Computational analysis of p63 + nuclei distribution pattern by graph theoretic approach in an oral pre-cancer (sub-mucous fibrosis)

Background: Oral submucous fibrosis (OSF) is a pre-cancerous condition with features of chronic, inflammatory and progressive sub-epithelial fibrotic disorder of the buccal mucosa. In this study, malignant potentiality of OSF has been assessed by quantification of immunohistochemical expression of e...

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Main Authors: Swarnendu Bag, Sailesh Conjeti, Raunak Kumar Das, Mousami Pal, Anji Anura, Ranjan Rashmi Paul, Ajoy Kumar Ray, Sanghamitra Sengupta, Jyotirmoy Chatterjee
Format: Article
Language:English
Published: Elsevier 2013-01-01
Series:Journal of Pathology Informatics
Subjects:
Online Access:http://www.jpathinformatics.org/article.asp?issn=2153-3539;year=2013;volume=4;issue=1;spage=35;epage=35;aulast=Bag
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author Swarnendu Bag
Sailesh Conjeti
Raunak Kumar Das
Mousami Pal
Anji Anura
Ranjan Rashmi Paul
Ajoy Kumar Ray
Sanghamitra Sengupta
Jyotirmoy Chatterjee
author_facet Swarnendu Bag
Sailesh Conjeti
Raunak Kumar Das
Mousami Pal
Anji Anura
Ranjan Rashmi Paul
Ajoy Kumar Ray
Sanghamitra Sengupta
Jyotirmoy Chatterjee
author_sort Swarnendu Bag
collection DOAJ
description Background: Oral submucous fibrosis (OSF) is a pre-cancerous condition with features of chronic, inflammatory and progressive sub-epithelial fibrotic disorder of the buccal mucosa. In this study, malignant potentiality of OSF has been assessed by quantification of immunohistochemical expression of epithelial prime regulator-p63 molecule in correlation to its malignant (oral squamous cell carcinoma [OSCC] and normal counterpart [normal oral mucosa [NOM]). Attributes of spatial extent and distribution of p63 + expression in the epithelium have been investigated. Further, a correlated assessment of histopathological attributes inferred from H&E staining and their mathematical counterparts (molecular pathology of p63) have been proposed. The suggested analytical framework envisaged standardization of the immunohistochemistry evaluation procedure for the molecular marker, using computer-aided image analysis, toward enhancing its prognostic value. Subjects and Methods: In histopathologically confirmed OSF, OSCC and NOM tissue sections, p63 + nuclei were localized and segmented by identifying regional maxima in plateau-like intensity spatial profiles of nuclei. The clustered nuclei were localized and segmented by identifying concave points in the morphometry and by marker-controlled watersheds. Voronoi tessellations were constructed around nuclei centroids and mean values of spatial-relation metrics such as tessellation area, tessellation perimeter, roundness factor and disorder of the area were extracted. Morphology and extent of expression are characterized by area, diameter, perimeter, compactness, eccentricity and density, fraction of p63 + expression and expression distance of p63 + nuclei. Results: Correlative framework between histopathological features characterizing malignant potentiality and their quantitative p63 counterparts was developed. Statistical analyses of mathematical trends were evaluated between different biologically relevant combinations: (i) NOM to oral submucous fibrosis without dysplasia (OSFWT) (ii) NOM to oral submucous fibrosis with dysplasia (OSFWD) (iii) OSFWT-OSFWD (iv) OSFWD-OSCC. Significant histopathogical correlates and their corroborative mathematical features, inferred from p63 staining, were also investigated into. Conclusion: Quantitative assessment and correlative analysis identified mathematical features related to hyperplasia, cellular stratification, differentiation and maturation, shape and size, nuclear crowding and nucleocytoplasmic ratio. It is envisaged that this approach for analyzing the p63 expression and its distribution pattern may help to establish it as a quantitative bio-marker to predict the malignant potentiality and progression. The proposed work would be a value addition to the gold standard by incorporating an observer-independent framework for the associated molecular pathology.
