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1.
Inorg Chem ; 62(37): 15173-15179, 2023 Sep 18.
Artigo em Inglês | MEDLINE | ID: mdl-37669231

RESUMO

The deoxygenation of environmental pollutants CO2 and NO2- to form value-added products is reported. CO2 reduction with subsequent CO release and NO2- conversion to NO are achieved via the starting complex Fe(PPhPDI)Cl2 (1). 1 contains the redox-active pyridinediimine (PDI) ligand with a hemilabile phosphine located in the secondary coordination sphere. 1 was reduced with SmI2 under a CO2 atmosphere to form the direduced monocarbonyl Fe(PPhPDI)(CO) (2). Subsequent CO release was achieved via oxidation of 2 using the NOx- source, NO2-. The resulting [Fe(PPhPDI)(NO)]+ (3) mononitrosyl iron complex (MNIC) is formed as the exclusive reduction product due to the hemilabile phosphine. 3 was investigated computationally to be characterized as {FeNO}7, an unusual intermediate-spin Fe(III) coupled to triplet NO- and a singly reduced PDI ligand.

2.
Inorg Chem ; 60(21): 15901-15909, 2021 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-34514780

RESUMO

Selective coupling of NO by a nonclassical dinuclear dinitrosyliron complex (D-DNIC) to form N2O is reported. The coupling is facilitated by the pyridinediimine (PDI) ligand scaffold, which enables the necessary denticity changes to produce mixed-valent, electron-deficient tethered DNICs. One-electron oxidation of the [{Fe(NO)2}]210/10 complex Fe2(PyrrPDI)(NO)4 (4) results in NO coupling to form N2O via the mixed-valent {[Fe(NO)2]2}9/10 species, which possesses an electron-deficient four-coordinate {Fe(NO)2}10 site, crucial in N-N bond formation. The hemilability of the PDI scaffold dictates the selectivity in N-N bond formation because stabilization of the five-coordinate {Fe(NO)2}9 site in the mixed-valent [{Fe(NO)2}]29/10 species, [Fe2(Pyr2PDI)(NO)4][PF6] (6), does not result in an electron-deficient, four-coordinate {Fe(NO)2}10 site, and hence no N-N coupling is observed.

3.
J Med Internet Res ; 23(12): e20028, 2021 12 02.
Artigo em Inglês | MEDLINE | ID: mdl-34860667

RESUMO

BACKGROUND: The National Cancer Institute Informatics Technology for Cancer Research (ITCR) program provides a series of funding mechanisms to create an ecosystem of open-source software (OSS) that serves the needs of cancer research. As the ITCR ecosystem substantially grows, it faces the challenge of the long-term sustainability of the software being developed by ITCR grantees. To address this challenge, the ITCR sustainability and industry partnership working group (SIP-WG) was convened in 2019. OBJECTIVE: The charter of the SIP-WG is to investigate options to enhance the long-term sustainability of the OSS being developed by ITCR, in part by developing a collection of business model archetypes that can serve as sustainability plans for ITCR OSS development initiatives. The working group assembled models from the ITCR program, from other studies, and from the engagement of its extensive network of relationships with other organizations (eg, Chan Zuckerberg Initiative, Open Source Initiative, and Software Sustainability Institute) in support of this objective. METHODS: This paper reviews the existing sustainability models and describes 10 OSS use cases disseminated by the SIP-WG and others, including 3D Slicer, Bioconductor, Cytoscape, Globus, i2b2 (Informatics for Integrating Biology and the Bedside) and tranSMART, Insight Toolkit, Linux, Observational Health Data Sciences and Informatics tools, R, and REDCap (Research Electronic Data Capture), in 10 sustainability aspects: governance, documentation, code quality, support, ecosystem collaboration, security, legal, finance, marketing, and dependency hygiene. RESULTS: Information available to the public reveals that all 10 OSS have effective governance, comprehensive documentation, high code quality, reliable dependency hygiene, strong user and developer support, and active marketing. These OSS include a variety of licensing models (eg, general public license version 2, general public license version 3, Berkeley Software Distribution, and Apache 3) and financial models (eg, federal research funding, industry and membership support, and commercial support). However, detailed information on ecosystem collaboration and security is not publicly provided by most OSS. CONCLUSIONS: We recommend 6 essential attributes for research software: alignment with unmet scientific needs, a dedicated development team, a vibrant user community, a feasible licensing model, a sustainable financial model, and effective product management. We also stress important actions to be considered in future ITCR activities that involve the discussion of the sustainability and licensing models for ITCR OSS, the establishment of a central library, the allocation of consulting resources to code quality control, ecosystem collaboration, security, and dependency hygiene.


