Publications by authors named "Josephine Aguilar-Jakthong"

Introduction: Multiplex biomarker analysis of cytological body fluid specimens is often used to assist cytologists in distiguishing metastatic cancer cells from reactive mesothelial cells. However, evaluating biomarker expression visually may be challenging, especially when the cells of interest are scant. Deep-learning algorithms (DLAs) may be able to assist cytologists in analyzing multiple biomarker expression at the single cell level in the multiplex fluorescence imaging (MFI) setting.

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Introduction: The Afirma test has been used in the diagnosis of cytologically indeterminate thyroid nodules to reduce diagnostic uncertainty and unnecessary surgeries. Gene Sequencing Classifier (GSC) was developed to improve the positive predictive value and overall test performance of Gene Expression Classifier (GEC). Here we present our experience comparing the performance of first-generation assay of Afirma (GEC) with the new assay (GSC).

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Article Synopsis
  • Oncologists struggle to identify high-risk patients with atypical and nonatypical hyperplasias due to a lack of molecular risk stratification methods.
  • Our study explores a four-marker risk signature (MMP-1, CEACAM6, HYAL1, HEC1) in hyperplastic tissues, creating a "Cancer Risk Score" that predicts cancer development with 91% and 86% accuracy for atypical and nonatypical cases, respectively.
  • The results indicate a correlation between risk scores and cancer rates over 5, 10, and 15 years, suggesting that proper risk assessment could help prevent 20%-25% of sporadic breast cancers through informed treatment decisions.
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