A Correlation of FTIR Spectra Derived from Prostate Cancer Biopsies with Gleason Grade and Tumour Stage
| Autor: | Roy S. Reeve, Peter Gardner, John Dwyer, Nicholas P. Lockyer, Michael D Brown, Noel W. Clarke, Jonathan H Shanks, Ehsan Gazi, Claire A Hart, Matthew J. Baker |
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| Rok vydání: | 2006 |
| Předmět: |
Male
Gleason grade Pathology medicine.medical_specialty Biopsy Urology H&E stain urologic and male genital diseases Tumour stage Correlation Ftir spectra Prostate cancer stomatognathic system medicine Humans FTIR microspectroscopy Neoplasm Staging Cancer staging Fourier Analysis medicine.diagnostic_test business.industry Prostatic Neoplasms medicine.disease Multivariate analysis Molecular diagnosis business Nuclear medicine |
| Zdroj: | Gazi, E, Baker, M, Dwyer, J, Lockyer, N P, Gardner, P, Shanks, J H, Reeve, R S, Hart, C A, Clarke, N W & Brown, M D 2006, ' A Correlation of FTIR Spectra Derived from Prostate Cancer Biopsies with Gleason Grade and Tumour Stage ', European Urology, vol. 50, no. 4, pp. 750-761 . https://doi.org/10.1016/j.eururo.2006.03.031 |
| ISSN: | 0302-2838 |
| Popis: | Objectives: We introduce biochemistry as a second dimension to Gleason grading, using Fourier transform infrared (FTIR) microspectroscopy. For the first time, we correlate FTIR spectra derived from prostate cancer (pCA) tissue with Gleason score and the clinical stage of the tumour at time of biopsy. Methods: Serial sections from paraffin-embedded pCA tissue were collected. One was stained with hematoxylin and eosin and Gleason scored; FTIR spectra were collected from malignant locations using a second unstained section. FTIR spectra, representing different Gleason grades, were used to construct a diagnostic classifier for pCA using linear discriminant analysis (LDA). This model was blind tested using 383 IR spectra from 36 biopsies. Results: Using a three-band Gleason criteria, we obtained sensitivity of ≥70% for the FTIR-LDA model to predict Gleason 7, with specificities of ≥81%. Using a threshold of Gleason/FTIR-LDA score of ≥8, we obtained a sensitivity and specificity of 71% and 67%, respectively, for the correlation with metastatic tumours using the FTIR-LDA system and 85% and 63%, respectively, for the correlation of metastatic tumours using the Gleason system. Conclusions: There is a correlation between tissue architecture using Gleason score with tissue biochemistry using FTIR-LDA. Both systems are similar in their performance in predicting metastatic behaviour in tumours from individual patients. © 2006 European Association of Urology. |
| Databáze: | OpenAIRE |
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