Histopathology Is Key to Interpreting Multiplex Molecular Test Results From Postmortem Minimally Invasive Tissue Samples Article Swipe
Jana M. Ritter
,
Josilene Nascimento Seixas
,
Edwin Walong
,
Jeanette Dawa
,
Clayton Onyango
,
Fabiana Cristina Pimenta
,
Maria da Glória Carvalho
,
Luciana Silva‐Flannery
,
Tiffany Gayle Jenkinson
,
Katie Howard
,
Julu Bhatnagar
,
Maureen H. Diaz
,
Jonas M. Winchell
,
Sherif R. Zaki
,
Sandra S. Chaves
,
Roosecelis B. Martines
·
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.1093/cid/ciab772
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.1093/cid/ciab772
Background Minimally invasive tissue sampling (MITS) is an alternative to complete autopsy for determining causes of death. Multiplex molecular testing performed on MITS specimens poses challenges of interpretation, due to high sensitivity and indiscriminate detection of pathogenic, commensal, or contaminating microorganisms. Methods MITS was performed on 20 deceased children with respiratory illness, at 10 timepoints up to 88 hours postmortem. Samples were evaluated by multiplex molecular testing on fresh tissues by TaqMan® Array Card (TAC) and by histopathology, special stains, immunohistochemistry (IHC), and molecular testing (PCR) on formalin-fixed, paraffin-embedded (FFPE) tissues. Results were correlated to determine overall pathologic and etiologic diagnoses and to guide interpretation of TAC results. Results MITS specimens collected up to 3 days postmortem were adequate for histopathologic evaluation and testing. Seven different etiologic agents were detected by TAC in 10 cases. Three cases had etiologic agents detected by FFPE or other methods and not TAC; 2 were agents not present on TAC, and 2 were streptococci that may have been species other than those present on TAC. Result agreement was 43% for TAC and IHC or PCR, and 69% for IHC and PCR. Extraneous TAC results were common, especially when aspiration was present. Conclusions TAC can be performed on MITS up to 3 days after death with refrigeration and provides a sensitive method for detection of pathogens but requires careful interpretation in the context of clinicoepidemiologic and histopathologic findings. Interpretation of all diagnostic tests in aggregate to establish overall case diagnoses maximizes the utility of TAC in MITS.
Related Topics
Concepts
Histopathology
Pathology
Multiplex
Context (archaeology)
Medicine
Gold standard (test)
Medical diagnosis
Autopsy
Multiplex polymerase chain reaction
Biology
Polymerase chain reaction
Bioinformatics
Internal medicine
Biochemistry
Paleontology
Gene
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1093/cid/ciab772
- https://academic.oup.com/cid/article-pdf/73/Supplement_5/S351/41730540/ciab772.pdf
- OA Status
- hybrid
- Cited By
- 4
- References
- 31
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4200031285
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4200031285Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1093/cid/ciab772Digital Object Identifier
- Title
-
Histopathology Is Key to Interpreting Multiplex Molecular Test Results From Postmortem Minimally Invasive Tissue SamplesWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2021Year of publication
- Publication date
-
2021-09-08Full publication date if available
- Authors
-
Jana M. Ritter, Josilene Nascimento Seixas, Edwin Walong, Jeanette Dawa, Clayton Onyango, Fabiana Cristina Pimenta, Maria da Glória Carvalho, Luciana Silva‐Flannery, Tiffany Gayle Jenkinson, Katie Howard, Julu Bhatnagar, Maureen H. Diaz, Jonas M. Winchell, Sherif R. Zaki, Sandra S. Chaves, Roosecelis B. MartinesList of authors in order
- Landing page
-
https://doi.org/10.1093/cid/ciab772Publisher landing page
- PDF URL
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https://academic.oup.com/cid/article-pdf/73/Supplement_5/S351/41730540/ciab772.pdfDirect link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
-
hybridOpen access status per OpenAlex
- OA URL
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https://academic.oup.com/cid/article-pdf/73/Supplement_5/S351/41730540/ciab772.pdfDirect OA link when available
- Concepts
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Histopathology, Pathology, Multiplex, Context (archaeology), Medicine, Gold standard (test), Medical diagnosis, Autopsy, Multiplex polymerase chain reaction, Biology, Polymerase chain reaction, Bioinformatics, Internal medicine, Biochemistry, Paleontology, GeneTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
4Total citation count in OpenAlex
- Citations by year (recent)
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2024: 2, 2023: 1, 2021: 1Per-year citation counts (last 5 years)
- References (count)
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31Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.up | 56, 113, 205 |
| abstract_inverted_index.43% | 175 |
| abstract_inverted_index.69% | 183 |
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| abstract_inverted_index.MITS | 23, 43, 110, 204 |
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| abstract_inverted_index.PCR. | 187 |
| abstract_inverted_index.TAC, | 156 |
| abstract_inverted_index.TAC. | 171 |
| abstract_inverted_index.TAC; | 149 |
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| abstract_inverted_index.case | 244 |
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| abstract_inverted_index.that | 161 |
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| abstract_inverted_index.when | 194 |
| abstract_inverted_index.with | 50, 211 |
| abstract_inverted_index.(PCR) | 86 |
| abstract_inverted_index.(TAC) | 75 |
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| abstract_inverted_index.Three | 136 |
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| abstract_inverted_index.cases | 137 |
| abstract_inverted_index.death | 210 |
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| abstract_inverted_index.tests | 238 |
| abstract_inverted_index.those | 168 |
| abstract_inverted_index.(FFPE) | 90 |
| abstract_inverted_index.(IHC), | 82 |
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| cited_by_percentile_year.min | 89 |
| corresponding_author_ids | https://openalex.org/A5005452883, https://openalex.org/A5005656952 |
| countries_distinct_count | 2 |
| institutions_distinct_count | 16 |
| corresponding_institution_ids | https://openalex.org/I1289490764, https://openalex.org/I4210145675 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/16 |
| sustainable_development_goals[0].score | 0.6399999856948853 |
| sustainable_development_goals[0].display_name | Peace, Justice and strong institutions |
| citation_normalized_percentile.value | 0.68218466 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |