Evidence map›Paper›PMID 33182544›Full record

ArticleDiagnostics (Basel, Switzerland)2020

Morphometric Assessment of Confocal Laser Endomicroscopy for Pancreatic Ductal Adenocarcinoma, an Ex-Vivo Pilot Study.

Bogdan Silviu Ungureanu, Daniel Pirici, Simona Olimpia Dima, Irinel Popescu, Gheorghe Hundorfean, Valeriu Surlin, Adrian Saftoiu

Abstract read
In one paragraph

Article in Diagnostics (Basel, Switzerland), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Bogdan Silviu UngureanuGastroenterology Department, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.
Daniel PiriciHistology Department, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.ORCID 0000-0001-9192-7319
Simona Olimpia DimaSurgical Department, Fundeni Clinical Institute, 925200 Bucharest, Romania.
Irinel PopescuSurgical Department, Fundeni Clinical Institute, 925200 Bucharest, Romania.
Gheorghe HundorfeanMedical Clinic 1, Department of Medicine, University Hospital Erlangen, University Erlangen-Nuremberg, 91052 Erlangen, Germany.
Valeriu SurlinSurgical Department, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.ORCID 0000-0003-2648-5408
Adrian SaftoiuGastroenterology Department, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ex-vivo freshly surgical removed pancreatic ductal adenocarcinoma (PDAC) specimens were assessed using pCLE and then processed for paraffin embeding and histopathological diagnostic in an endeavour to find putative image analysis algorithms that might recognise adenocarcinoma.

methodsTwelve patients diagnosed with PDAC on endoscopic ultrasound and FNA confirmation underwent surgery. Removed samples were sprayed with acriflavine as contrast agent, underwent pCLE with an experimental probe and compared with previous recordings of normal pancreatic tissue. Subsequently, all samples were subjected to cross-sectional histopathology, including surgical resection margins for controls. pCLE records, as well as corespondant cytokeratin-targeted immunohistochemistry images were processed using the same morphological classifiers in the Image ProPlus AMS image analysis software. Specific morphometric classifiers were automatically generated on all images: Area, Hole Area (HA), Perimeter, Roundness, Integrated Optical Density (IOD), Fractal Dimension (FD), Ferret max (Fmax), Ferret mean (Fmean), Heterogeneity and Clumpiness.

resultsAfter histopathological confirmation of adenocarcinoma areas, we have found that the same morphological classifiers could clearly differentiate between tumor and non-tumor areas on both pathology and correspondand pCLE (area, roundness, IOD, ferret and heterogeneity (

conclusionsThis pilot study proves that classical morphometrical classifiers can clearly differentiate adenocarcimoma on pCLE data, and the implementation in a live image-analysis algorithm might help in improving the specificity of pCLE in vivo diagnostic.

Indexed as

confocal laser endomicroscopyendoscopic ultrasoundpancreatic adenocarcinoma

Identifiers

PMID33182544
PMCPMC7696051

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