Clinical usefulness of the free web-based image analysis application ImmunoRatio for assessment of Ki-67 labelling index in breast cancer.

Abstract:

AIMS:Ki-67 is a prognostic marker in breast cancer; however, the use of the Ki-67 labelling index (LI) in clinical practice requires a consistent and easily accessible scoring method. The present study evaluated the use of the free internet-based image analysis program ImmunoRatio to score Ki-67 LI in breast cancer in comparison with manual counting. METHODS:Ki-67 immunohistochemical detection was performed in 577 breast cancer cases, and the Ki-67 LI was determined by ImmunoRatio and manual counting. RESULTS:The Ki-67 LI determined by ImmunoRatio correlated well with that obtained by manual counting. The concordance rate between ImmunoRatio and manual counting was excellent (κ coefficient of 0.881) at a Ki-67 LI cut-off value of 20%. Cases with high Ki-67 LI by ImmunoRatio were associated with poor overall survival, in particular in the hormone receptor positive group. CONCLUSIONS:The web-based automated image analysis program ImmunoRatio is an attractive alternative to manual counting to determine the Ki-67 LI in breast cancer.

journal_name

J Clin Pathol

authors

Yeo MK,Kim HE,Kim SH,Chae BJ,Song BJ,Lee A

doi

10.1136/jclinpath-2016-204162

subject

Has Abstract

pub_date

2017-08-01 00:00:00

pages

715-719

issue

8

eissn

0021-9746

issn

1472-4146

pii

jclinpath-2016-204162

journal_volume

70

pub_type

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