Evidence map›Paper›PMID 34021261›Full record

ArticleLaboratory investigation; a journal of technical methods and pathology2021

A new technological approach in diagnostic pathology: mass spectrometry imaging-based metabolomics for biomarker detection in urachal cancer.

Judith Martha Neumann, Karsten Niehaus, Nils Neumann, Hans Christoph Knobloch, Felix Bremmer, Ulrich Krafft, Udo Kellner, Peter Nyirády, Tibor Szarvas, Hanna Bednarz and 1 more

Erratum issuedOpen access · hybridAbstract read
In one paragraph

Article in Laboratory investigation; a journal of technical methods and pathology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.1field-weighted citation impact, top 8% 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

10 citing papers in PubMed, 15 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 2 countries.

Judith Martha NeumannProteome and Metabolome Research, Center for Biotechnology (CeBiTec), Faculty of Biology, Bielefeld University, Bielefeld, Germany.ORCID 0000-0002-5638-8548
Karsten NiehausProteome and Metabolome Research, Center for Biotechnology (CeBiTec), Faculty of Biology, Bielefeld University, Bielefeld, Germany.
Nils NeumannResearch Institute for Cognition and Robotics (CoR-Lab), Bielefeld University, Bielefeld, Germany.
Hans Christoph KnoblochDepartment of Urology, University Medical Center Göttingen, University of Göttingen, Göttingen, Germany.
Felix BremmerInstitute of Pathology, University Medical Center Göttingen, University of Göttingen, Göttingen, Germany.
Ulrich KrafftDepartment of Urology, University Hospital Essen, University of Duisburg-Essen, Essen, Germany.
Udo KellnerInstitut für Pathologie, Johannes Wesling Klinikum Minden, Minden, Germany.
Peter NyirádyDepartment of Urology, Semmelweis University Budapest, Budapest, Hungary.
Tibor SzarvasDepartment of Urology, University Hospital Essen, University of Duisburg-Essen, Essen, Germany.
Hanna BednarzProteome and Metabolome Research, Center for Biotechnology (CeBiTec), Faculty of Biology, Bielefeld University, Bielefeld, Germany. hanna.bednarz@uni-bielefeld.de.
Henning ReisInstitute of Pathology, University Hospital Essen, University of Duisburg-Essen, Essen, Germany. henning.reis@uk-essen.de.
Bielefeld University · DESemmelweis University · HUUniversitätsmedizin Göttingen · DEUniversity of Duisburg-Essen · DEJohannes Wesling Klinikum Minden · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Urachal adenocarcinomas (UrC) are rare but aggressive. Despite being of profound therapeutic relevance, UrC cannot be differentiated by histomorphology alone from other adenocarcinomas of differential diagnostic importance. As no reliable tissue-based diagnostic biomarkers are available, we aimed to detect such by integrating mass-spectrometry imaging-based metabolomics and digital pathology, thus allowing for a multimodal approach on the basis of spatial information. To achieve this, a cohort of UrC (n = 19) and colorectal adenocarcinomas (CRC, n = 27) as the differential diagnosis of highest therapeutic relevance was created, tissue micro-arrays (TMAs) were constructed, and pathological data was recorded. Hematoxylin and eosin (H&E) stained tissue sections were scanned and annotated, enabling an automized discrimination of tumor and non-tumor areas after training of an adequate algorithm. Spectral information within tumor regions, obtained via matrix-assisted laser desorption/ionization (MALDI)-Orbitrap-mass spectrometry imaging (MSI), were subsequently extracted in an automated workflow. On this basis, metabolic differences between UrC and CRC were revealed using machine learning algorithms. As a result, the study demonstrated the feasibility of MALDI-MSI for the evaluation of FFPE tissue in UrC and CRC with the potential to combine spatial metabolomics data with annotated histopathological data from digitalized H&E slides. The detected Area under the curve (AUC) of 0.94 in general and 0.77 for the analyte taurine alone (diagnostic accuracy for taurine: 74%) makes the technology a promising tool in this differential diagnostic dilemma situation. Although the data has to be considered as a proof-of-concept study, it presents a new adoption of this technology that has not been used in this scenario in which reliable diagnostic biomarkers (such as immunohistochemical markers) are currently not available.

Indexed as

Urinary Bladder NeoplasmsAgedBiomarkers, TumorColorectal NeoplasmsFemaleHumansMaleMetabolomeMetabolomicsMiddle AgedMolecular ImagingMultivariate AnalysisSpectrometry, Mass, Matrix-Assisted Laser Desorption-IonizationBiomarkers, Tumor

Identifiers

PMID34021261
PMCPMC8367814
OpenAlexW3163472744

What OpenQuestion holds

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LicenceCC BY
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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.