformance was compared with traditional non-image processing counting metho
ds. Skin sections were stained with Masson's trichrome, hematoxylin and eos
in, picrosirius red, or one of several elastin stains. The image processing
software identified the top of the cellular epidermis and the dermal-epide
rmal junction and then calculated the volume of the cellular layer of the e
pidermis, epidermal thickness, and the ratio of the dermal-epidermal juncti
on surface area to the in-plane surface area. It also identified cells and
collagen and calculated cellular densities and collagen densities in the pa
pillary and reticular layers of the dermis. Attempts to computationally pro
cess elastin-stained sections to determine elastin density were unsuccessfu
l. The described techniques were used in a preliminary study to compare mec
hanically stressed skin with control skin. Results showed significant diffe
rences in cellular density in the papillary dermis and collagen density in
the reticular dermis for skin subjected to combined shear/compression or te
nsion compared with an unstressed control. Measurements made with the compu
ter technique and traditional technique showed comparable results; the mean
difference in measurements for epidermal features was 5.33% while for derm
al features it was 2.76%. Significance testing between control and experime
ntal groups showed similar results, though for three of the 28 comparisons
the computer method identified a significant difference while the tradition
al method did not. The computer method took longer to conduct than the trad
itional method, though with recent advances in computer hardware this time
difference would be eliminated. (C) 1999 Elsevier Science Ireland Ltd. All
rights reserved.