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Pannoramic p250

Manufactured by 3DHISTECH
Sourced in Hungary

The Pannoramic P250 is a high-performance digital slide scanner designed for use in pathology laboratories. It is capable of scanning glass slides and producing high-resolution digital images with a maximum scan area of 250 mm x 175 mm. The scanner utilizes a 20x objective lens and can capture images at a resolution of up to 0.22 μm/pixel. The Pannoramic P250 supports a variety of slide formats and can handle up to 150 slides in a single batch.

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14 protocols using pannoramic p250

1

Tumor Budding Quantification in Digital TMA

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All ngTMA slides were scanned (Pannoramic P250, 3DHistech, Hungary, 20× objective lens) and evaluated using Scorenado, a TMA analysis tool for digital TMA slides, as described previously (19 (link)). Each tumor punch contained an area of 0.785 mm2. Only Pan-CK staining was used to evaluated tumor budding in the present study. Tumor buds were defined as single cells or cell cluster of up to 4 tumor cells according to the ITBCC guidelines (13 (link)). One experienced pathologist (A.L.) evaluated the number of tumor buds on H&E and Pan-CK staining at the tumor front (PTB and PMB) as well as intratumoral (ITB and IMB). Representative examples for PMB and IMB are given in Figure 1.
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2

CSF1 Translocation Analysis in TGCT

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All slides were scanned in brightfield and/or fluorescence on a Pannoramic P250 or MIDI digital scanner (3DHistech, Budapest, Hungary). Scanned images were visualised using the Pannoramic Viewer (V2.1; 3DHistech). Interpretation was performed manually by a senior FISH expert (K.S.), blinded towards TGCT‐type and clinical outcome.
Because CSF1‐expressing regions were expected to contain neoplastic cells, three of these regions were selected. With the use of digital correlative microscopy, regions with CSF1 mRNA expressing (supposed neoplastic) cells were identified and the same areas were scored after FISH analysis. If the distance between the two signals was larger than the size of a single hybridisation signal, cells were recorded as CSF1 split‐positive. All nuclei within the selected area with a complete set of signals were evaluated. Nuclei with an incomplete set of signals were excluded from counting. Samples containing >2/100 nuclei with a CSF1 split were considered CSF1 split‐positive.
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3

Immunofluorescence and IHC Staining Protocol

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Immunofluorescence staining was performed on TMA sections [38 (link)]. The primary and secondary antibodies are listed in Table S2. Nuclei were counterstained with 4′,6-diamidino-2-phenylindole (200 ng/mL, Sigma Aldrich, St. Louis, MO, USA). The TMA was visualised using a digital slide scanner (Pannoramic P250, 3DHISTECH, Budapest, Hungary) and at least three fields per sample were acquired from randomly selected fields of view. The fluorescence images were analysed using ImageJ software [39 (link)]. For immunohistochemistry, the sections were incubated with the primary antibodies at 4 °C overnight, and then with secondary antibodies at 25 °C for 1 h. The signals were visualised by a DAB kit (Servicebio, Wuhan, China) and counterstained with haematoxylin (Servicebio). The antibodies are listed in Table S2. Images were acquired using StrataFAXS (TissueGnostics, Vienna, Austria); the percentage of positive cells was determined using StrataQuest software (TissueGnostics) [40 (link)].
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4

Tumor Bud Density Annotation Protocol

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H&E slides of all cases were reviewed to identify tumor blocks from primary tumors and liver metastases with highest density of tumor buds at the tumor front and within the tumor. The tumor front was defined as the desmoplastic stroma surrounding the most advancing parts of the main tumor body. Only resection specimens were considered for the study.
Selected tumor blocks were re-cut and slides were stained for H&E. All H&E stained slides were scanned (Pannoramic P250, 3D Histech, Hungary, 20× objective lens) and uploaded onto a digital platform (http://ngtma.path.unibe.ch/casecenter). Digital slides were reviewed and areas with highest density of tumor budding were annotated using a TMA annotation tool (Panoramic viewer v15.1 and TMA annotation tool, 3D Histech, Hungary). Different colors for tumor front (blue color) and center (red color) were used. Two annotations from the tumor center and two annotations from the tumor front were placed onto the digital slides whenever possible.
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5

Colorectal Cancer Tissue Microarray Creation

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During review, histological slides containing the most representative areas of normal colonic tissue, tumour centre and tumour invasive front were selected. Corresponding blocks were retrieved from the archives of the Institute of Pathology (University Hospital Erlangen). Slides were scanned (Pannoramic P250, 3DHistech, Hungary). Each slide was then viewed and annotated using a TMA annotation tool (Panoramic viewer v15.1. and the corresponding TMA annotation tool, 3D Histech, Hungary) 7, 9. We chose a diameter of 0.6 mm, which reflects the area of a high power field (HPF) of a standard microscope (eg, field‐of‐view number 23–24, aperture 0.575–0.625 mm). Each region was annotated in duplicate or triplicate as depicted (Figure 1).
To achieve a TMA for tumour microenvironment studies we placed the marking in such a way that cores from the tumour centre contain a maximum ratio of epithelium to stroma, ie as many tumour epithelial cells as possible from each case, and that cores from the tumour invasive front included 50% epithelium and 50% stroma (Figure 1a–d).
Once all scanned slides were reviewed, the corresponding donor blocks were loaded into an automated tissue microarrayer (TMA Grandmaster, 3DHistech, Hungary) and aligned. In total, 13 ngTMAs were constructed.
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6

