通过组织学特征区分BRAF V600E和RAS类囊卵泡模式瘤的变化:一个验证研究
Chankyung Kim1,2, Shipra Agarwal3, Andrey Bychkov4
1Department of Anatomical Pathology, SA Pathology, Adelaide, SA, Australia.
Virchows Archiv : an international journal of pathology
|February 17, 2024
概括
一个新的核评分系统有助于区分BRAF V600E改变的甲状腺瘤和RAS改变的甲状腺瘤. 核伪包含 (NPI) 在BRAF V600E瘤中更频繁,提高了诊断准确度.
科学领域:
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
- 病理学 病理学 病理学
背景情况:
- 很难通过形态学来区分BRAF V600E和RAS改变的封装卵泡模式的甲状腺瘤.
- 核伪包含 (NPI) 可能有助于区分这些瘤类型.
研究的目的:
- 验证一个8分级核评分系统,用于区分甲状腺瘤中的BRAF V600E和RAS变异.
- 调查这些瘤中NPI的诊断意义.
主要方法:
- 分析了44个封装的卵泡模式甲状腺瘤的队列,这些瘤具有已知的BRAF V600E或RAS改变.
- 一个深度学习模型评估了核参数 (面积,直径,光密度).
- 12名病理学家使用8分级评价22例病例,获得了半定量评分 (0-24).
主要成果:
- 与RAS改变的瘤相比,BRAF V600E瘤的核面积和直径显著更大,光学密度更低.
- 14的值得分区分了两组,BRAF V600E瘤的中位数得分较高.
- 在所有BRAF V600E病例中都存在NPI,但只有2个RAS改变的病例,改善了诊断准确度.
结论:
- 核评分系统的8分级与NPI评估相结合,显著提高了区分BRAF V600E-与RAS改变的甲状腺瘤的准确性.
- 这种系统对于非专门从事甲状腺病理学的病理学家来说尤其有益.
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