An improved image analysis method for cell counting lends credibility to the prognostic significance of T cells in colorectal cancer.

Numerous immunohistochemically detectable proteins, such as immune cell surface (CD) proteins, vascular endothelial growth factor, and matrix metalloproteinases, have been proposed as potential prognostic markers in colorectal cancer (CRC) and other malignancies. However, the lack of reproducibility...

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Publicado en:Virchows Archiv: European Journal of Pathology Vol. 460; no. 5; pp. 455 - 466
Autores principales: Väyrynen JP, Vornanen JO, Sajanti S, Böhm JP, Tuomisto A, Mäkinen MJ, Väyrynen, Juha P, Vornanen, Juha O, Sajanti, Sara, Böhm, Jan P, Tuomisto, Anne, Mäkinen, Markus J
Formato: research Journal Article
Publicado: Springer Nature May2012
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00428-012-1232-0
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        atl: An improved image analysis method for cell counting lends credibility to the prognostic significance of T cells in colorectal cancer.
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        au:
          Väyrynen JP
          Vornanen JO
          Sajanti S
          Böhm JP
          Tuomisto A
          Mäkinen MJ
          Väyrynen, Juha P
          Vornanen, Juha O
          Sajanti, Sara
          Böhm, Jan P
          Tuomisto, Anne
          Mäkinen, Markus J
        affil: Department of Pathology, University of Oulu, POB 5000, 90014 Oulu, Finland
      sug:
        subj:
          Colorectal Neoplasms Immunology
          Colorectal Neoplasms Pathology
          Image Interpretation, Computer Assisted Methods
          T Lymphocytes Pathology
          Aged
          Cell Count Methods
          Female
          Human
          Immunohistochemistry Methods
          Male
          Prognosis
          Neoplasm Staging
          Reproducibility of Results
          Software
          Aged: 65+ years
          Female
          Male
      ab: Numerous immunohistochemically detectable proteins, such as immune cell surface (CD) proteins, vascular endothelial growth factor, and matrix metalloproteinases, have been proposed as potential prognostic markers in colorectal cancer (CRC) and other malignancies. However, the lack of reproducibility has been a major problem in validating the clinical use of such markers, and this has been attributed to insufficiently robust methods used in immunohistochemical staining or its assessment. In this study, we assessed how computer-assisted image analysis might contribute to the reliable assessment of positive area percentage and immune cell density in CRC specimens, and subsequently, we applied the computer-assisted cell counting method in assessing the prognostic value of T cell infiltration in CRC. The computer-assisted analysis methods were based on separating hematoxylin and diaminobenzidine color layers and then applying a brightness threshold using open source image analysis software ImageJ. We found that computer-based analysis results in a more reproducible assessment of the immune positive area percentage than visual semiquantitative estimation. Computer-assisted immune cell counting was rapid to perform and accurate (Pearson r > 0.96 with exact manual cell counts). Moreover, the computer-assisted determination of peritumoral and stromal T cell density had independent prognostic value. Our results suggest that computer-assisted image analysis, utilizing freely available image analysis software, provides a valuable alternative to semiquantitative assessment of immunohistochemical results in cancer research, as well as in clinical practice. The advantages of using computer-assisted analysis include objectivity, accuracy, reproducibility, and time efficiency. This study supports the prognostic value of assessing T cell infiltration in CRC.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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