Search: onr:"swepub:oai:DiVA.org:liu-165941" >
Assessment of indiv...
Assessment of individual tumor buds using keratin immunohistochemistry: moderate interobserver agreement suggests a role for machine learning
-
- Bokhorst, J. M. (author)
- Radboud Univ Nijmegen, Netherlands
-
- Blank, A. (author)
- Univ Bern, Switzerland
-
- Lugli, A. (author)
- Univ Bern, Switzerland
-
show more...
-
- Zlobec, I. (author)
- Univ Bern, Switzerland
-
- Dawson, H. (author)
- Univ Bern, Switzerland
-
- Vieth, M. (author)
- Univ Bayreuth, Germany
-
- Rijstenberg, L. L. (author)
- Radboud Univ Nijmegen, Netherlands
-
- Brockmoeller, S. (author)
- Univ Leeds, England
-
- Urbanowicz, M. (author)
- EORTC Translat Res Unit, Belgium
-
- Flejou, J. F. (author)
- St Antoine Hosp, France
-
- Kirsch, R. (author)
- Univ Toronto, Canada
-
- Ciompi, F. (author)
- Radboud Univ Nijmegen, Netherlands
-
- van der Laak, Jeroen (author)
- Linköpings universitet,Avdelningen för diagnostik och specialistmedicin,Medicinska fakulteten,Region Östergötland, Klinisk patologi,Radboud Univ Nijmegen, Netherlands
-
- Nagtegaal, I. D. (author)
- Radboud Univ Nijmegen, Netherlands
-
show less...
-
(creator_code:org_t)
- NATURE PUBLISHING GROUP, 2020
- 2020
- English.
-
In: Modern Pathology. - : NATURE PUBLISHING GROUP. - 0893-3952 .- 1530-0285. ; 33:5, s. 825-833
- Related links:
-
http://10.1038/s4137...
-
show more...
-
https://liu.diva-por... (primary) (Raw object)
-
https://www.nature.c...
-
https://urn.kb.se/re...
-
https://doi.org/10.1...
-
show less...
Abstract
Subject headings
Close
- Tumor budding is a promising and cost-effective biomarker with strong prognostic value in colorectal cancer. However, challenges related to interobserver variability persist. Such variability may be reduced by immunohistochemistry and computer-aided tumor bud selection. Development of computer algorithms for this purpose requires unequivocal examples of individual tumor buds. As such, we undertook a large-scale, international, and digital observer study on individual tumor bud assessment. From a pool of 46 colorectal cancer cases with tumor budding, 3000 tumor bud candidates were selected, largely based on digital image analysis algorithms. For each candidate bud, an image patch (size 256 x 256 mu m) was extracted from a pan cytokeratin-stained whole-slide image. Members of an International Tumor Budding Consortium (n = 7) were asked to categorize each candidate as either (1) tumor bud, (2) poorly differentiated cluster, or (3) neither, based on current definitions. Agreement was assessed with Cohens and Fleiss Kappa statistics. Fleiss Kappa showed moderate overall agreement between observers (0.42 and 0.51), while Cohens Kappas ranged from 0.25 to 0.63. Complete agreement by all seven observers was present for only 34% of the 3000 tumor bud candidates, while 59% of the candidates were agreed on by at least five of the seven observers. Despite reports of moderate-to-substantial agreement with respect to tumor budding grade, agreement with respect to individual pan cytokeratin-stained tumor buds is moderate at most. A machine learning approach may prove especially useful for a more robust assessment of individual tumor buds.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cancer and Oncology (hsv//eng)
Publication and Content Type
- ref (subject category)
- art (subject category)
Find in a library
To the university's database
- By the author/editor
-
Bokhorst, J. M.
-
Blank, A.
-
Lugli, A.
-
Zlobec, I.
-
Dawson, H.
-
Vieth, M.
-
show more...
-
Rijstenberg, L. ...
-
Brockmoeller, S.
-
Urbanowicz, M.
-
Flejou, J. F.
-
Kirsch, R.
-
Ciompi, F.
-
van der Laak, Je ...
-
Nagtegaal, I. D.
-
show less...
- About the subject
-
- MEDICAL AND HEALTH SCIENCES
-
MEDICAL AND HEAL ...
-
and Clinical Medicin ...
-
and Cancer and Oncol ...
- Articles in the publication
-
Modern Pathology
- By the university
-
Linköping University