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Ductal carcinoma in situ of the breast (DCIS) with heterogeneity of nuclear grade: prognostic effects of quantitative nuclear assessment.

Ductal carcinoma in situ of the breast (DCIS) with heterogeneity of nuclear grade: prognostic effects of quantitative nuclear assessment. Research Abstract Details 

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  • Ductal carcinoma in situ of the breast (DCIS) with heterogeneity of nuclear grade: prognostic effects of quantitative nuclear assessment. Abstract Text:

    judith-anne w chapmanJudith-Anne W Chapman,naomi a millerNaomi A Miller,h lavina a lickleyH Lavina A Lickley,jin qianJin Qian,william a christens-barryWilliam A Christens-Barry,yuejiao fuYuejiao Fu,yan yuanYan Yuan,david e axelrodDavid E Axelrod,judith-anne w chapmanJudith-Anne W Chapman,naomi a millerNaomi A Miller,h lavina a lickleyH Lavina A Lickley,jin qianJin Qian,william a christens-barryWilliam A Christens-Barry,yuejiao fuYuejiao Fu,yan yuanYan Yuan,david e axelrodDavid E Axelrod,

    BACKGROUND: Previously, 50% of patients with breast ductal carcinoma in situ (DCIS) had more than one nuclear grade, and neither worst nor predominant nuclear grade was significantly associated with development of invasive carcinoma. Here, we used image analysis in addition to histologic evaluation to determine if quantification of nuclear features could provide additional prognostic information and hence impact prognostic assessments. METHODS: Nuclear image features were extracted from about 200 nuclei of each of 80 patients with DCIS who underwent lumpectomy alone, and received no adjuvant systemic therapy. Nuclear images were obtained from 20 representative nuclei per duct, from each of a group of 5 ducts, in two separate fields, for 10 ducts. Reproducibility of image analysis features was determined, as was the ability of features to discriminate between nuclear grades. Patient information was available about clinical factors (age and method of DCIS detection), pathologic factors (DCIS size, nuclear grade, margin size, and amount of parenchymal involvement), and 39 image features (morphology, densitometry, and texture). The prognostic effects of these factors and features on the development of invasive breast cancer were examined with Cox step-wise multivariate regression. RESULTS: Duplicate measurements were similar for 89.7% to 97.4% of assessed image features. For the pooled assessment with approximately 200 nuclei per patient, a discriminant function with one densitometric and two texture features was significantly (p < 0.001) associated with nuclear grading, and provided 78.8% correct jackknifed classification of a patient's nuclear grade. In multivariate assessments, image analysis nuclear features had significant prognostic associations (p

    Ductal carcinoma in situ of the breast (DCIS) with heterogeneity of nuclear grade: prognostic effects of quantitative nuclear assessment. Publishing Authors By Initials

    ja chapmanJA Chapman,na millerNA Miller,hl lickleyHL Lickley,j qianJ Qian,wa christens-barryWA Christens-Barry,y fuY Fu,y yuanY Yuan,de axelrodDE Axelrod,ja chapmanJA Chapman,na millerNA Miller,hl lickleyHL Lickley,j qianJ Qian,wa christens-barryWA Christens-Barry,y fuY Fu,y yuanY Yuan,de axelrodDE Axelrod,

    For similar diagnosis: prognosis research abstracts see: diagnosis: prognosis research

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    Ductal carcinoma in situ of the breast (DCIS) with heterogeneity of nuclear grade: prognostic effects of quantitative nuclear assessment. Journal Published:

    PUBLICATION TYPE: Research Support, Non-U.S. Gov

    Journal: BMC cancer

    VOLUME: 7

    Page Numbers: 174

    Journal Abbreviation: BMC Cancer

    ISSN: 1471-2407

    DAY: 10

    MONTH: 09

    YEAR: 2007

    Ductal carcinoma in situ of the breast (DCIS) with heterogeneity of nuclear grade: prognostic effects of quantitative nuclear assessment. Information

    Number of References:

    LANGUAGE: eng

    NlmUniqueID: 100967800

    Ductal carcinoma in situ of the breast (DCIS) with heterogeneity of nuclear grade: prognostic effects of quantitative nuclear assessment. Keywords Mesh Terms:

    KEYWORDS: Prognosis

    MESH TERMS: pathology

    Chemical & Substance for Abstract: Ductal carcinoma in situ of the breast (DCIS) with heterogeneity of nuclear grade: prognostic effects of quantitative nuclear assessment. Information

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    Grant and Affiliation Information for Ductal carcinoma in situ of the breast (DCIS) with heterogeneity of nuclear grade: prognostic effects of quantitative nuclear assessment.

    AFFILIATION: National Cancer Institute of Canada Clinical Trials Group, Queen's University, 10 Stuart Street, Kingston, Ontario K7L 3N6, Canada. JChapman@ctg.queensu.ca

    Country: England

    England Research PublicationEngland Research Publication

    AGENCY: United States NCI

    GRANT: CA113004

    ACRONYM: CA

    MEDLINETA: BMC Cancer

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