Assuntos
Ecossistema , Neoplasias , Humanos , Informática , Neoplasias/terapia , Pesquisa , Software , Tecnologia
4.
J Am Chem Soc ; 140(49): 17040-17050, 2018 12 12.
Artigo em Inglês | MEDLINE | ID: mdl-30427681

RESUMO

Incorporation of the triad of redox activity, hemilability, and proton responsivity into a single ligand scaffold is reported. Due to this triad, the complexes Fe(PyrrPDI)(CO)2 (3) and Fe(MorPDI)(CO)2 (4) display 40-fold enhancements in the initial rate of NO2- reduction, with respect to Fe(MeOPDI)(CO)2 (7). Utilizing the proper sterics and p Ka of the pendant base(s) to introduce hemilability into our ligand scaffolds, we report unusual {FeNO} x mononitrosyl iron complexes (MNICs) as intermediates in the NO2- reduction reaction. The {FeNO} x species behave spectroscopically and computationally similar to {FeNO}7, an unusual intermediate-spin Fe(III) coupled to triplet NO- and a singly reduced PDI ligand. These {FeNO} x MNICs facilitate enhancements in the initial rate.


Assuntos
Complexos de Coordenação/química , Nitritos/química , Prótons , Complexos de Coordenação/síntese química , Teoria da Densidade Funcional , Ferro/química , Cinética , Ligantes , Modelos Químicos , Óxido Nítrico/síntese química , Oxirredução
5.
Inorg Chem ; 57(16): 9601-9610, 2018 Aug 20.
Artigo em Inglês | MEDLINE | ID: mdl-29608297

RESUMO

Metal complexes composed of redox-active pyridinediimine (PDI) ligands are capable of forming ligand-centered radicals. In this Forum article, we demonstrate that integration of these types of redox-active sites with bioinspired secondary coordination sphere motifs produce direduced complexes, where the reduction potential of the ligand-based redox sites is uncoupled from the secondary coordination sphere. The utility of such ligand design was explored by encapsulating redox-inactive Lewis acidic cations via installation of a pendant benzo-15-crown-5 in the secondary coordination sphere of a series of Fe(PDI) complexes. Fe(15bz5PDI)(CO)2 was shown to encapsulate the redox-inactive alkali ion, Na+, causing only modest (31 mV) anodic shifts in the ligand-based redox-active sites. By uncoupling the Lewis acidic sites from the ligand-based redox sites, the pendant redox-inactive ion, Na+, can entice the corresponding counterion, NO2-, for reduction to NO. The subsequent initial rate analysis reveals an acceleration in anion reduction, confirming this hypothesis.

6.
Inorg Chem ; 55(2): 555-7, 2016 Jan 19.
Artigo em Inglês | MEDLINE | ID: mdl-26692111

RESUMO

A series of pyridinediimine (PDI) iron complexes that contain a pendant 15-crown-5 located in the secondary coordination sphere were synthesized and characterized. The complex Fe((15c5)PDI)(CO)2 (2) was shown in both the solid state and solution to encapsulate redox-inactive metal ions. Modest shifts in the reduction potential of the metal-ligand scaffold were observed upon encapsulation of either Na(+) or Li(+).


