Whole-slide imaging at primary pathological diagnosis: Validation of whole-slide imaging-based primary pathological diagnosis at twelve Japanese academic institutes.

Abstract:

:Several reports have demonstrated the use of whole-slide imaging (WSI) for primary pathological diagnosis, but no such studies have been published from Asia. We retrospectively collected 1070 WSI specimens from 900 biopsies and small surgeries conducted in nine hospitals. Nine pathologists, who participated in this study, trained for the College of American Pathologists guidelines, reviewed the specimens and made diagnoses based on digitized, 20× or 40× optically magnified images with a WSI scanner. After a washout interval of over 2 weeks, the same observers reviewed conventional glass slides and diagnosed them by light microscopy. Discrepancies between microscopy- and WSI-based diagnoses were evaluated at the individual institutes, and discrepant cases were further reviewed by all pathologists. Nine diagnoses (0.9%) showed major discrepancies with significant clinical differences between the WSI- and microscopy-based diagnoses, and 37 (3.5%) minor discrepancies occurred without a clinical difference. Eight out of nine diagnoses with a major discrepancy were considered concordant with the microscopy-based diagnoses. No association was observed between the level of discrepancy and the organ type, collection method, or digitized optical magnification. Our results indicate the availability of WSI-based primary diagnosis of biopsies and small surgeries in routine daily practice.

journal_name

Pathol Int

journal_title

Pathology international

authors

Tabata K,Mori I,Sasaki T,Itoh T,Shiraishi T,Yoshimi N,Maeda I,Harada O,Taniyama K,Taniyama D,Watanabe M,Mikami Y,Sato S,Kashima Y,Fujimura S,Fukuoka J

doi

10.1111/pin.12590

subject

Has Abstract

pub_date

2017-11-01 00:00:00

pages

547-554

issue

11

eissn

1320-5463

issn

1440-1827

journal_volume

67

pub_type

杂志文章
  • Histopathological analysis of aggressive renal cell carcinoma harboring a unique germline mutation in fumarate hydratase.

    abstract::Hereditary leiomyomatosis and renal cell cancer (HLRCC) is a rare genetic disorder characterized by cutaneous and uterine leiomyomatosis with RCC. This disorder is caused by a germline mutation in the fumarate hydratase (FH) gene, which encodes an important enzyme of the tricarboxylic acid (TCA) cycle. This mutation d...

    journal_title:Pathology international

    pub_type: 杂志文章

    doi:10.1111/pin.12684

    authors: Matsumoto K,Udaka N,Hasumi H,Nakaigawa N,Nagashima Y,Tanaka R,Kato I,Yao M,Furuya M

    更新日期:2018-05-24 00:00:00

  • Unusual fusion between ventral and dorsal primordia causes anomalous pancreaticobiliary junction.

    abstract::Anomalous pancreaticobiliary junction (APBJ) is a congenital anomaly in which the pancreatic duct joins the common bile duct proximal to the sphincter of Oddi. Anatomical and immunohistochemical examination of the pancreas with APBJ has rarely been performed. A 72-year-old woman with gallbladder cancer and APBJ died o...

    journal_title:Pathology international

    pub_type: 杂志文章

    doi:10.1111/j.1440-1827.2008.02263.x

    authors: Tadokoro H,Takase M,Nobukawa B

    更新日期:2008-08-01 00:00:00

  • Assessment of hepatic fibrosis by transient elastography in patients with chronic hepatitis B.

    abstract::Hepatic ultrasonic transient elastography (FibroScan) is a new diagnostic method for the assessment of hepatic fibrosis. There are limited data available on its use as a follow-up tool for patients with chronic hepatitis B. In this study, 134 patients were enrolled. Hepatic fibrosis was evaluated by liver stiffness me...

    journal_title:Pathology international

    pub_type: 杂志文章

    doi:10.1111/j.1440-1827.2010.02515.x

    authors: Zhang YG,Wang BE,Wang TL,Ou XJ

    更新日期:2010-04-01 00:00:00

  • Regulatory effects of senescence marker protein 30 on the proliferation of hepatocytes.

    abstract::Senescence marker protein 30 (SMP 30) is preferentially expressed in the liver. One of its remarkable functions is the protection of cells against various injuries by enhancement of membrane calcium-pump activity. We analyzed the role of SMP 30 in hepatocyte proliferation. SMP 30 expression was decreased initially, th...

    journal_title:Pathology international

    pub_type: 杂志文章

    doi:10.1046/j.1440-1827.2001.01238.x

    authors: Ishigami T,Fujita T,Simbula G,Columbano A,Kikuchi K,Ishigami A,Shimosawa T,Arakawa Y,Maruyama N

