Interchangeability of light and virtual microscopy for histopathological evaluation of prostate cancer

Abstract Virtual microscopy (VM) holds promise to reduce subjectivity as well as intra- and inter-observer variability for the histopathological evaluation of prostate cancer. We evaluated (i) the repeatability (intra-observer agreement) and reproducibility (inter-observer agreement) of the 2014 Gle...

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Autores principales: Renata Zelic, Francesca Giunchi, Luca Lianas, Cecilia Mascia, Gianluigi Zanetti, Ove Andrén, Jonna Fridfeldt, Jessica Carlsson, Sabina Davidsson, Luca Molinaro, Per Henrik Vincent, Lorenzo Richiardi, Olof Akre, Michelangelo Fiorentino, Andreas Pettersson
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Publicado: Nature Portfolio 2021
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spelling oai:doaj.org-article:915495535cdb496195aceb745bef4d3f2021-12-02T14:06:50ZInterchangeability of light and virtual microscopy for histopathological evaluation of prostate cancer10.1038/s41598-021-82911-z2045-2322https://doaj.org/article/915495535cdb496195aceb745bef4d3f2021-02-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-82911-zhttps://doaj.org/toc/2045-2322Abstract Virtual microscopy (VM) holds promise to reduce subjectivity as well as intra- and inter-observer variability for the histopathological evaluation of prostate cancer. We evaluated (i) the repeatability (intra-observer agreement) and reproducibility (inter-observer agreement) of the 2014 Gleason grading system and other selected features using standard light microscopy (LM) and an internally developed VM system, and (ii) the interchangeability of LM and VM. Two uro-pathologists reviewed 413 cores from 60 Swedish men diagnosed with non-metastatic prostate cancer 1998–2014. Reviewer 1 performed two reviews using both LM and VM. Reviewer 2 performed one review using both methods. The intra- and inter-observer agreement within and between LM and VM were assessed using Cohen’s kappa and Bland and Altman’s limits of agreement. We found good repeatability and reproducibility for both LM and VM, as well as interchangeability between LM and VM, for primary and secondary Gleason pattern, Gleason Grade Groups, poorly formed glands, cribriform pattern and comedonecrosis but not for the percentage of Gleason pattern 4. Our findings confirm the non-inferiority of VM compared to LM. The repeatability and reproducibility of percentage of Gleason pattern 4 was poor regardless of method used warranting further investigation and improvement before it is used in clinical practice.Renata ZelicFrancesca GiunchiLuca LianasCecilia MasciaGianluigi ZanettiOve AndrénJonna FridfeldtJessica CarlssonSabina DavidssonLuca MolinaroPer Henrik VincentLorenzo RichiardiOlof AkreMichelangelo FiorentinoAndreas PetterssonNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-11 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Renata Zelic
Francesca Giunchi
Luca Lianas
Cecilia Mascia
Gianluigi Zanetti
Ove Andrén
Jonna Fridfeldt
Jessica Carlsson
Sabina Davidsson
Luca Molinaro
Per Henrik Vincent
Lorenzo Richiardi
Olof Akre
Michelangelo Fiorentino
Andreas Pettersson
Interchangeability of light and virtual microscopy for histopathological evaluation of prostate cancer
description Abstract Virtual microscopy (VM) holds promise to reduce subjectivity as well as intra- and inter-observer variability for the histopathological evaluation of prostate cancer. We evaluated (i) the repeatability (intra-observer agreement) and reproducibility (inter-observer agreement) of the 2014 Gleason grading system and other selected features using standard light microscopy (LM) and an internally developed VM system, and (ii) the interchangeability of LM and VM. Two uro-pathologists reviewed 413 cores from 60 Swedish men diagnosed with non-metastatic prostate cancer 1998–2014. Reviewer 1 performed two reviews using both LM and VM. Reviewer 2 performed one review using both methods. The intra- and inter-observer agreement within and between LM and VM were assessed using Cohen’s kappa and Bland and Altman’s limits of agreement. We found good repeatability and reproducibility for both LM and VM, as well as interchangeability between LM and VM, for primary and secondary Gleason pattern, Gleason Grade Groups, poorly formed glands, cribriform pattern and comedonecrosis but not for the percentage of Gleason pattern 4. Our findings confirm the non-inferiority of VM compared to LM. The repeatability and reproducibility of percentage of Gleason pattern 4 was poor regardless of method used warranting further investigation and improvement before it is used in clinical practice.
format article
author Renata Zelic
Francesca Giunchi
Luca Lianas
Cecilia Mascia
Gianluigi Zanetti
Ove Andrén
Jonna Fridfeldt
Jessica Carlsson
Sabina Davidsson
Luca Molinaro
Per Henrik Vincent
Lorenzo Richiardi
Olof Akre
Michelangelo Fiorentino
Andreas Pettersson
author_facet Renata Zelic
Francesca Giunchi
Luca Lianas
Cecilia Mascia
Gianluigi Zanetti
Ove Andrén
Jonna Fridfeldt
Jessica Carlsson
Sabina Davidsson
Luca Molinaro
Per Henrik Vincent
Lorenzo Richiardi
Olof Akre
Michelangelo Fiorentino
Andreas Pettersson
author_sort Renata Zelic
title Interchangeability of light and virtual microscopy for histopathological evaluation of prostate cancer
title_short Interchangeability of light and virtual microscopy for histopathological evaluation of prostate cancer
title_full Interchangeability of light and virtual microscopy for histopathological evaluation of prostate cancer
title_fullStr Interchangeability of light and virtual microscopy for histopathological evaluation of prostate cancer
title_full_unstemmed Interchangeability of light and virtual microscopy for histopathological evaluation of prostate cancer
title_sort interchangeability of light and virtual microscopy for histopathological evaluation of prostate cancer
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/915495535cdb496195aceb745bef4d3f
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