How the variability between computer-assisted analysis procedures evaluating immune markers can influence patients' outcome prediction.

Differences between computer-assisted image analysis (CAI) algorithms may cause discrepancies in the identification of immunohistochemically stained immune biomarkers in biopsies of breast cancer patients. These discrepancies have implications for their association with disease outcome. This study a...

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Publicado en:Histochemistry & Cell Biology Vol. 156; no. 5; pp. 461 - 479
Autores principales: Lejeune, Marylène, Plancoulaine, Benoît, Elie, Nicolas, Bosch, Ramon, Fontoura, Laia, de Villasante, Izar, Korzyńska, Anna, Navarro, Andrea Gras, Colón, Esther Sauras, López, Carlos
Formato: Journal Article
Publicado: Springer Nature Nov2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2021
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      pub: Springer Nature
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        10.1007/s00418-021-02022-8
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        atl: How the variability between computer-assisted analysis procedures evaluating immune markers can influence patients' outcome prediction.
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          Lejeune, Marylène
          Plancoulaine, Benoît
          Elie, Nicolas
          Bosch, Ramon
          Fontoura, Laia
          de Villasante, Izar
          Korzyńska, Anna
          Navarro, Andrea Gras
          Colón, Esther Sauras
          López, Carlos
        affil: Department of Pathology, Oncological Pathology and Bioinformatics Research Group, Hospital de Tortosa Verge de la Cinta, Carrer de les Esplanetes, 14, 43500, Tortosa, Spain
      sug:
      ab: Differences between computer-assisted image analysis (CAI) algorithms may cause discrepancies in the identification of immunohistochemically stained immune biomarkers in biopsies of breast cancer patients. These discrepancies have implications for their association with disease outcome. This study aims to compare three CAI procedures (A, B and C) to measure positive marker areas in post-neoadjuvant chemotherapy biopsies of patients with triple-negative breast cancer (TNBC) and to explore the differences in their performance in determining the potential association with relapse in these patients. A total of 3304 digital images of biopsy tissue obtained from 118 TNBC patients were stained for seven immune markers using immunohistochemistry (CD4, CD8, FOXP3, CD21, CD1a, CD83, HLA-DR) and were analyzed with procedures A, B and C. The three methods measure the positive pixel markers in the total tissue areas. The extent of agreement between paired CAI procedures, a principal component analysis (PCA) and Cox multivariate analysis was assessed. Comparisons of paired procedures showed close agreement for most of the immune markers at low concentration. The probability of differences between the paired procedures B/C and B/A was generally higher than those observed in C/A. The principal component analysis, largely based on data from CD8, CD1a and HLA-DR, identified two groups of patients with a significantly lower probability of relapse than the others. The multivariate regression models showed similarities in the factors associated with relapse for procedures A and C, as opposed to those obtained with procedure B. General agreement among the results of CAI procedures would not guarantee that the same predictive breast cancer markers were consistently identified. These results highlight the importance of developing additional strategies to improve the sensitivity of CAI procedures.
      pubtype: Academic Journal
      doctype: Journal Article
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    language: English
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