    更新日期:2001-07-01 00:00:00

  • CD1a expression in PEComas.

    abstract::According to the World Health Organization classification, neoplasms with perivascular epithelioid cell differentiation (PEComas) are mesenchymal tumors composed of histologically and immunohistochemically distinctive PEC. Generally, nearly all PEComas have immunoreactivity for both melanocytic (HMB-45 and/or melan A)...

    journal_title:Pathology international

    pub_type: 杂志文章

    doi:10.1111/j.1440-1827.2007.02206.x

    authors: Adachi Y,Horie Y,Kitamura Y,Nakamura H,Taniguchi Y,Miwa K,Fujioka S,Nishimura M,Hayashi K

    更新日期:2008-03-01 00:00:00

  • Molecularly genetic analysis of von Hippel-Lindau associated central nervous system hemangioblastoma.

    abstract::Von Hippel-Lindau (VHL) disease is an autosomal dominant inherited cancer predisposition syndrome, characterized by development of a variety of neoplasms in multiple organs. Central nervous system hemangioblastoma (CHB) is the most common manifestation of VHL disease. The germline mutations in the VHL tumor suppressor...

    journal_title:Pathology international

    pub_type: 杂志文章

    doi:10.1111/j.1440-1827.2010.02540.x

    authors: Zhou J,Wang J,Li N,Zhang X,Zhou H,Zhang R,Ma H,Zhou X

    更新日期:2010-06-01 00:00:00

  • Perivascular myoma: case report with immunohistochemical and ultrastructural studies.

    abstract::A subcutaneous myopericytoma-type perivascular myoma arising in the elbow of a 61-year-old woman is described. The tumor was well demarcated and consisted microscopically of small ovoid and spindle cells arranged in a concentric fashion, surrounding small to medium-sized vessels and imparting a superficial resemblance...

    journal_title:Pathology international

    pub_type: 杂志文章

    doi:10.1046/j.1440-1827.2002.01318.x

    authors: Mikami Y,Shiomi T,Manabe T

    更新日期:2002-01-01 00:00:00

  • Evolution of three patterns of intra-alveolar fibrosis produced by bleomycin in rats.

    abstract::In pulmonary fibrosis, it is known that fibrotic changes develop in the intra-alveolar spaces and that intra-alveolar fibrosis can be classified into three patterns, namely intra-alveolar buds, mural incorporation and obliterative changes. In order to clarify the evolution of intra-alveolar fibrosis, immunohistochemic...

    journal_title:Pathology international

    pub_type: 杂志文章

    doi:10.1111/j.1440-1827.1995.tb03503.x

    authors: Usuki J,Fukuda Y

    更新日期:1995-08-01 00:00:00

  • Desmoplastic reaction in biopsy specimens of early colorectal cancer: a Japanese prospective multicenter study.

    abstract::We previously reported that detection of desmoplastic reaction (DR) in pretreatment biopsy specimens was useful for predicting the depth of submucosal invasion (SM depth) in nonpedunculated early colorectal cancers (ECRCs) in a retrospective study. Here, we performed a prospective multicenter study for verification of...

    journal_title:Pathology international

    pub_type: 杂志文章,多中心研究

    doi:10.1111/j.1440-1827.2012.02840.x

    authors: Kimura R,Fujimori T,Ichikawa K,Ajioka Y,Ueno H,Ohkura Y,Kashida H,Togashi K,Yao T,Wada R,Watanabe T,Ochiai A,Sugai T,Sugihara K,Igarashi Y

    更新日期:2012-08-01 00:00:00

  • An extremely rare case of Epstein-Barr virus-associated gastric carcinoma with differentiation to neuroendocrine carcinoma.

    abstract::Epstein-Barr virus (EBV)-associated gastric carcinoma (EBVGC) is defined as a neoplasm comprising monoclonal proliferation of EBV-infected gastric epithelial cells. Although the typical histology is gastric carcinoma with lymphoid stroma (GCLS), the histologic features of the tumor vary. We report herein the case of a...

    journal_title:Pathology international

    pub_type: 杂志文章

    doi:10.1111/pin.12613

    authors: Shimizu A,Takahashi T,Kushima R,Sentani K,Yasui W,Matsuno Y

    更新日期:2018-01-01 00:00:00

  • Mixed pleomorphic lobular and apocrine carcinoma of the breast: A case report suggesting pathogenesis.

