FTIR Spectroscopic Imaging Supports Urine Cytology for Classification of Low- and High-Grade Bladder Carcinoma

Bladder urothelial carcinoma (BC) is a common, recurrent, life-threatening, and unpredictable disease which is difficult to diagnose. These features make it one of the costliest malignancies. Although many possible diagnostic methods are available, molecular heterogeneity and difficulties in cytolog...

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Main Authors: Monika Kujdowicz, Brygida Mech, Karolina Chrabaszcz, Piotr Chlosta, Krzysztof Okon, Kamilla Malek
Format: Article
Language:English
Published: MDPI AG 2021-11-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/13/22/5734
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author Monika Kujdowicz
Brygida Mech
Karolina Chrabaszcz
Piotr Chlosta
Krzysztof Okon
Kamilla Malek
author_facet Monika Kujdowicz
Brygida Mech
Karolina Chrabaszcz
Piotr Chlosta
Krzysztof Okon
Kamilla Malek
author_sort Monika Kujdowicz
collection DOAJ
description Bladder urothelial carcinoma (BC) is a common, recurrent, life-threatening, and unpredictable disease which is difficult to diagnose. These features make it one of the costliest malignancies. Although many possible diagnostic methods are available, molecular heterogeneity and difficulties in cytological or histological examination induce an urgent need to improve diagnostic techniques. Herein, we applied Fourier transform infrared spectroscopy in imaging mode (FTIR) to investigate patients’ cytology samples assigned to normal (N), low-grade (LG) and high-grade (HG) BC. With unsupervised hierarchical cluster analysis (UHCA) and hematoxylin-eosin (HE) staining, we observed a correlation between N cell types and morphology. High-glycogen superficial (umbrella) and low-glycogen piriform urothelial cells, both with normal morphology, were observed. Based on the spectra derived from UHCA, principal component analysis (PCA) and partial least squares discriminant analysis (PLS-DA) were performed, indicating a variation of protein content between the patient groups. Moreover, BC spectral cytology identified a low number of high-glycogen cells for which a shift of the carbohydrate/phosphate bands was also observed. Despite high cellular heterogeneity, PLS-DA was able to classify the spectra obtained. The voided urine FTIR cytology is one of the options that might be helpful in BC diagnosis, as high sensitivity and specificity up to 97% were determined.
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spelling doaj.art-41d5efa9b89a407c8d0417ca98efe1a92023-11-22T22:42:30ZengMDPI AGCancers2072-66942021-11-011322573410.3390/cancers13225734FTIR Spectroscopic Imaging Supports Urine Cytology for Classification of Low- and High-Grade Bladder CarcinomaMonika Kujdowicz0Brygida Mech1Karolina Chrabaszcz2Piotr Chlosta3Krzysztof Okon4Kamilla Malek5Department of Pathomorphology, Faculty of Medicine, Jagiellonian University Medical College, Grzegorzecka 16, 31-531 Krakow, PolandFaculty of Chemistry, Jagiellonian University in Krakow, Gronostajowa 2, 30-387 Krakow, PolandFaculty of Chemistry, Jagiellonian University in Krakow, Gronostajowa 2, 30-387 Krakow, PolandDepartment of Urology, Faculty of Medicine, Jagiellonian University Medical College, Jakubowskiego 2, 30-688 Krakow, PolandDepartment of Pathomorphology, Faculty of Medicine, Jagiellonian University Medical College, Grzegorzecka 16, 31-531 Krakow, PolandFaculty of Chemistry, Jagiellonian University in Krakow, Gronostajowa 2, 30-387 Krakow, PolandBladder urothelial carcinoma (BC) is a common, recurrent, life-threatening, and unpredictable disease which is difficult to diagnose. These features make it one of the costliest malignancies. Although many possible diagnostic methods are available, molecular heterogeneity and difficulties in cytological or histological examination induce an urgent need to improve diagnostic techniques. Herein, we applied Fourier transform infrared spectroscopy in imaging mode (FTIR) to investigate patients’ cytology samples assigned to normal (N), low-grade (LG) and high-grade (HG) BC. With unsupervised hierarchical cluster analysis (UHCA) and hematoxylin-eosin (HE) staining, we observed a correlation between N cell types and morphology. High-glycogen superficial (umbrella) and low-glycogen piriform urothelial cells, both with normal morphology, were observed. Based on the spectra derived from UHCA, principal component analysis (PCA) and partial least squares discriminant analysis (PLS-DA) were performed, indicating a variation of protein content between the patient groups. Moreover, BC spectral cytology identified a low number of high-glycogen cells for which a shift of the carbohydrate/phosphate bands was also observed. Despite high cellular heterogeneity, PLS-DA was able to classify the spectra obtained. The voided urine FTIR cytology is one of the options that might be helpful in BC diagnosis, as high sensitivity and specificity up to 97% were determined.https://www.mdpi.com/2072-6694/13/22/5734bladder carcinomainfrared spectroscopic imagingdiagnosticscytology
spellingShingle Monika Kujdowicz
Brygida Mech
Karolina Chrabaszcz
Piotr Chlosta
Krzysztof Okon
Kamilla Malek
FTIR Spectroscopic Imaging Supports Urine Cytology for Classification of Low- and High-Grade Bladder Carcinoma
Cancers
bladder carcinoma
infrared spectroscopic imaging
diagnostics
cytology
title FTIR Spectroscopic Imaging Supports Urine Cytology for Classification of Low- and High-Grade Bladder Carcinoma
title_full FTIR Spectroscopic Imaging Supports Urine Cytology for Classification of Low- and High-Grade Bladder Carcinoma
title_fullStr FTIR Spectroscopic Imaging Supports Urine Cytology for Classification of Low- and High-Grade Bladder Carcinoma
title_full_unstemmed FTIR Spectroscopic Imaging Supports Urine Cytology for Classification of Low- and High-Grade Bladder Carcinoma
title_short FTIR Spectroscopic Imaging Supports Urine Cytology for Classification of Low- and High-Grade Bladder Carcinoma
title_sort ftir spectroscopic imaging supports urine cytology for classification of low and high grade bladder carcinoma
topic bladder carcinoma
infrared spectroscopic imaging
diagnostics
cytology
url https://www.mdpi.com/2072-6694/13/22/5734
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AT karolinachrabaszcz ftirspectroscopicimagingsupportsurinecytologyforclassificationoflowandhighgradebladdercarcinoma
AT piotrchlosta ftirspectroscopicimagingsupportsurinecytologyforclassificationoflowandhighgradebladdercarcinoma
AT krzysztofokon ftirspectroscopicimagingsupportsurinecytologyforclassificationoflowandhighgradebladdercarcinoma
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