Evidence map›Paper›PMID 35428184›Full record

ArticleBMC gastroenterology2022

Nuclear morphometry and chromatin texture changes in hepatocellular carcinoma samples may predict outcomes of liver transplanted patients.

Jordan Boeira Dos Santos, Rodrigo Tzovenos Starosta, Emily Ferreira Salles Pilar, Jefferson Daniel Kunz, Joelson Tomedi, Carlos Thadeu Schmidt Cerski, Rúbia Denise Ruppenthal

Open access · goldAbstract read
In one paragraph

Article in BMC gastroenterology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.5field-weighted citation impact, top 17% 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

8 citing papers in PubMed, 12 citations in OpenAlex.

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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

7 authors at 3 institutions in 2 countries.

Jordan Boeira Dos SantosGraduate Program in Science in Gastroenterology and Hepatology, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil. jordansantos@hcpa.edu.br.ORCID http://orcid.org/0000-0001-6257-1448
Rodrigo Tzovenos StarostaDepartment of Pediatrics, Saint Louis Children's Hospital, Washington University, Saint Louis, MO, USA.ORCID https://orcid.org/0000-0002-2350-7192
Emily Ferreira Salles PilarExperimental Research Center, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil.ORCID https://orcid.org/0000-0003-3417-3586
Jefferson Daniel KunzExperimental Research Center, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil.ORCID https://orcid.org/0000-0002-0896-2234
Joelson TomediDepartment of Surgical Pathology, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil.
Carlos Thadeu Schmidt CerskiGraduate Program in Science in Gastroenterology and Hepatology, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil.ORCID https://orcid.org/0000-0003-0673-5916
Rúbia Denise RuppenthalGraduate Program in Science in Gastroenterology and Hepatology, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil.ORCID https://orcid.org/0000-0003-3311-4701
Hospital de Clínicas de Porto Alegre · BRUniversidade Federal do Rio Grande do Sul · BRSt. Louis Children's Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNuclear changes are typical in the carcinogenesis of hepatocellular carcinoma (HCC). Morphometry and chromatin texture analysis are quantitative methods for their quantification. In this study, we analyzed nuclear morphometry and chromatin texture parameters in samples of hepatocellular carcinoma from liver transplant patients and their associations with clinicopathologic variables.

methodsSamples of HCC and adjacent tissue from 34 individuals were collected in tissue microarray blocks. Stained slides were microphotographed using an optical microscope and nuclear parameters analyzed in ImageJ (FracLac plug-in). ROC curve analysis was used to find accurate cut-offs for differentiation of neoplastic and non-neoplastic cells. The inter-rater agreement was also evaluated.

resultsNuclear morphometric and textural differences were observed between the samples of HCC and adjacent tissue of liver transplant patients. Lower mean gray value (p = 0.034) and Feret diameter (p = 0.024) were associated with higher Model for End-Stage Liver Disease (MELD) scores. Nuclei with larger area (p = 0.014) and larger Feret diameter (p = 0.035) were associated with lower survival. Lower aspect ratio was associated with HCC recurrence after the transplant (p = 0.048). The cut-off of 1.13 μm (p =  < 0.001) for aspect ratio and cut-off of 21.15 μm (p = 0.038) for perimeter were established for the differentiation of neoplastic and non-neoplastic cells. The morphometric analysis was reproducible to area, circularity, Feret diameter, mean gray value and aspect ratio between observers (p =  < 0.001).

conclusionsNuclear morphometric differences between the HCC and the adjacent tissue samples were associated with prognostic variables (MELD scores, recurrence and survival) and may predict liver transplant patients' outcomes.

Indexed as

Carcinoma, HepatocellularEnd Stage Liver DiseaseLiver NeoplasmsChromatinHumansRetrospective StudiesSeverity of Illness IndexChromatinChromatin textureHepatocellular carcinomaLiver transplantMorphometry

Identifiers

PMID35428184
PMCPMC9013120
OpenAlexW4223899031

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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.