    abstract::Pleomorphic lobular carcinoma (PLC) of the breast is a variant of lobular carcinoma, characterized by loss of E-cadherin expression and high-grade morphologies. Whether the pathogenesis of PLC is in the ductal or the lobular lineage has been discussed. In this report, a case of PLC combined with apocrine carcinoma is ...

    journal_title:Pathology international

    pub_type: 杂志文章

    doi:10.1111/pin.12781

    authors: Ishii A,Oishi T,Kakuda Y,Yasui H,Kawata T,Muramatsu K,Takahashi K,Sugino T

    更新日期:2019-05-01 00:00:00

  • Pathological investigation of oxidative stress in the post-genomic era.

    abstract::Aerobes, including humans, are consistently exposed to oxidative stress by consuming oxygen. The biological significance of oxidative stress via reactive oxygen and nitrogen species consists of two stages: reversible redox regulation and irreversible oxidative molecular damage, which are sometimes intermingled. During...

    journal_title:Pathology international

    pub_type: 杂志文章,评审

    doi:10.1111/j.1440-1827.2007.02127.x

    authors: Toyokuni S,Akatsuka S

    更新日期:2007-08-01 00:00:00

  • Establishment and characterization of a novel dedifferentiated liposarcoma cell line, NDDLS-1.

    abstract::We established a dedifferentiated liposarcoma cell line (NDDLS-1) that produces interleukin-6 (IL-6) and granulocyte-colony stimulating factor (G-CSF). The parental tumor showed high leukemoid reactions. The NDDLS-1 cell line was established from a pleural effusion associated with a lung metastasis. Pleomorphic tumor ...

    journal_title:Pathology international

    pub_type: 杂志文章

    doi:10.1111/j.1440-1827.2011.02683.x

    authors: Ariizumi T,Ogose A,Kawashima H,Hotta T,Li G,Xu Y,Hirose T,Endo N

    更新日期:2011-08-01 00:00:00

  • Metastatic pineocytoma of the spinal cord after long-term dormancy.

    abstract::An unusual tumor in the spinal cord of a 57 year old man is reported. At the age of 42 years, the patient had had a pineal region tumor that subsequently disappeared completely after local radiation therapy only. Eleven and 15 years later, at the ages of 53 and 57 years, respectively, solitary spinal cord tumors were ...

    journal_title:Pathology international

    pub_type: 杂志文章

    doi:10.1111/j.1440-1827.1994.tb01685.x

    authors: Ito T,Takahashi H,Ikuta F,Sato H

    更新日期:1994-12-01 00:00:00

  • Thymidine phosphorylase expression causes both the increase of intratumoral microvessels and decrease of apoptosis in human esophageal carcinomas.

    abstract::Thymidine phosphorylase (dThdPase)/platelet-derived endothelial cell growth factor, is expressed at higher levels in tumor tissues compared to the adjacent normal tissues in a variety of human carcinomas. The higher expression is associated with an increase of intratumoral microvessel density (IMVD) and an unfavorable...

    journal_title:Pathology international

    pub_type: 杂志文章

    doi:10.1046/j.1440-1827.2001.01184.x

    authors: Okamoto E,Osaki M,Kase S,Adachi H,Kaibara N,Ito H

    更新日期:2001-03-01 00:00:00

  • Copper and iron-induced oxidative damage in non-tumor bearing LEC rats.

    abstract::The copper and iron status in the liver of non-tumor bearing Long-Evans Cinnamon (LEC) rats (average age 17 months) was investigated. A direct quantitation of loosely-bound copper and iron was also investigated by using a chelating agent, nitrilotriacetic acid (NTA-chelatable free copper and iron). Besides the total c...

    journal_title:Pathology international

    pub_type: 杂志文章

    doi:10.1111/j.1440-1827.1997.tb04481.x

    authors: Ma Y,Zhang D,Kawabata T,Kiriu T,Toyokuni S,Uchida K,Okada S

    更新日期:1997-04-01 00:00:00

  • The prognostic significance of N-myc downregulated gene 1 in lung adenocarcinoma.

    abstract::It has been reported that N-myc downstream regulated gene 1 (NDRG1) is related to the prognosis of non-small cell lung cancer (NSCLC), and associated with c-Myc degradation in NSCLC cell lines. However, the relationship of NDRG1 to prognosis or c-Myc expression in lung adenocarcinoma has not been well clarified. The p...

