FTIR Spectroscopic Imaging Supports Urine Cytology for Classification of Low- and High-Grade Bladder Carcinoma

Bladder urothelial carcinoma (BC) is a common, recurrent, life-threatening, and unpredictable disease which is difficult to diagnose. These features make it one of the costliest malignancies. Although many possible diagnostic methods are available, molecular heterogeneity and difficulties in cytolog...

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Autores principales: Monika Kujdowicz, Brygida Mech, Karolina Chrabaszcz, Piotr Chlosta, Krzysztof Okon, Kamilla Malek
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Publicado: MDPI AG 2021
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spelling oai:doaj.org-article:41d5efa9b89a407c8d0417ca98efe1a92021-11-25T17:03:23ZFTIR Spectroscopic Imaging Supports Urine Cytology for Classification of Low- and High-Grade Bladder Carcinoma10.3390/cancers132257342072-6694https://doaj.org/article/41d5efa9b89a407c8d0417ca98efe1a92021-11-01T00:00:00Zhttps://www.mdpi.com/2072-6694/13/22/5734https://doaj.org/toc/2072-6694Bladder urothelial carcinoma (BC) is a common, recurrent, life-threatening, and unpredictable disease which is difficult to diagnose. These features make it one of the costliest malignancies. Although many possible diagnostic methods are available, molecular heterogeneity and difficulties in cytological or histological examination induce an urgent need to improve diagnostic techniques. Herein, we applied Fourier transform infrared spectroscopy in imaging mode (FTIR) to investigate patients’ cytology samples assigned to normal (N), low-grade (LG) and high-grade (HG) BC. With unsupervised hierarchical cluster analysis (UHCA) and hematoxylin-eosin (HE) staining, we observed a correlation between N cell types and morphology. High-glycogen superficial (umbrella) and low-glycogen piriform urothelial cells, both with normal morphology, were observed. Based on the spectra derived from UHCA, principal component analysis (PCA) and partial least squares discriminant analysis (PLS-DA) were performed, indicating a variation of protein content between the patient groups. Moreover, BC spectral cytology identified a low number of high-glycogen cells for which a shift of the carbohydrate/phosphate bands was also observed. Despite high cellular heterogeneity, PLS-DA was able to classify the spectra obtained. The voided urine FTIR cytology is one of the options that might be helpful in BC diagnosis, as high sensitivity and specificity up to 97% were determined.Monika KujdowiczBrygida MechKarolina ChrabaszczPiotr ChlostaKrzysztof OkonKamilla MalekMDPI AGarticlebladder carcinomainfrared spectroscopic imagingdiagnosticscytologyNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENCancers, Vol 13, Iss 5734, p 5734 (2021)
institution DOAJ
collection DOAJ
language EN
topic bladder carcinoma
infrared spectroscopic imaging
diagnostics
cytology
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
spellingShingle bladder carcinoma
infrared spectroscopic imaging
diagnostics
cytology
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
Monika Kujdowicz
Brygida Mech
Karolina Chrabaszcz
Piotr Chlosta
Krzysztof Okon
Kamilla Malek
FTIR Spectroscopic Imaging Supports Urine Cytology for Classification of Low- and High-Grade Bladder Carcinoma
description Bladder urothelial carcinoma (BC) is a common, recurrent, life-threatening, and unpredictable disease which is difficult to diagnose. These features make it one of the costliest malignancies. Although many possible diagnostic methods are available, molecular heterogeneity and difficulties in cytological or histological examination induce an urgent need to improve diagnostic techniques. Herein, we applied Fourier transform infrared spectroscopy in imaging mode (FTIR) to investigate patients’ cytology samples assigned to normal (N), low-grade (LG) and high-grade (HG) BC. With unsupervised hierarchical cluster analysis (UHCA) and hematoxylin-eosin (HE) staining, we observed a correlation between N cell types and morphology. High-glycogen superficial (umbrella) and low-glycogen piriform urothelial cells, both with normal morphology, were observed. Based on the spectra derived from UHCA, principal component analysis (PCA) and partial least squares discriminant analysis (PLS-DA) were performed, indicating a variation of protein content between the patient groups. Moreover, BC spectral cytology identified a low number of high-glycogen cells for which a shift of the carbohydrate/phosphate bands was also observed. Despite high cellular heterogeneity, PLS-DA was able to classify the spectra obtained. The voided urine FTIR cytology is one of the options that might be helpful in BC diagnosis, as high sensitivity and specificity up to 97% were determined.
format article
author Monika Kujdowicz
Brygida Mech
Karolina Chrabaszcz
Piotr Chlosta
Krzysztof Okon
Kamilla Malek
author_facet Monika Kujdowicz
Brygida Mech
Karolina Chrabaszcz
Piotr Chlosta
Krzysztof Okon
Kamilla Malek
author_sort Monika Kujdowicz
title FTIR Spectroscopic Imaging Supports Urine Cytology for Classification of Low- and High-Grade Bladder Carcinoma
title_short FTIR Spectroscopic Imaging Supports Urine Cytology for Classification of Low- and High-Grade Bladder Carcinoma
title_full FTIR Spectroscopic Imaging Supports Urine Cytology for Classification of Low- and High-Grade Bladder Carcinoma
title_fullStr FTIR Spectroscopic Imaging Supports Urine Cytology for Classification of Low- and High-Grade Bladder Carcinoma
title_full_unstemmed FTIR Spectroscopic Imaging Supports Urine Cytology for Classification of Low- and High-Grade Bladder Carcinoma
title_sort ftir spectroscopic imaging supports urine cytology for classification of low- and high-grade bladder carcinoma
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/41d5efa9b89a407c8d0417ca98efe1a9
work_keys_str_mv AT monikakujdowicz ftirspectroscopicimagingsupportsurinecytologyforclassificationoflowandhighgradebladdercarcinoma
AT brygidamech ftirspectroscopicimagingsupportsurinecytologyforclassificationoflowandhighgradebladdercarcinoma
AT karolinachrabaszcz ftirspectroscopicimagingsupportsurinecytologyforclassificationoflowandhighgradebladdercarcinoma
AT piotrchlosta ftirspectroscopicimagingsupportsurinecytologyforclassificationoflowandhighgradebladdercarcinoma
AT krzysztofokon ftirspectroscopicimagingsupportsurinecytologyforclassificationoflowandhighgradebladdercarcinoma
AT kamillamalek ftirspectroscopicimagingsupportsurinecytologyforclassificationoflowandhighgradebladdercarcinoma
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