Cytopathology最新文献

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Unleash your potential: Inside interventional pathology. 释放您的潜能:走进介入病理学。
IF 1.2 4区 医学
Cytopathology Pub Date : 2024-07-09 DOI: 10.1111/cyt.13417
Karen Villar-Zarra, Ronald Balassanian, Philippe Vielh
{"title":"Unleash your potential: Inside interventional pathology.","authors":"Karen Villar-Zarra, Ronald Balassanian, Philippe Vielh","doi":"10.1111/cyt.13417","DOIUrl":"https://doi.org/10.1111/cyt.13417","url":null,"abstract":"<p><p>Interventional pathology has emerged as a pivotal force in modern healthcare, heralding a paradigm shift from traditional diagnostic approaches to patient-centered care. This innovative field bridges the gap between pathology and cytopathology, empowering pathologists to streamline diagnoses and reduce waiting times for patients. Collaborative mentorship and knowledge sharing ensure a lasting legacy of diagnostic excellence for future generations. Interventional pathology stands as a symbol of innovation and patient empowerment, offering a unified approach to diagnostics and improved care in the era of personalized medicine. This narrative chronicles the evolution of interventional pathologists from behind-the-scenes diagnostic specialists to frontline innovators. This is the story of the rise of the interventional pathologist: a testament to innovation, dedication, and an unwavering commitment to patient well-being.</p>","PeriodicalId":55187,"journal":{"name":"Cytopathology","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141560421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluation and application of American College of Radiology Thyroid Imaging Reporting and Data System for improved malignancy detection in paediatric thyroid nodules 评估和应用美国放射学会甲状腺成像报告和数据系统,改进儿科甲状腺结节的恶性肿瘤检测。
IF 1.2 4区 医学
Cytopathology Pub Date : 2024-06-30 DOI: 10.1111/cyt.13414
Carlos A. Ortega, Jean-Nicolas Gallant, Irem Kilic, Siddharth Patel, Sheau-Chiann Chen, C. Burton Wood, Ryan Adams, Fadi Azer, Huiying Wang, Jiancong Liang, Sara H. Duffus, Ryan H. Belcher, Rochelle F. Andreotti, Rekha Krishnasarma, Jennifer E. Lim-Dunham, Güliz A. Barkan, Fei Ye, Vivian L. Weiss
{"title":"Evaluation and application of American College of Radiology Thyroid Imaging Reporting and Data System for improved malignancy detection in paediatric thyroid nodules","authors":"Carlos A. Ortega,&nbsp;Jean-Nicolas Gallant,&nbsp;Irem Kilic,&nbsp;Siddharth Patel,&nbsp;Sheau-Chiann Chen,&nbsp;C. Burton Wood,&nbsp;Ryan Adams,&nbsp;Fadi Azer,&nbsp;Huiying Wang,&nbsp;Jiancong Liang,&nbsp;Sara H. Duffus,&nbsp;Ryan H. Belcher,&nbsp;Rochelle F. Andreotti,&nbsp;Rekha Krishnasarma,&nbsp;Jennifer E. Lim-Dunham,&nbsp;Güliz A. Barkan,&nbsp;Fei Ye,&nbsp;Vivian L. Weiss","doi":"10.1111/cyt.13414","DOIUrl":"10.1111/cyt.13414","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>The American College of Radiology Thyroid Imaging Reporting and Data System (TI-RADS) is a widely used method for the management of adult thyroid nodules. However, its use in paediatric patients is controversial because adult fine needle aspiration biopsy (FNAB) recommendations may lead to delayed diagnoses of cancer in children. The objectives of this study were to evaluate the performance of TI-RADS in paediatric thyroid nodules and to tailor FNAB recommendations for children.