Digital image analysis agrees with visual estimates of adult bone marrow trephine biopsy cellularity.

Abstract: Introduction: Evaluation of cellularity is an essential component of bone marrow trephine biopsy examination. The standard practice is to report the results as visual estimates (VE). Digital image analysis (DIA) offers the promise of more objective measurements of cellularity. Methods: Adu...

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Publicado en:International Journal of Laboratory Hematology Vol. 40; no. 2; pp. 209 - 215
Autores principales: Hagiya, A. S., Etman, A., Siddiqi, I. N., Cen, S., Matcuk, Jr, G. R., Brynes, R. K., Salama, M. E.
Formato: pictorial research tables/charts Journal Article
Publicado: Wiley-Blackwell Apr2018
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2018
      vid: 40
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        128458872
        128458872
        128458872
        10.1111/ijlh.12768
        128458872
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        atl: Digital image analysis agrees with visual estimates of adult bone marrow trephine biopsy cellularity.
      aug:
        au:
          Hagiya, A. S.
          Etman, A.
          Siddiqi, I. N.
          Cen, S.
          Matcuk, Jr, G. R.
          Brynes, R. K.
          Salama, M. E.
        affil: Department of Pathology, Los Angeles County‐USC Medical Center, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
      sug:
        subj:
          Digital Imaging
          Visual Perception
          Bone Marrow In Adulthood
          Biopsy Methods
          Human
          Intraclass Correlation Coefficient
          Data Analysis Software
          Magnetic Resonance Imaging
          Interrater Reliability
          Prospective Studies
          Adult
          Adult: 19-44 years
      ab: Abstract: Introduction: Evaluation of cellularity is an essential component of bone marrow trephine biopsy examination. The standard practice is to report the results as visual estimates (VE). Digital image analysis (DIA) offers the promise of more objective measurements of cellularity. Methods: Adult bone marrow trephine biopsy sections were assessed for cellularity by VE. Sections were scanned using an Aperio AT2 Scanscope and analyzed using a Cytonuclear (version 1.4) algorithm on halo software. Intraclass correlation (ICC) was used to assess relatedness between VE and DIA, and between MRI and DIA for a separate subset of patients. Trephine biopsy sections from a subset of patients with bone marrow biopsies uninvolved by malignancy were assessed for age‐related changes. Results: Interobserver VE agreement was good to excellent. The ICC value was 0.81 for VE and DIA, and 0.50 for MRI and DIA. Linearity studies showed no statistically significant trend for age‐related changes in cellularity in our cohort (<italic>r</italic> = −.29, <italic>P</italic> = .06). Conclusions: Agreement was good between VE and DIA. It may be possible to use DIA or VE to measure cellularity in the appropriate clinical scenario. The limited sample size precludes similar determinations for MRI calculations. Further studies examining healthy donors are necessary before making definitive conclusions regarding age and cellularity.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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