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spelling doaj.art-f094336d93a1415796c3de71cdd393a52022-12-22T03:35:55ZengElsevierJournal of Pathology Informatics2153-35392153-35392013-01-0141353510.4103/2153-3539.124006Computational analysis of p63 + nuclei distribution pattern by graph theoretic approach in an oral pre-cancer (sub-mucous fibrosis)Swarnendu BagSailesh ConjetiRaunak Kumar DasMousami PalAnji AnuraRanjan Rashmi PaulAjoy Kumar RaySanghamitra SenguptaJyotirmoy ChatterjeeBackground: Oral submucous fibrosis (OSF) is a pre-cancerous condition with features of chronic, inflammatory and progressive sub-epithelial fibrotic disorder of the buccal mucosa. In this study, malignant potentiality of OSF has been assessed by quantification of immunohistochemical expression of epithelial prime regulator-p63 molecule in correlation to its malignant (oral squamous cell carcinoma [OSCC] and normal counterpart [normal oral mucosa [NOM]). Attributes of spatial extent and distribution of p63 + expression in the epithelium have been investigated. Further, a correlated assessment of histopathological attributes inferred from H&E staining and their mathematical counterparts (molecular pathology of p63) have been proposed. The suggested analytical framework envisaged standardization of the immunohistochemistry evaluation procedure for the molecular marker, using computer-aided image analysis, toward enhancing its prognostic value. Subjects and Methods: In histopathologically confirmed OSF, OSCC and NOM tissue sections, p63 + nuclei were localized and segmented by identifying regional maxima in plateau-like intensity spatial profiles of nuclei. The clustered nuclei were localized and segmented by identifying concave points in the morphometry and by marker-controlled watersheds. Voronoi tessellations were constructed around nuclei centroids and mean values of spatial-relation metrics such as tessellation area, tessellation perimeter, roundness factor and disorder of the area were extracted. Morphology and extent of expression are characterized by area, diameter, perimeter, compactness, eccentricity and density, fraction of p63 + expression and expression distance of p63 + nuclei. Results: Correlative framework between histopathological features characterizing malignant potentiality and their quantitative p63 counterparts was developed. Statistical analyses of mathematical trends were evaluated between different biologically relevant combinations: (i) NOM to oral submucous fibrosis without dysplasia (OSFWT) (ii) NOM to oral submucous fibrosis with dysplasia (OSFWD) (iii) OSFWT-OSFWD (iv) OSFWD-OSCC. Significant histopathogical correlates and their corroborative mathematical features, inferred from p63 staining, were also investigated into. Conclusion: Quantitative assessment and correlative analysis identified mathematical features related to hyperplasia, cellular stratification, differentiation and maturation, shape and size, nuclear crowding and nucleocytoplasmic ratio. It is envisaged that this approach for analyzing the p63 expression and its distribution pattern may help to establish it as a quantitative bio-marker to predict the malignant potentiality and progression. The proposed work would be a value addition to the gold standard by incorporating an observer-independent framework for the associated molecular pathology.http://www.jpathinformatics.org/article.asp?issn=2153-3539;year=2013;volume=4;issue=1;spage=35;epage=35;aulast=BagDysplasiagraph theoryoral squamous cell carcinomaoral submucous fibrosisp63quantitative immunohistochemistry
spellingShingle Swarnendu Bag
Sailesh Conjeti
Raunak Kumar Das
Mousami Pal
Anji Anura
Ranjan Rashmi Paul
Ajoy Kumar Ray
Sanghamitra Sengupta
Jyotirmoy Chatterjee
Computational analysis of p63 + nuclei distribution pattern by graph theoretic approach in an oral pre-cancer (sub-mucous fibrosis)
Journal of Pathology Informatics
Dysplasia
graph theory
oral squamous cell carcinoma
oral submucous fibrosis
p63
quantitative immunohistochemistry
title Computational analysis of p63 + nuclei distribution pattern by graph theoretic approach in an oral pre-cancer (sub-mucous fibrosis)
title_full Computational analysis of p63 + nuclei distribution pattern by graph theoretic approach in an oral pre-cancer (sub-mucous fibrosis)
title_fullStr Computational analysis of p63 + nuclei distribution pattern by graph theoretic approach in an oral pre-cancer (sub-mucous fibrosis)
title_full_unstemmed Computational analysis of p63 + nuclei distribution pattern by graph theoretic approach in an oral pre-cancer (sub-mucous fibrosis)
title_short Computational analysis of p63 + nuclei distribution pattern by graph theoretic approach in an oral pre-cancer (sub-mucous fibrosis)
title_sort computational analysis of p63 nuclei distribution pattern by graph theoretic approach in an oral pre cancer sub mucous fibrosis
topic Dysplasia
graph theory
oral squamous cell carcinoma
oral submucous fibrosis
p63
quantitative immunohistochemistry
url http://www.jpathinformatics.org/article.asp?issn=2153-3539;year=2013;volume=4;issue=1;spage=35;epage=35;aulast=Bag
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