For multiplexed H&E- and IHC-stained sections, IHC staining for cytokeratin (CK) (Novocastra™ Liquid Mouse Monoclonal Antibody with 1:500 dilution) was performed. Intermediate filaments found in epithelial cells of all types and markers for carcinoma cells were first analyzed using BOND-MAX Autoimmunostainer (Leica Biosystems, Melbourne, Australia). The IHC-stained slides were scanned at × 200 total magnification (tissue-level pixel size, 0.32 μm/pixel) with Aperio Digital Pathology Slide Scanner (Aperio Technologies, Inc., Vista, CA). After scanning, the same slides were stained with H&E after removing aminoethylcarbazole (AEC) by washing with distilled water, and then, the slides were incubated with 70%, 80%, and 95% ethanol for 2 min each, followed by incubation with 0.15 M KMnO4 for 1 min as previously described20 (link). A total of 15 pairs of multiplexed H&E and CK whole-slide images (WSIs) of gastric carcinoma were prepared for this study.
Multiplexed H&E and Immunohistochemistry Protocol for Gastric Carcinoma
For multiplexed H&E- and IHC-stained sections, IHC staining for cytokeratin (CK) (Novocastra™ Liquid Mouse Monoclonal Antibody with 1:500 dilution) was performed. Intermediate filaments found in epithelial cells of all types and markers for carcinoma cells were first analyzed using BOND-MAX Autoimmunostainer (Leica Biosystems, Melbourne, Australia). The IHC-stained slides were scanned at × 200 total magnification (tissue-level pixel size, 0.32 μm/pixel) with Aperio Digital Pathology Slide Scanner (Aperio Technologies, Inc., Vista, CA). After scanning, the same slides were stained with H&E after removing aminoethylcarbazole (AEC) by washing with distilled water, and then, the slides were incubated with 70%, 80%, and 95% ethanol for 2 min each, followed by incubation with 0.15 M KMnO4 for 1 min as previously described20 (link). A total of 15 pairs of multiplexed H&E and CK whole-slide images (WSIs) of gastric carcinoma were prepared for this study.
Corresponding Organization :
Other organizations : Samsung Medical Center, Sungkyunkwan University
Variable analysis
- Formalin-fixed and paraffin-embedded (FFPE) tissue samples
- Tumor Stroma Ratio (TSR)
- Tumor pT stage
- FFPE tissue section thickness (4-µm)
- Staining method (H&E using an automatic stainer)
- Microscopy magnification (× 200 total magnification, tissue-level pixel size of 0.32 μm/pixel)
- Positive control: Cytokeratin (CK) staining for epithelial cells and carcinoma cells
- Negative control: Not explicitly mentioned
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