Assuntos
Iminas/química , Compostos de Ferro/química , Metais/química , Piridinas/química , Oxirredução
7.
Inorg Chem ; 54(15): 7239-48, 2015 Aug 03.
Artigo em Inglês | MEDLINE | ID: mdl-26204455

RESUMO

Utilizing the pyridinediimine ligand [(2,6-(i)PrC6H3)N═CMe)(N((i)Pr)2C2H4)N═CMe)C5H3N] (didpa), the zinc(II) and iron(II) complexes Zn(didpa)Cl2 (1), Fe(didpa)Cl2 (2), [Zn(Hdidpa)Cl2][PF6] (3), [Fe(Hdidpa)Cl2][PF6] (4), Zn(didpa)Br2 (5), and [Zn(Hdidpa)Br2][PF6] (6), Fe(didpa)(CO)2 (7), and [Fe(Hdidpa)(CO)2][PF6] (8) were synthesized and characterized. These complexes allowed for the study of the secondary coordination sphere pendant base and the redox-activity of the didpa ligand scaffold. The protonated didpa ligand is capable of forming metal halogen hydrogen bonds (MHHBs) in complexes 3, 4, and 6. The solution behavior of the MHHBs was probed via pKa measurements and (1)H NMR titrations of 3 and 6 with solvents of varying H-bond accepting strength. The H-bond strength in 3 and 6 was calculated in silico to be 5.9 and 4.9 kcal/mol, respectively. The relationship between the protonation state and the ligand-based redox activity was probed utilizing 7 and 8, where the reduction potential of the didpa scaffold was found to shift by 105 mV upon protonation of the reduced ligand in Fe(didpa)(CO)2.


Assuntos
Iminas/química , Ferro/química , Compostos Organometálicos/química , Prótons , Zinco/química , Halogênios/química , Ligação de Hidrogênio , Concentração de Íons de Hidrogênio , Ligantes , Modelos Moleculares , Conformação Molecular , Oxirredução
8.
Inorg Chem ; 51(17): 9168-70, 2012 Sep 03.
Artigo em Inglês | MEDLINE | ID: mdl-22906522

RESUMO

A synthetic cycle for the CO(2)-to-CO conversion (with subsequent release of CO) based on iron(II), a redox-active pydridinediimine ligand (PDI), and an O-atom acceptor is reported. This conversion is a passive-type ligand-based reduction, where the electrons for the CO(2) conversion are supplied by the reduced PDI ligand and the ferrous state of the iron is conserved.

9.
Arch Pathol Lab Med ; 145(10): 1228-1254, 2021 10 01.
Artigo em Inglês | MEDLINE | ID: mdl-33493264

RESUMO

CONTEXT.­: Recent developments in machine learning have stimulated intense interest in software that may augment or replace human experts. Machine learning may impact pathology practice by offering new capabilities in analysis, interpretation, and outcomes prediction using images and other data. The principles of operation and management of machine learning systems are unfamiliar to pathologists, who anticipate a need for additional education to be effective as expert users and managers of the new tools. OBJECTIVE.­: To provide a background on machine learning for practicing pathologists, including an overview of algorithms, model development, and performance evaluation; to examine the current status of machine learning in pathology and consider possible roles and requirements for pathologists in local deployment and management of machine learning systems; and to highlight existing challenges and gaps in deployment methodology and regulation. DATA SOURCES.­: Sources include the biomedical and engineering literature, white papers from professional organizations, government reports, electronic resources, and authors' experience in machine learning. References were chosen when possible for accessibility to practicing pathologists without specialized training in mathematics, statistics, or software development. CONCLUSIONS.­: Machine learning offers an array of techniques that in recent published results show substantial promise. Data suggest that human experts working with machine learning tools outperform humans or machines separately, but the optimal form for this combination in pathology has not been established. Significant questions related to the generalizability of machine learning systems, local site verification, and performance monitoring remain to be resolved before a consensus on best practices and a regulatory environment can be established.


Assuntos
Inteligência Artificial , Aprendizado de Máquina , Patologistas/educação , Patologia/métodos , Algoritmos , Feminino , Humanos , Masculino , Redes Neurais de Computação
10.
Inorg Chem ; 49(19): 8656-8, 2010 Oct 04.
Artigo em Inglês | MEDLINE | ID: mdl-20799715

RESUMO

Utilizing the pyridinediimine ligand [(2,6-(i)PrC(6)H(3))N═CMe)(N((i)Pr)(2)C(2)H(4))N═CMe)C(5)H(3)N] (didpa), the iron(II) complexes Fe(didpa)Br(2) (1), [Fe(Hdidpa)Br(2)][PF(6)] (2), and [Fe(Hdidpa)CH(3)CN(OH)][2PF(6)] (3) were synthesized and characterized by X-ray diffraction and spectroscopic methods. The X-ray data show that the didpa scaffold is capable of forming intramolecular hydrogen bonds in the solid state located within the secondary coordination sphere of complexes 2 and 3. These hydrogen bonds are responsible for stabilizing the iron(II) hydroxo ligand in 3, which originates from H(2)O.