    journal_title:Pathology international

    pub_type: 杂志文章

    doi:10.1111/pin.12644

    authors: Dai T,Dai Y,Murata Y,Husni RE,Nakano N,Sakashita S,Noguchi M

    更新日期:2018-04-01 00:00:00

  • Ubiquitinated cytokeratin inclusions in lichen amyloidosus: an immunohistochemical analysis.

    abstract::Eosinophilic hyaline inclusions were consistently seen in the perinuclear cytoplasm of suprabasal keratinocytes in lichen amyloidosus. The inclusions, negative with amyloid staining, were immunoreactive for ubiquitin and cytokeratin, and ultrastructurally showed aggregations of fine filaments of two sizes (central thi...

    journal_title:Pathology international

    pub_type: 杂志文章

    doi:10.1111/j.1440-1827.1995.tb03431.x

    authors: Akamatsu M,Hori S,Tsutsumi Y,Osamura RY,Ohkido M

    更新日期:1995-02-01 00:00:00

  • Overexpression of p16 and p14ARF is associated with human papillomavirus infection in cervical squamous cell carcinoma and dysplasia.

    abstract::The CDKN2 gene encodes two structurally different proteins: a cyclin-dependent kinase inhibitor, p16, which regulates retinoblastoma protein (pRb)-dependent G1 arrest, and a cell cycle inhibitor, p14ARF, which blocks MDM2-induced p53 degradation resulting in an increase in p53 levels that leads to cell cycle arrest. R...

    journal_title:Pathology international

    pub_type: 杂志文章

    doi:10.1046/j.1440-1827.2002.01359.x

    authors: Sano T,Masuda N,Oyama T,Nakajima T

    更新日期:2002-05-01 00:00:00

  • Lymphoid hyperplasia of the large intestine: a case report with immunohistochemical and gene analysis.

    abstract::A case of lymphoid hyperplasia arising in the large intestine of a 54-year-old woman is described. Barium enema X-ray and colonoscopic examination revealed multiple small polyps in the right side of the colon. Pathological findings from forceps biopsy revealed similar features to a mucosa-associated lymphoid tissue (M...

    journal_title:Pathology international

    pub_type: 杂志文章

    doi:10.1046/j.1440-1827.2000.01107.x

    authors: Nagaoka S,Bandoh T,Takemura T

    更新日期:2000-09-01 00:00:00

  • Generalized infantile myofibromatosis with a monophasic primitive pattern.

    abstract::Infantile myofibromatosis (IM) is a rare disorder present at birth or in early infancy with a biphasic histological pattern. We present a neonatal-onset case of generalized IM with visceral (central nervous system, heart, lungs, liver, spleen, small intestine, kidneys and bones) and placental involvement, showing a mo...

    journal_title:Pathology international

    pub_type: 杂志文章

    doi:10.1111/pin.12312

    authors: Iwafuchi H,Tsuzuki T,Ito R,Miyake H,Okita H,Hamazaki M

    更新日期:2015-08-01 00:00:00

  • Cystic renal cell carcinoma: arose as a simple cyst, recurred repeatedly as a multicystic mass and finally presented as a solid mass.

    abstract::An unusual case of cystic renal cell carcinoma in a 70-year-old Japanese male is reported. He had had a simple renal cyst removed 1 year ago. On presentation the right kidney was surrounded by multiple translucent cysts, which varied in size from 1 to 50 mm. The cyst walls were lined by single-layered cuboidal epithel...

    journal_title:Pathology international

    pub_type: 杂志文章

    doi:10.1111/j.1440-1827.1998.tb03960.x

    authors: Shishikura Y,Furusato M,Aizawa S

    更新日期:1998-08-01 00:00:00

  • Primary cutaneous CD30 positive T-cell lymphoproliferative disorders with aberrant expression of PAX5: report of three cases.

    abstract::Accurate diagnosis of lymphoma includes the assessment of lineage-specific markers. Hematopoietic and lymphoid tissues express PAX5 exclusively in pro-B-cell to mature B-cell stages. However, some mature PAX5+ T-cell lymphomas have been reported. We report three cases of primary cutaneous CD30+ T-cell lymphoproliferat...

    journal_title:Pathology international

    pub_type: 杂志文章

    doi:10.1111/j.1440-1827.2011.02784.x

    authors: Hagiwara M,Tomita A,Takata K,Shimoyama Y,Yoshino T,Tomita Y,Nakamura S

    更新日期:2012-04-01 00:00:00

  • Bile duct adenoma and von Meyenburg complex-like duct arising in hepatitis and cirrhosis: pathogenesis and histological characteristics.

