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2017 ; 12
(1
): 69
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Data integration from pathology slides for quantitative imaging of multiple cell
types within the tumor immune cell infiltrate
#MMPMID28923066
Ma Z
; Shiao SL
; Yoshida EJ
; Swartwood S
; Huang F
; Doche ME
; Chung AP
; Knudsen BS
; Gertych A
Diagn Pathol
2017[Sep]; 12
(1
): 69
PMID28923066
show ga
BACKGROUND: Immune cell infiltrates (ICI) of tumors are scored by pathologists
around tumor glands. To obtain a better understanding of the immune infiltrate,
individual immune cell types, their activation states and location relative to
tumor cells need to be determined. This process requires precise identification
of the tumor area and enumeration of immune cell subtypes separately in the
stroma and inside tumor nests. Such measurements can be accomplished by a
multiplex format using immunohistochemistry (IHC). METHOD: We developed a
pipeline that combines immunohistochemistry (IHC) and digital image analysis. One
slide was stained with pan-cytokeratin and CD45 and the other slide with CD8, CD4
and CD68. The tumor mask generated through pan-cytokeratin staining was
transferred from one slide to the other using affine image co-registration.
Bland-Altman plots and Pearson correlation were used to investigate differences
between densities and counts of immune cell underneath the transferred versus
manually annotated tumor masks. One-way ANOVA was used to compare the mask
transfer error for tissues with solid and glandular tumor architecture. RESULTS:
The overlap between manual and transferred tumor masks ranged from 20%-90% across
all cases. The error of transferring the mask was 2- to 4-fold greater in tumor
regions with glandular compared to solid growth pattern (p < 10(-6)). Analyzing
data from a single slide, the Pearson correlation coefficients of cell type
densities outside and inside tumor regions were highest for CD4 + T-cells
(r = 0.8), CD8 + T-cells (r = 0.68) or CD68+ macrophages (r = 0.79). The
correlation coefficient for CD45+ T- and B-cells was only 0.45. The transfer of
the mask generated an error in the measurement of intra- and extra- tumoral
CD68+, CD8+ or CD4+ counts (p < 10(-10)). CONCLUSIONS: In summary, we developed a
general method to integrate data from IHC stained slides into a single dataset.
Because of the transfer error between slides, we recommend applying the antibody
for demarcation of the tumor on the same slide as the ICI antibodies.