Evidence map›Paper›PMID 36807749›Full record

ArticleJournal of gynecologic oncology2023

Histopathological subtyping of high-grade serous ovarian cancer using whole slide imaging.

Chiho Miyagawa, Hidekatsu Nakai, Tomoyuki Otani, Ryusuke Murakami, Shiki Takamura, Hisamitsu Takaya, Kosuke Murakami, Masaki Mandai, Noriomi Matsumura

Abstract read
In one paragraph

Article in Journal of gynecologic oncology, 2023. 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
–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

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Overview of Tumor Heterogeneity in High-Grade Serous Ovarian Cancers.International journal of molecular sciences · 2023
    Review
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

9 authors.

Chiho MiyagawaDepartment of Obstetrics and Gynecology, Kindai University Faculty of Medicine, Osaka-Sayama, Japan.ORCID 0000-0002-9614-0117
Hidekatsu NakaiDepartment of Obstetrics and Gynecology, Kindai University Faculty of Medicine, Osaka-Sayama, Japan. nakai@med.kindai.ac.jp.ORCID 0000-0002-9994-2131
Tomoyuki OtaniDepartment of Pathology, Kindai University Faculty of Medicine, Osaka-Sayama, Japan.ORCID 0000-0002-4351-324X
Ryusuke MurakamiDepartment of Gynecology and Obstetrics, Graduate School of Medicine, Kyoto University, Kyoto, Japan.ORCID 0000-0001-5007-5674
Shiki TakamuraDepartment of Immunology, Kindai University Faculty of Medicine, Osaka-Sayama, Japan.ORCID 0000-0001-6681-0258
Hisamitsu TakayaDepartment of Obstetrics and Gynecology, Kindai University Faculty of Medicine, Osaka-Sayama, Japan.ORCID 0000-0002-5234-9226
Kosuke MurakamiDepartment of Obstetrics and Gynecology, Kindai University Faculty of Medicine, Osaka-Sayama, Japan.ORCID 0000-0003-4278-5849
Masaki MandaiDepartment of Gynecology and Obstetrics, Graduate School of Medicine, Kyoto University, Kyoto, Japan.ORCID 0000-0003-4428-8029
Noriomi MatsumuraDepartment of Obstetrics and Gynecology, Kindai University Faculty of Medicine, Osaka-Sayama, Japan.ORCID 0000-0002-4512-7975

Funding

JSPS 18H02947JSPS 22K09630
6 · The paper itself

Abstract

objectiveWe have established 4 histopathologic subtyping of high-grade serous ovarian cancer (HGSOC) and reported that the mesenchymal transition (MT) type has a worse prognosis than the other subtypes. In this study, we modified the histopathologic subtyping algorithm to achieve high interobserver agreement in whole slide imaging (WSI) and to characterize the tumor biology of MT type for treatment individualization.

methodsFour observers performed histopathological subtyping using WSI of HGSOC in The Cancer Genome Atlas data. As a validation set, cases from Kindai and Kyoto Universities were independently evaluated by the 4 observers to determine concordance rates. In addition, genes highly expressed in MT type were examined by gene ontology term analysis. Immunohistochemistry was also performed to validate the pathway analysis.

resultsAfter algorithm modification, the kappa coefficient, which indicates interobserver agreement, was greater than 0.5 (moderate agreement) for the 4 classifications and greater than 0.7 (substantial agreement) for the 2 classifications (MT vs. non-MT). Gene expression analysis showed that gene ontology terms related to angiogenesis and immune response were enriched in the genes highly expressed in the MT type. CD31 positive microvessel density was higher in the MT type compared to the non-MT type, and tumor groups with high infiltration of CD8/CD103 positive immune cells were observed in the MT type.

conclusionWe developed an algorithm for reproducible histopathologic subtyping classification of HGSOC using WSI. The results of this study may be useful for treatment individualization of HGSOC, including angiogenesis inhibitors and immunotherapy.

Indexed as

Cystadenocarcinoma, SerousOvarian NeoplasmsFemaleGene Expression ProfilingHumansPrognosisBiomarkersCarcinomaHistopathologyOvarian Epithelial Cancer

Identifiers

PMID36807749
PMCPMC10323300

What OpenQuestion holds

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Registered trials

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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.