    abstract::Morphologic features and neoplastic potentials of bile duct adenoma (BDA) and von Meyenburg complex (VMC)-like duct arising in chronic liver disease were unknown. Thirty-five BDAs and 12 VMC-like duct lesions were observed in 39 cases with chronic liver disease. BDAs were divided into the EMA-cytoplasmic type (n = 14)...

    journal_title:Pathology international

    pub_type: 杂志文章

    doi:10.1111/pin.12209

    authors: Aishima S,Tanaka Y,Kubo Y,Shirabe K,Maehara Y,Oda Y

    更新日期:2014-11-01 00:00:00

  • A case report of angioimmunoblastic T cell lymphoma (AITL) with localization of neoplastic clear cells in the outer zone of germinal centers.

    abstract::Angioimmunoblastic T cell lymphoma (AITL) is characterized by the presence of atypical lymphocytes with clear cytoplasm and follicular dendritic cells, arborization of high endothelial blood vessels, and infiltration by inflammatory cells, such as epithelioid histiocytes, eosinophils, immunoblasts, and plasma cells. T...

    journal_title:Pathology international

    pub_type: 杂志文章

    doi:10.1111/j.1440-1827.2011.02655.x

    authors: Murakami Y,Shimada K,Kosugi H,Mori N

    更新日期:2011-05-01 00:00:00

  • Amyloidosis of pancreatic islets in primary amyloidosis (AL type).

    abstract::Seven cases of primary amyloidosis (AL-type) were studied immunocytochemically for the possible involvement of pancreatic islets. The two cases with extensive organ involvement by AL-amyloidosis revealed amyloid deposits in pancreatic islets by routine HE and Congo red staining, which were positive for amyloid p and a...

    journal_title:Pathology international

    pub_type: 杂志文章

    doi:10.1111/j.1440-1827.2005.01815.x

    authors: Tomita T

    更新日期:2005-04-01 00:00:00

  • Expression of p73 in normal skin and proliferative skin lesions.

    abstract::The p73 gene is a member of the p53 gene family and the structure and functions of p73 protein are similar to those of p53. However, these two proteins have different roles. In the present study, p73 protein was found immunohistochemically to be distributed in the basal cells of the epidermis, columnar basal cells in ...

    journal_title:Pathology international

    pub_type: 杂志文章

    doi:10.1111/j.1440-1827.2004.01777.x

    authors: Kamiya M,Takeuchi Y,Katho M,Yokoo H,Sasaki A,Nakazato Y

    更新日期:2004-12-01 00:00:00

  • Immunohistochemical analysis of nestin and c-kit and their significance in pancreatic tumors.

    abstract::The purpose of the present study was to clarify the difference of expression of two stem cell markers, nestin and c-kit, among various pancreatic epithelial tumors and evaluate their utility. Immunohistochemistry was done for 99 surgically resected pancreatic tumor specimens, including 20 ductal adenocarcinoma (DAC), ...

    journal_title:Pathology international

    pub_type: 杂志文章

    doi:10.1111/j.1440-1827.2007.02143.x

    authors: Ohike N,Sato M,Hisayuki T,Imataka H,Sato S,Wada Y,Saito K,Takahashi M,Tajiri T,Kunimura T,Morohoshi T

    更新日期:2007-09-01 00:00:00

  • Neural fibrolipoma of the superficial peroneal nerve in the ankle: a case report with immunohistochemical analysis.

    abstract::This report presents a case of neural fibrolipoma arising from the superficial peroneal nerve in the ankle. A 28-year-old woman was referred with a soft tissue mass in the anterior aspect of the right ankle, which had been gradually enlarging for the past 10 years. Magnetic resonance imaging showed a mass lesion, meas...

    journal_title:Pathology international

    pub_type: 杂志文章

    doi:10.1046/j.1440-1827.2002.01412.x

    authors: Akisue T,Matsumoto K,Yamamoto T,Kizaki T,Fujita I,Yoshiya S,Kurosaka M

    更新日期:2002-11-01 00:00:00

  • Nestin is a wide-spectrum abluminal cell marker of salivary gland tumors.

    abstract::Nestin is an intermediate filament that was first identified in neural progenitor cells. It is expressed in various cell types in the nervous system as well as in other systems. In the present study, we investigated nestin expression in non-neoplastic salivary gland tissue and in salivary gland tumors. In non-neoplast...

    journal_title:Pathology international

    pub_type: 杂志文章

    doi:10.1111/pin.12103

    authors: Yanai H,Sato Y,Nagatsuka H,Yoshino T

    更新日期:2013-10-01 00:00:00