Assuntos
Compostos Ferrosos/química , Compostos Ferrosos/síntese química , Ligação de Hidrogênio , Iminas/química , Ligantes , Modelos Moleculares , Estrutura Molecular , Piridinas/química
11.
Dalton Trans ; 49(4): 960-965, 2020 Jan 28.
Artigo em Inglês | MEDLINE | ID: mdl-31907502

RESUMO

Metalloenzymes catalyze many important reactions by managing the proton and electron flux at the enzyme active site. The motifs utilized to facilitate these transformations include hemilabile, redox-active, and so called proton responsive sites. Given the importance of incorporating and understanding these motifs in the area of coordination chemistry and catalysis, we highlight recent milestones in the field. Work incorporating the triad of hemilability, redox-activity, and proton responsivity into single ligand scaffolds will be described.


Assuntos
Domínio Catalítico , Galactose Oxidase/química , Galactose Oxidase/metabolismo , Prótons , Ligantes , Modelos Moleculares , Oxirredução , Conformação Proteica
12.
Chem Commun (Camb) ; 56(77): 11441-11444, 2020 Sep 29.
Artigo em Inglês | MEDLINE | ID: mdl-32851391

RESUMO

The reduction of nitrogen oxides (NxOyn-) to dinitrogen gas by samarium(ii) iodide is reported. The polyoxoanions nitrate (NO3-) and nitrite (NO2-), as well as nitrous oxide (N2O) and nitric oxide (NO) were all shown to react with stoichiometric amounts of SmI2 in THF for the complete denitrification to N2.

13.
J Am Chem Soc ; 130(31): 10103-15, 2008 Aug 06.
Artigo em Inglês | MEDLINE | ID: mdl-18620389

RESUMO

Thiol monolayer-protected Au clusters (MPCs) were prepared using dendrimer templates, deposited onto a high-surface-area titania, and then the thiol stabilizers were removed under H2/N2. The resulting Au catalysts were characterized with transmission electron microscopy, X-ray photoelectron spectroscopy, and infrared spectroscopy of adsorbed CO. The Au catalysts prepared via this route displayed minimal particle agglomeration during the deposition and activation steps. Structural data obtained from the physical characterization of the Au catalysts were comparable to features exhibited from a traditionally prepared standard Au catalyst obtained from the World Gold Council (WGC). A differential kinetic study of CO oxidation catalysis by the MPC-prepared Au and the standard WGC catalyst showed that these two catalyst systems have essentially the same reaction order and Arrhenius apparent activation energies (28 kJ/mol). However, the MPC-prepared Au catalyst shows 50% greater activity for CO oxidation. Using a Michaelis-Menten approach, the oxygen binding constants for the two catalyst systems were determined and found to be essentially the same within experimental error. To our knowledge, this kinetic evaluation is the first experimental determination of oxygen binding by supported Au nanoparticle catalysts under working conditions. The values for the oxygen binding equilibrium constant obtained from the Michaelis-Menten treatment (ca. 29-39) are consistent with ultra-high-vacuum measurements on model catalyst systems and support density functional theory calculations for oxygen binding at corner or edge atoms on Au nanoparticles and clusters.

