Fine-needle aspiration of follicular adenoma versus parathyroid adenoma: The utility of multispectral imaging in differentiating lesions with subtle cytomorphologic differences

Ibrahim Mansoor, Carola Zalles, Farhan Zahid, Kirk Gossage, Richard M Levenson, David L. Rimm

Research output: Contribution to journalArticle

14 Scopus citations

Abstract

BACKGROUND. Multispectral image analysis is an emerging tool that utilizes both spatial and spectral image information to classify images that can be used for the differentiation between benign versus malignant cells. The aim of the current study was to analyze the ability of this tool in differentiating subtle cytologic differences that cannot be appreciated by the human eye. Herein, the authors used fine-needle aspirations (FNAs) of follicular adenoma (FA) and parathyroid adenoma (PA) as a test case. METHODS. The Nuance platform was used to collect image stacks that were subsequently analyzed with CRI-MLS software, a neural network-based artificial intelligence system that can classify images using automatically "learned" spatial-spectral features. CRI-MLS was trained on random, well-preserved FA cells and PA cells from the training set (n = 45 cells each). An algorithmic solution was developed and then validated on an independent series comprised of 1904 FA cells from 5 FA cases and 690 PA cells from 5 PA cases. RESULTS. The solution from the CRI-MLS classifier showed 1876 FA cells (98.5%) as true FA and 28 FA cells (1.5%) as false PA, whereas 663 PA cells (96%) were true PA and 27 PA cells (4%) were false FA. The summary result of this solution was a sensitivity of 98.5%, a specificity of 96.1%, and a positive predictive value of 98.6%. CONCLUSIONS. The best spatial-spectral imaging solution was able to correctly classify 2534 of 2594 cells (98%) and misclassifled only 55 of 2594 cells (2%). These data suggest that this technology may be valuable in a clinical setting to help differentiate and classify morphologically similar lesions.

Original languageEnglish (US)
Pages (from-to)22-26
Number of pages5
JournalCancer
Volume114
Issue number1
DOIs
StatePublished - Feb 25 2008
Externally publishedYes

Keywords

  • Artificial intelligence
  • CRI-MLS software
  • Cytology
  • Cytopathology
  • Neural network
  • Spectral-spatial imaging

ASJC Scopus subject areas

  • Cancer Research
  • Oncology

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