Evidence map›Paper›PMID 31050216›Full record

ReviewCancer cytopathology2019

Immunocytochemistry for predictive biomarker testing in lung cancer cytology.

Deepali Jain, Aruna Nambirajan, Alain Borczuk, Gang Chen, Yuko Minami, Andre L Moreira, Noriko Motoi, Mauro Papotti, Natasha Rekhtman, Prudence A Russell and 4 more

Open access · greenAbstract readReview
In one paragraph

Review in Cancer cytopathology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed
11.5field-weighted citation impact, top 1% of its field
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

40 citing papers in PubMed, 114 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 11 institutions in 7 countries.

Deepali JainDepartment of Pathology, All India Institute of Medical Sciences, New Delhi, India.ORCID 0000-0001-5315-9814
Aruna NambirajanDepartment of Pathology, All India Institute of Medical Sciences, New Delhi, India.
Alain BorczukDepartment of Pathology, Weill Cornell Medicine, New York, New York.
Gang ChenDepartment of Pathology, Zhongshan Hospital, Fudan University, Shanghai, People's Republic of China.
Yuko MinamiDepartment of Pathology, National Hospital Organization, Ibaraki Higashi National Hospital, Ibaraki, Japan.
Andre L MoreiraDepartment of Pathology, New York University Langone Health, New York, New York.
Noriko MotoiDepartment of Pathology and Clinical Laboratories, National Cancer Center Hospital, Tokyo, Japan.
Mauro PapottiDepartment of Oncology, University of Turin, Turin, Italy.
Natasha RekhtmanDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, New York.
Prudence A RussellAnatomical Pathology Department, St. Vincent's Hospital and the University of Melbourne, Fitzroy, Victoria, Australia.
Spasenija Savic PrinceInstitute of Pathology, University Hospital Basel, Basel, Switzerland.
Yasushi YatabeDepartment of Pathology and Molecular Diagnostics, Aichi Cancer Center, Nagoya, Japan.
Lukas BubendorfInstitute of Pathology, University Hospital Basel, Basel, Switzerland.
IASLC Pathology Committee
All India Institute of Medical Sciences · INUniversity Hospital of Basel · CHAichi Cancer Center · JPCornell University · USMemorial Sloan Kettering Cancer Center · USNational Hospital Organization · JPNYU Langone Health · USSun Yat-sen University · CNThe University of Melbourne · AUTokyo National Hospital · JPUniversity of Turin · IT

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

With an escalating number of predictive biomarkers emerging in non-small cell lung carcinoma (NSCLC), immunohistochemistry (IHC) is being used as a rapid and cost-effective tool for the screening and detection of many of these markers. In particular, robust IHC assays performed on formalin-fixed, paraffin-embedded (FFPE) tumor tissue are widely used as surrogate markers for ALK and ROS1 rearrangements and for detecting programmed death ligand 1 (PD-L1) expression in patients with advanced NSCLC; in addition, they have become essential for treatment decisions. Cytology samples represent the only source of tumor in a significant proportion of patients with inoperable NSCLC, and there is increasing demand for predictive biomarker testing on them. However, the wide variation in the types of cytology samples and their preparatory methods, the use of alcohol-based fixatives that interfere with immunochemistry results, the difficulty in procurement of cytology-specific controls, and the uncertainty regarding test validity have resulted in underutilization of cytology material for predictive immunocytochemistry (ICC), and most cytopathologists limit such testing to FFPE cell blocks (CBs). The purpose of this review is to: 1) analyze various preanalytical, analytical, and postanalytical factors influencing ICC results; 2) discuss measures for validation of ICC protocols; and 3) summarize published data on predictive ICC for ALK, ROS1, EGFR gene alterations and PD-L1 expression on lung cancer cytology. Based on our experience and from a review of the literature, we conclude that cytology specimens are in principal suitable for predictive ICC, but proper optimization and rigorous quality control for high-quality staining are essential, particularly for non-CB preparations.

Indexed as

Biomarkers, TumorCytodiagnosisHumansImmunohistochemistryLung NeoplasmsPredictive Value of TestsBiomarkers, Tumorcell blocksimmunocytochemistrylung cancerpredictivesmears

Identifiers

PMID31050216
PMCPMC7493418
OpenAlexW2943216613

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.