14.
Hum Pathol ; 39(4): 564-72, 2008 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-18234276

RESUMO

Whole slide images (WSIs), also known as virtual slides, can support electronic distribution of immunohistochemistry (IHC) stains to pathologists that rely on remote sites for these services. This may lead to improvement in turnaround times, reduction of courier costs, fewer errors in slide distribution, and automated image analyses. Although this approach is practiced de facto today in some large laboratories, there are no clinical validation studies on this approach. Our retrospective study evaluated the interpretation of IHC stains performed in difficult prostate biopsies using WSIs. The study included 30 foci with IHC stains identified by the original pathologist as both difficult and pivotal to the final diagnosis. WSIs were created from the glass slides using a scanning robot (T2, Aperio Technologies, Vista, CA). An evaluation form was designed to capture data in 2 phases: (1) interpretation of WSIs and (2) interpretation of glass slides. Data included stain interpretations, diagnoses, and other parameters such as time required to diagnose and image/slide quality. Data were also collected from an expert prostate pathologist, consensus meetings, and a poststudy focus group. WSI diagnostic validity (intraobserver pairwise kappa statistics) was "almost perfect" for 1 pathologist, "substantial" for 3 pathologists, and "moderate" for 1 pathologist. Diagnostic agreement between the final/consensus diagnoses of the group and those of the domain expert was "almost perfect" (kappa = 0.817). Except for one instance, WSI technology was not felt to be the cause of disagreements. These results are encouraging and compare favorably with other efforts to quantify diagnostic variability in surgical pathology. With thorough training, careful validation of specific applications, and regular postsignout review of glass IHC slides (eg, quality assurance review), WSI technology can be used for IHC stain interpretation.


Assuntos
Adenocarcinoma/patologia , Interpretação de Imagem Assistida por Computador/métodos , Neoplasias da Próstata/patologia , Software , Adenocarcinoma/diagnóstico , Biópsia por Agulha , Humanos , Imuno-Histoquímica , Masculino , Neoplasias da Próstata/diagnóstico
15.
J Pathol Inform ; 9: 14, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29721362

RESUMO

BACKGROUND: The alumni of today's Pathology Informatics and Clinical Informatics fellowships fill diverse roles in academia, large health systems, and industry. The evolving training tracks and curriculum of Pathology Informatics fellowships have been well documented. However, less attention has been given to the posttraining experiences of graduates from informatics training programs. Here, we examine the career paths of subspecialty fellowship-trained pathology informaticians. METHODS: Alumni from four Pathology Informatics fellowship training programs were contacted for their voluntary participation in the study. We analyzed various components of training, and the subsequent career paths of Pathology Informatics fellowship alumni using data extracted from alumni provided curriculum vitae. RESULTS: Twenty-three out of twenty-seven alumni contacted contributed to the study. A majority had completed undergraduate study in science, technology, engineering, and math fields and combined track training in anatomic and clinical pathology. Approximately 30% (7/23) completed residency in a program with an in-house Pathology Informatics fellowship. Most completed additional fellowships (15/23) and many also completed advanced degrees (10/23). Common primary posttraining appointments included chief medical informatics officer (3/23), director of Pathology Informatics (10/23), informatics program director (2/23), and various roles in industry (3/23). Many alumni also provide clinical care in addition to their informatics roles (14/23). Pathology Informatics alumni serve on a variety of institutional committees, participate in national informatics organizations, contribute widely to scientific literature, and more than half (13/23) have obtained subspecialty certification in Clinical Informatics to date. CONCLUSIONS: Our analysis highlights several interesting phenomena related to the training and career trajectory of Pathology Informatics fellowship alumni. We note the long training track alumni complete in preparation for their careers. We believe flexible training pathways combining informatics and clinical training may help to alleviate the burden. We highlight the importance of in-house Pathology Informatics fellowships in promoting interest in informatics among residents. We also observe the many important leadership roles in academia, large community health systems, and industry available to early career alumni and believe this reflects a strong market for formally trained informaticians. We hope this analysis will be useful as we continue to develop the informatics fellowships to meet the future needs of our trainees and discipline.

