Comparative assessment between objective and subjective methods in slides stained by immunohistochemistry.

Autor: Ribeiro Fde A; Santa Casa de São Paulo, Faculdade de Ciências Médicas, Departamento de Otorrinolaringologia., Pereira CS; Santa Casa de São Paulo, Faculdade de Ciências Médicas, Departamento de Morfologia., Chi RJ; Santa Casa de São Paulo, Faculdade de Ciências Médicas, curso de Medicina., Yokomizo PL; Santa Casa de São Paulo, Faculdade de Ciências Médicas, curso de Medicina., Fregnani JH; Hospital do câncer de Barretos, Instituto de ensino e pesquisa, núcleo de apoio ao pesquisador., Rocha RM; Hospital AC Camargo, Departamento de Anatomia Patológica, São Paulo.
Jazyk: English; Portuguese
Zdroj: Brazilian journal of otorhinolaryngology [Braz J Otorhinolaryngol] 2013 Nov-Dec; Vol. 79 (6), pp. 704-8.
DOI: 10.5935/1808-8694.20130129
Abstrakt: Unlabelled: Objective methods of assessment are often required in scientific studies. Histological tests with immunohistochemical staining can be assessed by photometry.
Objective: To compare this objective method with the subjective evaluation performed by three independent examiners, using slides of acquired middle ear cholesteatomas.
Method: We selected a total of 54 cholesteatoma images, immunohistochemically stained by anti-TNF-R2 (32 slides) and anti-TGF-α, (22 slides). The secondary antibody used in the two groups was the Max Polymer Detection System (Novo Link Kit, Novocastra®, UK). The samples were processed by a digital slide scanner (ScanScope - Aperio). The selected sites were analyzed by photometry.
Results: The objective assessment by photometry was compared with the subjective evaluation by three examiners and subjected to statistical analysis. The Statistical analysis revealed moderate reproducibility (K values between 0.41 and 0.60) for both groups.
Conclusion: Our study showed that the irregular characteristics of middle ear cholesteatoma slides stained by immunohistochemistry prevents its proper objective evaluation, while the subjective assessment by experienced examiners was more reliable.
Databáze: MEDLINE