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Consecutive surgically resected paediatric thyroid nodules from two tertiary care centres between 2003 and 2021 were reviewed. Ultrasounds were blindly scored by radiologists according to TI-RADS. Management recommendations based on TI-RADS were evaluated. Various modelling methodologies were used to determine the optimal cutoff for FNAB in children.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of the 96 patients, 79 (82%) were female and the median age at surgery was 16.1 years. Fifty (52%) nodules were malignant on surgical pathology. The area under the receiver operating characteristic curve of TI-RADS for predicting malignancy was 0.78. Adult TI-RADS recommendations would have resulted in 4% of cancerous nodules being lost to follow-up. Modifications to TI-RADS (FNAB of all TR3 nodules ≥1.5 cm, FNAB of TR4 and TR5 nodules ≥0.5 cm, surveillance of nodules ≥1 cm, consider surgery for nodules &gt;4 cm) reduced this missed malignancy rate to 0%.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>TI-RADS can risk-stratify paediatric thyroid nodules. However, the system requires modifications to reduce the missed malignancy rate in paediatric thyroid nodules. Our data suggest that lower size thresholds for FNAB are warranted in children.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55187,"journal":{"name":"Cytopathology","volume":"35 6","pages":"749-756"},"PeriodicalIF":1.2,"publicationDate":"2024-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cyt.13414","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141472764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Primary pulmonary epithelioid hemangioendothelioma metastatic to the pleura and mediastinal lymph node with a prominent rhabdoid cytomorphology showing CAMTA1::WWTR1 fusion and novel PRDM1 and TNFRSF14 mutations 转移至胸膜和纵隔淋巴结的原发性肺上皮样血管内皮细胞瘤,具有突出的横纹肌样细胞形态,显示CAMTA1::WWTR1融合以及新型PRDM1和TNFRSF14突变。
IF 1.2 4区 医学
Cytopathology Pub Date : 2024-06-28 DOI: 10.1111/cyt.13416
Maria F. Gonzalez, Anjali Seth
{"title":"Primary pulmonary epithelioid hemangioendothelioma metastatic to the pleura and mediastinal lymph node with a prominent rhabdoid cytomorphology showing CAMTA1::WWTR1 fusion and novel PRDM1 and TNFRSF14 mutations","authors":"Maria F. Gonzalez,&nbsp;Anjali Seth","doi":"10.1111/cyt.13416","DOIUrl":"10.1111/cyt.13416","url":null,"abstract":"<p>Cases of epithelioid hemangioendothelioma with <i>WWTR1</i>::<i>CAMTA1</i> fusion can show rhabdoid cytomorphology. Lack of intracytoplasmic luminal spaces, marked rhabdoid cytomorphology, and variability in the expression of vascular markers makes the diagnosis of EHE challenging. Therefore, a high level of suspicion and ancillary studies (immunohistochemistry and next generation sequencing) help reach a definitive diagnosis in these cases.\u0000 <figure>\u0000 <div><picture>\u0000 <source></source></picture><p></p>\u0000 </div>\u0000 </figure></p>","PeriodicalId":55187,"journal":{"name":"Cytopathology","volume":"35 5","pages":"654-657"},"PeriodicalIF":1.2,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141472765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Impact of implementing the first edition of the Paris system for reporting: A systematic review and meta-analysis 实施第一版巴黎报告制度的影响:系统回顾和荟萃分析。
IF 1.2 4区 医学
Cytopathology Pub Date : 2024-06-27 DOI: 10.1111/cyt.13407
Sahar J. Farahani, Joshua Li, Beatrice Minder, Philippe Vielh, Marija Glisic, Taulant Muka