16.
BMC Cancer ; 7: 37, 2007 Feb 28.
Artigo em Inglês | MEDLINE | ID: mdl-17386082

RESUMO

BACKGROUND: Shared Pathology Informatics Network (SPIN) is a tissue resource initiative that utilizes clinical reports of the vast amount of paraffin-embedded tissues routinely stored by medical centers. SPIN has an informatics component (sending tissue-related queries to multiple institutions via the internet) and a service component (providing histopathologically annotated tissue specimens for medical research). This paper examines if tissue blocks, identified by localized computer searches at participating institutions, can be retrieved in adequate quantity and quality to support medical researchers. METHODS: Four centers evaluated pathology reports (1990-2005) for common and rare tumors to determine the percentage of cases where suitable tissue blocks with tumor were available. Each site generated a list of 100 common tumor cases (25 cases each of breast adenocarcinoma, colonic adenocarcinoma, lung squamous carcinoma, and prostate adenocarcinoma) and 100 rare tumor cases (25 cases each of adrenal cortical carcinoma, gastro-intestinal stromal tumor [GIST], adenoid cystic carcinoma, and mycosis fungoides) using a combination of Tumor Registry, laboratory information system (LIS) and/or SPIN-related tools. Pathologists identified the slides/blocks with tumor and noted first 3 slides with largest tumor and availability of the corresponding block. RESULTS: Common tumors cases (n = 400), the institutional retrieval rates (all blocks) were 83% (A), 95% (B), 80% (C), and 98% (D). Retrieval rate (tumor blocks) from all centers for common tumors was 73% with mean largest tumor size of 1.49 cm; retrieval (tumor blocks) was highest-lung (84%) and lowest-prostate (54%). Rare tumors cases (n = 400), each institution's retrieval rates (all blocks) were 78% (A), 73% (B), 67% (C), and 84% (D). Retrieval rate (tumor blocks) from all centers for rare tumors was 66% with mean largest tumor size of 1.56 cm; retrieval (tumor blocks) was highest for GIST (72%) and lowest for adenoid cystic carcinoma (58%). CONCLUSION: Assessment shows availability and quality of archival tissue blocks that are retrievable and associated electronic data that can be of value for researchers. This study serves to compliment the data from which uniform use of the SPIN query tools by all four centers will be measured to assure and highlight the usefulness of archival material for obtaining tumor tissues for research.


Assuntos
Inclusão em Parafina/estatística & dados numéricos , Patologia Clínica/organização & administração , Bancos de Tecidos/estatística & dados numéricos , Humanos , Informática Médica/organização & administração , Neoplasias/patologia , Estados Unidos
17.
Chem Commun (Camb) ; 53(81): 11249-11252, 2017 Oct 18.
Artigo em Inglês | MEDLINE | ID: mdl-28967024

RESUMO

Utilizing the proton-responsive pyridinediimine ligand [(2,6-iPrC6H3)(N[double bond, length as m-dash]CMe)(N(iPr)2C2H4)(N[double bond, length as m-dash]CMe)C5H3N] (didpa), the ligand-based reduction of nitrate (NO3-) to nitric oxide (NO) was achieved. The bioinspired [Fe(Hdidpa)(CO)2]+ was shown to react with tetrabutylammonium nitrate to form the dinitrosyl iron complex [Fe(didpa)(NO)2]+. The didpa scaffold was shown to provide two electrons for the net reduction of NO3- to NO in 43% yield.

18.
J Mol Diagn ; 8(2): 183-92, 2006 May.
Artigo em Inglês | MEDLINE | ID: mdl-16645204

RESUMO

The effect of different amplification and labeling methods on DNA microarray expression results has not been previously delineated. To analyze the variation associated with widely accepted T7-based RNA amplificationand labeling methods, aliquots of the Stratagene Human Universal Reference RNA were labeled using three eukaryotic target preparation methods followed by uniform replicate array hybridization (Affymetrix U95Av2). Method-dependent variability was observed in the yield and size distribution of labeled products, as well as in the gene expression results. A significant increase in short transcripts, when compared to unamplified mRNA, was observed in methods with long in vitro transcription reactions. Intramethod reproducibility showed correlation coefficients >0.99, whereas intermethod comparisons showed coefficients ranging from 0.94 to 0.98 and a nearly twofold increase in coefficient of variation. Fold amplification for each method positively correlated with the number of genes present. Our experiments uncovered two factors that introduced significant bias in gene expression data: the number of labeled nucleotides, which introduces sequence-dependent bias, and the length of the in vitro transcription reaction, which introduces transcript size-dependent bias. This study provides evidence that variability in expression data may be caused, in part, by differences in amplification and labeling protocols.


