Prognostic value of automatically extracted nuclear morphometric features in whole slide images of male breast cancer

作者: Mitko Veta , Robert Kornegoor , André Huisman , Anoek H J Verschuur-Maes , Max A Viergever

DOI: 10.1038/MODPATHOL.2012.126

关键词:

摘要: Numerous studies have shown the prognostic significance of nuclear morphometry in breast cancer patients. Wide acceptance morphometric methods has, however, been hampered by tedious and time consuming nature manual segmentation nuclei lack equipment for high throughput digitization slides. Recently, whole slide imaging became more affordable widely available, making fully digital pathology archives feasible. In this study, we employ an automatic algorithm to extract features related size analyze their value male cancer. The study population comprised 101 patients whom survival data was available (median follow-up 5.7 years). Automatic performed on digitized tissue microarray slides, each patient, mean area standard deviation were calculated. univariate analysis, a significant difference found between with low (P=0.022), while atypia score did not provide value. Cox regression, had independent additional (P=0.032) tumor tubule formation. conclusion, present method its application prognosis. automatically extracted proved be indicator. With increasing availability scanning labs, these kinds quantitative approaches can easily integrated workflow routine practice.

参考文章(30)
P. J. Van Diest, J. P. A. Baak, J. C. Fleege, Systematic random sampling for selective interactive nuclear morphometry in breast cancer sections. Refinement and multiobserver evaluation. Analytical and Quantitative Cytology and Histology. ,vol. 15, pp. 281- 289 ,(1993)
Shaimaa Al-Janabi, André Huisman, Paul J Van Diest, Digital pathology: current status and future perspectives. Histopathology. ,vol. 61, pp. 1- 9 ,(2012) , 10.1111/J.1365-2559.2011.03814.X
Ruifrok Ac, Johnston Da, Quantification of histochemical staining by color deconvolution Analytical and Quantitative Cytology and Histology. ,vol. 23, pp. 291- 299 ,(2001)
Liron Pantanowitz, AndrewJ Evans, JohnD Pfeifer, LauraC Collins, PaulN Valenstein, KeithJ Kaplan, DavidC Wilbur, TerenceJ Colgan, Review of the current state of whole slide imaging in pathology Journal of Pathology Informatics. ,vol. 2, pp. 36- 36 ,(2011) , 10.4103/2153-3539.83746
Yuval Garini, Ian T. Young, George McNamara, Spectral imaging: Principles and applications Cytometry Part A. ,vol. 69A, pp. 735- 747 ,(2006) , 10.1002/CYTO.A.20311
P.J. van Diest, J.P.A. Baak, P. Matze-Cok, E.C.M. Wisse-Brekelmans, C.M. van Galen, P.H.J. Kurver, S.M. Bellot, J. Fijnheer, L.H.M. van Gorp, W.S. Kwee, J. Los, J.L. Peterse, H.M. Ruitenberg, R.F.M. Schapers, M.E.I. Schipper, J.G. Somsen, A.W.P.M. Willig, A.Th. Ariens, Reproducibility of mitosis counting in 2,469 breast cancer specimens: Results from the Multicenter Morphometric Mammary Carcinoma Project☆ Human Pathology. ,vol. 23, pp. 603- 607 ,(1992) , 10.1016/0046-8177(92)90313-R
P Kronqvist, T Kuopio, Y Collan, Morphometric grading of invasive ductal breast cancer. I. Thresholds for nuclear grade. British Journal of Cancer. ,vol. 78, pp. 800- 805 ,(1998) , 10.1038/BJC.1998.582
Robert Kornegoor, Anoek H J Verschuur-Maes, Horst Buerger, Marieke C H Hogenes, Peter C de Bruin, Joost J Oudejans, Petra van der Groep, Bernd Hinrichs, Paul J van Diest, Molecular subtyping of male breast cancer by immunohistochemistry Modern Pathology. ,vol. 25, pp. 398- 404 ,(2012) , 10.1038/MODPATHOL.2011.174
Robert Kornegoor, Anoek H J Verschuur-Maes, Horst Buerger, Marieke C H Hogenes, Peter C de Bruin, Joost J Oudejans, Bernd Hinrichs, Paul J van Diest, Fibrotic focus and hypoxia in male breast cancer Modern Pathology. ,vol. 25, pp. 1397- 1404 ,(2012) , 10.1038/MODPATHOL.2012.101