{"title":"Impact of implementing the first edition of the Paris system for reporting: A systematic review and meta-analysis","authors":"Sahar J. Farahani,&nbsp;Joshua Li,&nbsp;Beatrice Minder,&nbsp;Philippe Vielh,&nbsp;Marija Glisic,&nbsp;Taulant Muka","doi":"10.1111/cyt.13407","DOIUrl":"10.1111/cyt.13407","url":null,"abstract":"&lt;p&gt;Urine cytology is a noninvasive, widely used diagnostic tool for screening and surveillance of genitourinary tract neoplasms. However, the absence of unified terminology and clear objective morphological criteria limits the clinical benefit of urine cytology. The Paris System for Reporting Urine Cytology (TPS) was developed with the goal of standardizing reporting and improving urine cytology performance in detecting high-grade malignancy (HGM). We aimed to evaluate potential effects of TPS on improving urine cytology diagnostic performance and clinical utility by conducting a systematic review and meta-analysis. We searched six electronic databases to identify cross-sectional and cohort studies written in English assessing the accuracy of urine cytology in detecting genitourinary tract malignancies of patients under surveillance or with clinical suspicion of malignancy from January 2004 to December 2022. We extracted relevant data from eligible studies to calculate relative distribution of cytology diagnostic categories; ratio of atypical to HGM cytology diagnosis; and risk of HGM (ROHGM) and HGM likelihood ratio (HGM-LR) associated with cytology diagnostic categories. We used a generalized linear mixed model with logit transformation to combine proportions and multilevel mixed-effect logistic regression to pool diagnostic accuracy measurements. We performed meta-regression to evaluate any significant difference between TPS and non-TPS cohorts. We included 64 studies for 99,796 combined total cytology samples, across 31 TPS and 49 non-TPS cohorts. Pooled relative distribution [95% confidence interval (CI)] of negative for high-grade urothelial carcinoma (NHGUC)/negative for malignancy (NM); atypical urothelial cells (AUC); suspicious for high-grade urothelial carcinoma (SHGUC)/suspicious for malignancy (SM); low-grade urothelial neoplasm (LGUN); and HGM categories among satisfactory cytology cases were 83.8% (80.3%–86.9%), 8.0% (6.0%–10.6%), 2.2% (1.4%–3.3%), 0.01% (0.0%–0.1%), and 4.2% (3.2%–5.5%) in TPS versus 80.8% (76.8–2.7%), 11.3% (8.6%–14.7%), 1.8% (1.2%–2.7%), 0.01% (0.0%–0.1%), and 3.3% (2.5%–4.3%) in non-TPS cohorts. Adopting TPS classification resulted in a significant increase in the frequency of NHGUC and a reduction in AUC cytology diagnoses, respectively. The AUC/HGM ratio in TPS cohort was 2.0, which showed a statistically significant difference from the atypical/HGM ratio of 4.1 in non-TPS cohort (&lt;i&gt;p&lt;/i&gt;-value: 0.01). Moreover, the summary rate (95% CI) of LGUN called AUC on cytology significantly decreased to 20.8% (14.9%–28.3%) in the TPS compared with 34.1% (26.4%–42.8%) in non-TPS cohorts. The pooled ROHGM (95% CI) was 20.4% (6.2%–50.0%) in nondiagnostic (NDX), 15.5% (9.6%–24.2%) in NHGUC, 40.2% (30.9%–50.2%) in AUC, 80.8% (72.9%–86.8%) in SHGUC, 15.1% (5.7%–34.3%) in LGUN, and 91.4% (87.3%–94.3%) in HGM categories in TPS studies. NHGUC, AUC, SHGUC, and HGM categories were associated with HGM-LR (95% CI) of 0.2 (0.1–0.3","PeriodicalId":55187,"journal":{"name":"Cytopathology","volume":"35 5","pages":"616-633"},"PeriodicalIF":1.2,"publicationDate":"2024-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141460894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Computer-assisted urine cytology: Faster, cheaper, better? 计算机辅助尿液细胞学检查:更快、更便宜、更好?