Assuntos
Perfilação da Expressão Gênica/métodos , Variação Genética/genética , Análise de Sequência com Séries de Oligonucleotídeos/métodos , Humanos , RNA Complementar/genética , RNA Mensageiro/genética , Reprodutibilidade dos Testes , Transcrição Gênica/genética
19.
Hum Pathol ; 37(3): 322-31, 2006 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-16613327

RESUMO

By imaging large numbers of slides automatically at high resolution, modem automated whole slide imaging (WSI) systems have the potential to become useful tools in pathology practice. This article describes a pilot validation study for use of automated high-speed WSI systems for surgical pathology quality assurance (QA). This was a retrospective comparative study in which 24 full genitourinary cases (including 47 surgical parts and 391 slides) were independently reviewed with traditional microscopy and whole slide digital images. Approximately half the cases had neoplasia in the diagnostic line. At the end of the study, diagnostic discrepancies were evaluated by a pathology consensus committee. The study pathologists felt that the traditional and WSI methods were comparable for case review. They reported no difference in perceived case complexity or diagnostic confidence between the methods. There were 4 clinically insignificant discrepancies with the signed-out cases: 2 from glass slide and 2 with WSI review. Of the 2 discrepancies reported by the WSI method, the committee agreed with the reviewer once and the original report once. At the end of the study, the participants agreed that automated WSI is a viable potential modality for surgical pathology QA, especially in multifacility health systems that would like to establish interfacility QA. The participants felt that major issues limiting the implementation of WSI-based QA did not involve image acquisition or quality but rather image management issues such as the pathologist's interface, the hospital's network, and integration with the laboratory information system.


Assuntos
Processamento de Imagem Assistida por Computador , Microscopia/métodos , Patologia Cirúrgica/normas , Garantia da Qualidade dos Cuidados de Saúde/métodos , Humanos , Masculino , Doenças Urogenitais Masculinas/diagnóstico , Microscopia/instrumentação , Projetos Piloto , Estudos Retrospectivos , Fatores de Tempo
20.
BMC Cancer ; 6: 120, 2006 May 05.
Artigo em Inglês | MEDLINE | ID: mdl-16677389

RESUMO

BACKGROUND: Advances in molecular biology and growing requirements from biomarker validation studies have generated a need for tissue banks to provide quality-controlled tissue samples with standardized clinical annotation. The NCI Cooperative Prostate Cancer Tissue Resource (CPCTR) is a distributed tissue bank that comprises four academic centers and provides thousands of clinically annotated prostate cancer specimens to researchers. Here we describe the CPCTR information management system architecture, common data element (CDE) development, query interfaces, data curation, and quality control. METHODS: Data managers review the medical records to collect and continuously update information for the 145 clinical, pathological and inventorial CDEs that the Resource maintains for each case. An Access-based data entry tool provides de-identification and a standard communication mechanism between each group and a central CPCTR database. Standardized automated quality control audits have been implemented. Centrally, an Oracle database has web interfaces allowing multiple user-types, including the general public, to mine de-identified information from all of the sites with three levels of specificity and granularity as well as to request tissues through a formal letter of intent. RESULTS: Since July 2003, CPCTR has offered over 6,000 cases (38,000 blocks) of highly characterized prostate cancer biospecimens, including several tissue microarrays (TMA). The Resource developed a website with interfaces for the general public as well as researchers and internal members. These user groups have utilized the web-tools for public query of summary data on the cases that were available, to prepare requests, and to receive tissues. As of December 2005, the Resource received over 130 tissue requests, of which 45 have been reviewed, approved and filled. Additionally, the Resource implemented the TMA Data Exchange Specification in its TMA program and created a computer program for calculating PSA recurrence. CONCLUSION: Building a biorepository infrastructure that meets today's research needs involves time and input of many individuals from diverse disciplines. The CPCTR can provide large volumes of carefully annotated prostate tissue for research initiatives such as Specialized Programs of Research Excellence (SPOREs) and for biomarker validation studies and its experience can help development of collaborative, large scale, virtual tissue banks in other organ systems.


Assuntos
Gestão da Informação , Aplicações da Informática Médica , Neoplasias da Próstata/patologia , Bancos de Tecidos , Bases de Dados como Assunto , Perfilação da Expressão Gênica , Regulação Neoplásica da Expressão Gênica , Humanos , Gestão da Informação/normas , Internet , Masculino , Marketing , Prontuários Médicos , Neoplasias da Próstata/genética , Neoplasias da Próstata/metabolismo , Controle de Qualidade , Bancos de Tecidos/normas
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