Evidence map›Paper›PMID 24527082›Full record

ArticleOncology letters2014

Robust linear regression model of Ki-67 for mitotic rate in gastrointestinal stromal tumors.

Ralf Kemmerling, Denis Weyland, Tobias Kiesslich, Romana Illig, Eckhard Klieser, Tarkan Jäger, Otto Dietze, Daniel Neureiter

Abstract read
In one paragraph

Article in Oncology letters, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Trial
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  3. Phospho-Histone H3 as a Tool for Improved Mitotic Counting and Risk Assessment in Gastrointestinal Stromal Tumors: A Study of 241 Cases.Medical science monitor : international medical journal of experimental and clinical research · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Ralf KemmerlingInstitute of Pathology, Paracelsus Medical University/Salzburger Landeskliniken, Salzburg A-5020, Austria.
Denis WeylandInstitute of Pathology, Paracelsus Medical University/Salzburger Landeskliniken, Salzburg A-5020, Austria ; University of Applied Sciences Upper Austria, Bio- and Environmental Engineering, Wels A-4600, Austria.
Tobias KiesslichDepartment of Internal Medicine I, Paracelsus Medical University/Salzburger Landeskliniken, Salzburg A-5020, Austria ; Institute of Physiology and Pathophysiology, Paracelsus Medical University, Salzburg A-5020, Austria.
Romana IlligInstitute of Pathology, Paracelsus Medical University/Salzburger Landeskliniken, Salzburg A-5020, Austria.
Eckhard KlieserInstitute of Pathology, Paracelsus Medical University/Salzburger Landeskliniken, Salzburg A-5020, Austria.
Tarkan JägerDepartment of Surgery, Paracelsus Medical University/Salzburger Landeskliniken, Salzburg A-5020, Austria.
Otto DietzeInstitute of Pathology, Paracelsus Medical University/Salzburger Landeskliniken, Salzburg A-5020, Austria.
Daniel NeureiterInstitute of Pathology, Paracelsus Medical University/Salzburger Landeskliniken, Salzburg A-5020, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Risk stratification of gastrointestinal stromal tumors (GISTs) by tumor size, lymph node and metastasis status is crucially affected by mitotic activity. To date, no studies have quantitatively compared mitotic activity in hematoxylin and eosin (H&E)-stained tissue sections with immunohistochemical markers, such as phosphohistone H3 (PHH3) and Ki-67. According to the TNM guidelines, the mitotic count on H&E sections and immunohistochemical PHH3-stained slides has been assessed per 50 high-power fields of 154 specimens of clinically documented GIST cases. The Ki-67-associated proliferation rate was evaluated on three digitalized hot spots using image analysis. The H&E-based mitotic rate was found to correlate significantly better with Ki-67-assessed proliferation activity than with PHH3-assessed proliferation activity (r=0.780; P<0.01). A linear regression model (analysis of variance; P<0.001) allowed reliable predictions of the H&E-associated mitoses based on the Ki-67 expression alone. Additionally, the Ki-67-associated proliferation revealed a higher and significant impact on the recurrence and metastasis rate of the GIST cases than by the classical H&E-based mitotic rate. The results of the present study indicated that the mitotic rate may be reliably and time-efficiently estimated by immunohistochemistry of Ki-67 using only three hot spots.

Indexed as

gastrointestinal stromal tumorsKi-67mitosisPHH3proliferation

Identifiers

PMID24527082
PMCPMC3919875

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.