IF 1.2 4区 医学
Cytopathology Pub Date : 2024-06-18 DOI: 10.1111/cyt.13412
Chiara Ciaparrone, Elisabetta Maffei, Vincenzo L'Imperio, Pasquale Pisapia, Catarina Eloy, Filippo Fraggetta, Pio Zeppa, Alessandro Caputo
{"title":"Computer-assisted urine cytology: Faster, cheaper, better?","authors":"Chiara Ciaparrone,&nbsp;Elisabetta Maffei,&nbsp;Vincenzo L'Imperio,&nbsp;Pasquale Pisapia,&nbsp;Catarina Eloy,&nbsp;Filippo Fraggetta,&nbsp;Pio Zeppa,&nbsp;Alessandro Caputo","doi":"10.1111/cyt.13412","DOIUrl":"10.1111/cyt.13412","url":null,"abstract":"<p>Recent advancements in computer-assisted diagnosis (CAD) have catalysed significant progress in pathology, particularly in the realm of urine cytopathology. This review synthesizes the latest developments and challenges in CAD for diagnosing urothelial carcinomas, addressing the limitations of traditional urinary cytology. Through a literature review, we identify and analyse CAD models and algorithms developed for urine cytopathology, highlighting their methodologies and performance metrics. We discuss the potential of CAD to improve diagnostic accuracy, efficiency and patient outcomes, emphasizing its role in streamlining workflow and reducing errors. Furthermore, CAD tools have shown potential in exploring pathological conditions, uncovering novel biomarkers and prognostic/predictive features previously unknown or unseen. Finally, we examine the practical issues surrounding the integration of CAD into clinical practice, including regulatory approval, validation and training for pathologists. Despite the promising results, challenges remain, necessitating further research and validation efforts. Overall, CAD presents a transformative opportunity to revolutionize diagnostic practices in urine cytopathology, paving the way for enhanced patient care and outcomes.</p>","PeriodicalId":55187,"journal":{"name":"Cytopathology","volume":"35 5","pages":"634-641"},"PeriodicalIF":1.2,"publicationDate":"2024-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141421942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Abstract 特刊:第 45 届欧洲细胞病理学大会摘要,莱比锡,2024 年 6 月 23-26 日。
IF 1.3 4区 医学
Cytopathology Pub Date : 2024-06-18 DOI: 10.1111/cyt.13404
{"title":"Abstract","authors":"","doi":"10.1111/cyt.13404","DOIUrl":"10.1111/cyt.13404","url":null,"abstract":"","PeriodicalId":55187,"journal":{"name":"Cytopathology","volume":"35 S1","pages":"5-44"},"PeriodicalIF":1.3,"publicationDate":"2024-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141421943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Simple and rapid flow cytometry assay for the detection of malignant epithelial cells in body fluids 用于检测体液中恶性上皮细胞的简单快速的流式细胞术检测方法。
IF 1.2 4区 医学
Cytopathology Pub Date : 2024-06-04 DOI: 10.1111/cyt.13408
Thulasi Raman Ramalingam, Sandeep Mani, Swetha Narla, Archana Lakshmanan, Anurekha Muthu, Harsha Rasheed Nk, Selvaraj Mohanraj, Ellapan Dharma Ramachandran, Annapurneswari Subramanyam, Lakshman Vaidhyanathan
{"title":"Simple and rapid flow cytometry assay for the detection of malignant epithelial cells in body fluids","authors":"Thulasi Raman Ramalingam,&nbsp;Sandeep Mani,&nbsp;Swetha Narla,&nbsp;Archana Lakshmanan,&nbsp;Anurekha Muthu,&nbsp;Harsha Rasheed Nk,&nbsp;Selvaraj Mohanraj,&nbsp;Ellapan Dharma Ramachandran,&nbsp;Annapurneswari Subramanyam,&nbsp;Lakshman Vaidhyanathan","doi":"10.1111/cyt.13408","DOIUrl":"10.1111/cyt.13408","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Morphology is routinely used for detecting malignant cells in body fluids, but it has limitations. Recently, flow cytometry (FCM) is used as an effective tool for studying non-haematological malignancies. The main objective of this study is to standardize a simple and rapid FCM test for the detection of malignant epithelial cells in body fluids.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>Body fluids that had been processed for cytology/cytology and FCM were enrolled in this prospective study. We developed a fluorescent-labelled, monoclonal antibody panel composed of cell surface markers for this FCM assay. We compared the results of cytology/cell block and FCM.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 121 fluid samples were studied. Comparing the diagnostic performance of cytology/cell block and FCM, 52 (43%) cases were positive and 60 (49.5%) cases were negative for carcinoma cells by both techniques. Nine cases showed discordant results between the two techniques. Six cases were cytology+ but FCM- and three cases were FCM+ cytology-. Clustered Epithelial Cell Adhesion Molecule (EpCAM)-positive events with high scatter properties were definitive for positive diagnosis by FCM. We studied PD-L1 expression in 13 cases by FCM. Six cases were reported as false negative by this FCM assay due to hypocellularity and lack of EpCAM expression in malignant cells.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This FCM assay is simple, easier and cost-effective yielding sensitive results with no inter-observer variability. FCM would become a valuable tool to complement routine diagnostic cytology and reduces misdiagnosis.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55187,"journal":{"name":"Cytopathology","volume":"36 1","pages":"23-30"},"PeriodicalIF":1.2,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141263608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Advances in diagnostic liquid-based cytology 液基细胞学诊断技术的进展。
IF 1.2 4区 医学
Cytopathology Pub Date : 2024-06-04 DOI: 10.1111/cyt.13405
Hideyuki Abe, Akihiko Kawahara, Jun Akiba, Rin Yamaguchi
{"title":"Advances in diagnostic liquid-based cytology","authors":"Hideyuki Abe,&nbsp;Akihiko Kawahara,&nbsp;Jun Akiba,&nbsp;Rin Yamaguchi","doi":"10.1111/cyt.13405","DOIUrl":"10.1111/cyt.13405","url":null,"abstract":"<p>Liquid-based cytology (LBC) has changed the landscape of gynaecological cytology. A growing demand exists for LBC in diagnostic cytology, particularly for ancillary testing, such as immunocytochemistry and molecular testing. Ancillary testing solely based on conventional preparation (CP) methods remains challenging. Recently, the increased demand for specialist testing and minimally invasive techniques, such as endoscopic ultrasonography fine-needle aspiration, to obtain cellular samples has led to an increasing demand for ancillary testing on cytology LBC supernatant, slides and cell block (CB). This facilitates the diagnosis and prognosis in cytology samples enabling personalized treatment. An understanding of the history and future prospects of LBC is crucial for its application in routine diagnostics by cytopathologists and cytotechnologists. In this review, we initiated an internet search using the keyword ‘liquid-based cytology’, and we conducted a literature review to discuss the usefulness of combined diagnosis of LBC and CP, immunocytochemistry and molecular testing and assessed the quality of nucleic acids in diagnostic LBC. High-quality and cell-rich diagnostic LBC surpassed the CP method alone in terms of reliability and versatility of ancillary testing in cytological diagnosis. Conclusively, diagnostic LBC lends itself to various new technologies and is expected to continue evolving with innovations in the future.</p>","PeriodicalId":55187,"journal":{"name":"Cytopathology","volume":"35 6","pages":"682-694"},"PeriodicalIF":1.2,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141263569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploring the potential of multiomics liquid biopsy testing in the clinical setting of lung cancer 探索多组学液体活检测试在肺癌临床环境中的潜力。
IF 1.2 4区 医学
Cytopathology Pub Date : 2024-06-01 DOI: 10.1111/cyt.13396
Andrea Gottardo, Tancredi Didier Bazan Russo, Alessandro Perez, Marco Bono, Emilia Di Giovanni, Enrico Di Marco, Rita Siino, Carla Ferrante Bannera, Clarissa Mujacic, Maria Concetta Vitale, Silvia Contino, Giuliana Iannì, Giulia Busuito, Federica Iacono, Lorena Incorvaia, Giuseppe Badalamenti, Antonio Galvano, Antonio Russo, Viviana Bazan, Valerio Gristina
{"title":"Exploring the potential of multiomics liquid biopsy testing in the clinical setting of lung cancer","authors":"Andrea Gottardo,&nbsp;Tancredi Didier Bazan Russo,&nbsp;Alessandro Perez,&nbsp;Marco Bono,&nbsp;Emilia Di Giovanni,&nbsp;Enrico Di Marco,&nbsp;Rita Siino,&nbsp;Carla Ferrante Bannera,&nbsp;Clarissa Mujacic,&nbsp;Maria Concetta Vitale,&nbsp;Silvia Contino,&nbsp;Giuliana Iannì,&nbsp;Giulia Busuito,&nbsp;Federica Iacono,&nbsp;Lorena Incorvaia,&nbsp;Giuseppe Badalamenti,&nbsp;Antonio Galvano,&nbsp;Antonio Russo,&nbsp;Viviana Bazan,&nbsp;Valerio Gristina","doi":"10.1111/cyt.13396","DOIUrl":"10.1111/cyt.13396","url":null,"abstract":"<p>The transformative role of artificial intelligence (AI) and multiomics could enhance the diagnostic and prognostic capabilities of liquid biopsy (LB) for lung cancer (LC). Despite advances, the transition from tissue biopsies to more sophisticated, non-invasive methods like LB has been impeded by challenges such as the heterogeneity of biomarkers and the low concentration of tumour-related analytes. The advent of multiomics – enabled by deep learning algorithms – offers a solution by allowing the simultaneous analysis of various analytes across multiple biological fluids, presenting a paradigm shift in cancer diagnostics. Through multi-marker, multi-analyte and multi-source approaches, this review showcases how AI and multiomics are identifying clinically valuable biomarker combinations that correlate with patients' health statuses. However, the path towards clinical implementation is fraught with challenges, including study reproducibility and lack of methodological standardization, thus necessitating urgent solutions to solve these common issues.</p>","PeriodicalId":55187,"journal":{"name":"Cytopathology","volume":"35 6","pages":"664-670"},"PeriodicalIF":1.2,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141187237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Rapid molecular profiling utilising minimal quantities of endobronchial ultrasound-guided aspirates for the detection of Epidermal Growth Factor Receptor, KRAS, ALK, ROS1, RET, NTRK and MET gene alterations from patients with non-small-cell lung carcinomas on the Biocartis Idylla™ platform 在 Biocartis Idylla™ 平台上,利用极少量的支气管内超声引导抽吸物进行快速分子谱分析,检测非小细胞肺癌患者的表皮生长因子受体、KRAS、ALK、ROS1、RET、NTRK 和 MET 基因改变。
IF 1.2 4区 医学
Cytopathology Pub Date : 2024-05-30 DOI: 10.1111/cyt.13406
Alexander Haragan, Robert Lee
{"title":"Rapid molecular profiling utilising minimal quantities of endobronchial ultrasound-guided aspirates for the detection of Epidermal Growth Factor Receptor, KRAS, ALK, ROS1, RET, NTRK and MET gene alterations from patients with non-small-cell lung carcinomas on the Biocartis Idylla™ platform","authors":"Alexander Haragan,&nbsp;Robert Lee","doi":"10.1111/cyt.13406","DOIUrl":"10.1111/cyt.13406","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Comprehensive molecular analysis for patients with non-small-cell lung carcinoma (NSCLC) is essential for managing modern targeted therapies. This study sought to establish the feasibility of utilising real-time PCR to perform rapid and comprehensive profiling on minimal amounts of endobronchial ultrasound-guided (EBUS) aspirates as a fast, tissue-sparing route of predictive profiling.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A volume of 500 μL of EBUS aspirate and fixative from patients with NSCLC was decanted, and 80 μL (&lt;1% of total specimen received) was utilised for analysis. Biocartis Idylla™ cartridges for epidermal growth factor receptor (EGFR) mutations, KRAS mutations and a GeneFusion cartridge (ALK, ROS1, RET, NTRK1/2/3 rearrangements &amp; MET 14 exon skipping) were analysed for each case to provide molecular data on the main clinically relevant targets as per UK guidelines.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 62 cases were included; all of which had successful DNA analysis (EGFR and KRAS cartridges). RNA analysis (GeneFusion cartridge) was successful for 42 of 51 (82%) with initial approach, with 11 of 11 (100%) achieving a successful result with modified protocol. In all, 23 <i>KRAS</i> mutations (37%), 5 <i>EGFR</i> mutations (8%) and 1 ROS fusion (2%) were identified. Average time from specimen receipt to molecular read-out was 5 h.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Real-time PCR utilising the Idylla™ platform is rapid, utilises minimal amounts of tissue and provides accurate results. We propose this is a useful ancillary method to utilise alongside next-generation sequencing (NGS) in cases of urgent clinical requirement or EBUS aspirates with inadequate quantities of tissue for NGS.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55187,"journal":{"name":"Cytopathology","volume":"35 5","pages":"648-653"},"PeriodicalIF":1.2,"publicationDate":"2024-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141177054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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