Vitrectomy-Assisted Biopsy: An in vitro Study on the Impact of Cut Rate and Probe Size.

23-gauge vitrectomy 25-gauge vitrectomy Cut rate Digital image analysis Pars plana vitrectomy Vitrectomy-assisted biopsy

Journal

Ocular oncology and pathology
ISSN: 2296-4681
Titre abrégé: Ocul Oncol Pathol
Pays: Switzerland
ID NLM: 101656139

Informations de publication

Date de publication:
Oct 2021
Historique:
received: 09 12 2020
accepted: 24 04 2021
entrez: 1 11 2021
pubmed: 2 11 2021
medline: 2 11 2021
Statut: ppublish

Résumé

The aim of this study was to optimize the technique of performing vitrectomy-assisted biopsy of intraocular tumors by comparing the cytohistological findings in specimens obtained with different vitrectomy probes and cut rates. Vitrectomy-assisted biopsies were taken from a fresh porcine liver. For each sampling, the vacuum level was 300 mm Hg. The following parameters were compared; cut rate (60, 600 and 6,000 cuts per minute [cpm]), probe type (standard and two-dimensional cutting [TDC]), and probe diameter (23-gauge and 25-gauge). The specimens were assessed by automated whole-slide imaging analysis and conventional light microscopy. Seventy-two biopsies were analyzed for the number of hepatocytes, total area of tissue fragments, and total stained area of each microscope slide. For all probe types, these parameters were significantly and positively correlated with the cut rate. TDC probes led to significantly higher scores than those of standard probes, independent of the cut rate. There were no significant differences in results when using 23-gauge or 25-gauge standard probes. Light microscopic examination demonstrated well-preserved cells sufficient for cytohistological analyses in all investigated cases. The higher the cut rate, the larger is the amount of aspirated cellular material. There were no significant differences between 23-gauge and 25-gauge biopsies. Cut rates up to 6,000 cpm did not adversely affect the cytohistological features of the samples.

Identifiants

pubmed: 34722491
doi: 10.1159/000516960
pii: oop-0007-0346
pmc: PMC8531738
doi:

Types de publication

Journal Article

Langues

eng

Pagination

346-352

Informations de copyright

Copyright © 2021 by S. Karger AG, Basel.

Déclaration de conflit d'intérêts

The authors have no conflicts of interest to declare. Dr. Heegaard is an editorial board member of Ocular Oncology and Pathology.

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Auteurs

Erlend Ulltang (E)

Department of Ophthalmology, Haukeland University Hospital, Bergen, Norway.

Jens Folke Kiilgaard (JF)

Department of Ophthalmology, Copenhagen University Hospital, Copenhagen, Denmark.

Nazanin Mola (N)

Department of Pathology, Haukeland University Hospital, Bergen, Norway.
Section for Pathology, Department of Clinical Medicine, University of Bergen, Bergen, Norway.

David Scheie (D)

Department of Pathology, Copenhagen University Hospital, Copenhagen, Denmark.

Steffen Heegaard (S)

Department of Ophthalmology, Copenhagen University Hospital, Copenhagen, Denmark.
Department of Pathology, Copenhagen University Hospital, Copenhagen, Denmark.

Jørgen Krohn (J)

Department of Ophthalmology, Haukeland University Hospital, Bergen, Norway.
Section of Ophthalmology, Department of Clinical Medicine, University of Bergen, Bergen, Norway.

Classifications MeSH