Quantifying Sox9-High Cancer Stem Cells in FFPE Tumor Sections

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The FFPE human tumor sections with known TMEM scores18 (link) were stained with Sox9 antibody at 1 : 100 dilution (EMD Millipore, cat# ab5535). Sections were then scanned on 3D Histech Pannoramic P250 digital whole slide scanner and images were analyzed in Visiopharm program by first thresholding them based on the negative control (secondary antibody only) and then measuring the mean Sox9 fluorescence intensity. For Sox9Hi CSC distribution with respect to the TMEM doorways, sequential tissue sections were stained with triple-IHC (pan-Mena, CD68, and CD31 antibodies) and Sox9 antibody. TMEM-rich areas are defined as at least three TMEM doorways per ×40 magnification field of view, or 30 TMEM doorways per the ten ×40 fields (TMEM score). This cutoff point is chosen, because TMEM score of 23 is associated with increased risk of developing metastatic disease59 . Sox9Hi tumor cell population was defined by choosing approximately top 5% of the tumor cells with the highest Sox9 fluorescence signal, which corresponded to a fluorescence intensity threshold range of 60–255. All slides were scanned at the same excitation intensity and exposure times on the whole slide scanner.
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7

Histopathological Analysis of Xenograft and Allograft

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The xenograft and allograft were fixed in 10% phosphate-buffered formalin,
embedded in paraffin, and cut into 5 µm sections for hematoxylin and eosin
(H&E) staining. Immunohistochemical staining was performed as described previously17 (link)
, the sections were then stained with primary antibody anti-CD4 Ab
(Boster, Wuhan, China), anti-CD8 Ab (Boster), anti-CD20 Ab (Boster), anti-IgM
(Boster), and secondary antibody goat anti-rabbit IgG (GB23303; Boster, Wuhan,
China). Samples were visualized with a DAB detection kit (Maixin-Bio, Fuzhou,
China). We used a pathological section scanner (Pannoramic P250, 3DHISTECH,
Budapest, Hungary) to analyze the immunohistochemical staining density. Two
cardiologists blinded to the experimental conditions graded acute rejection
according to the International Society of Heart and Lung Transplantation (ISHLT) criteria21 (link)
. Briefly, 0 R = no rejection; 1 R (mild rejection) = evidence of
perivascular infiltrate, interstitial infiltrate, or both with up to 1 focus of
myocyte damage; 2 R (moderate rejection) = two or more infiltrate foci with
related myocyte damage; 3 R (severe rejection) = the infiltrate was diffuse and
had multifocal myocyte damage ± edema, ± hemorrhage, ± vasculitis.
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8

Tissue Microarray Construction and Annotation

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All tissues were fixed in 10% buffered formalin and stored in a cool and dry environment. For all patient cohorts, a tissue microarray was constructed using the next-generation tissue microarray approach (ngTMA) [17 (link)]. First, diagnostic H&E slides corresponding to each case were re-reviewed. The most representative one to three H&E slides were selected for each cohort and scanned (Pannoramic P250, 3DHistech). Slides were uploaded onto a digital slide management interface (Case Center, 3DHistech) and annotated using a tissue microarray annotation tool of various sizes (0.6mm or 1.0mm) and colors to designate the different histological areas for capturing in the TMA (Supplemental Figure 2). Next, corresponding donor blocks were loaded into the automated tissue arrayer (TMA Grandmaster), aligned with the digital slide and its annotations, and finally cored for TMA construction. Details of the ngTMA core numbers and sizes can be found in Supplemental Table 4. The use of all material in this study was approved by the corresponding ethics committee (Munich, Germany: Klinikum rechts der Isar (no. 1926/7), Bern, Switzerland: Ethics commission of the canton of Bern (200/14)).
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9

Quantifying Apoptosis in EGFR-resistant Cells

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A TUNEL assay was performed to measure cell apoptosis using the In Situ Cell Death Detection Kit, Fluorescein (Roche Molecular Diagnostics, Pleasanton, CA, USA). Briefly, transfected PC9R cells (5×105 cells/well) were seeded on glass coverslips coated with poly-L-lysine (ScienCell Research Laboratories, Inc., San Diego, CA, USA) and treated with 1 µM gefitinib. Following transfection for 96 h, cells were fixed in 3.7% formaldehyde in PBS for 15 min at room temperature. TUNEL staining was performed according to manufacturer's protocol. After TUNEL staining, DAPI staining (Thermo Fisher Scientific, Inc.) was performed. Slides were scanned (Pannoramic P250; 3DHistech Ltd., Budapest, Hungary) and viewed using the Pannoramic Viewer software (3DHistech Ltd.). PC9R cells positive for TUNEL and DAPI staining were counted using ImageJ software (version 1.42), and the percentage of TUNEL-positive cells was calculated.
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10

High-resolution Whole Slide Imaging

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For reference purposes and to benchmark imaging performance, the samples were also digitized using a high-end, automated whole slide-scanner (Pannoramic P250, 3DHistech Ltd., Budapest, Hungary). This conventional whole slide-scanner uses a 20× objective (NA 0.8) equipped with a three-CCD (charge-coupled device) digital camera with a pixel resolution of 0.22 µm. The acquired images were compressed with a compression ratio of 1:9 to a wavelet file format and uploaded to the whole-slide management server, using the configurations previously described.
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