Publications by authors named "Marie Lithgow"

Article Synopsis
  • A 75-year-old man experienced worsening left eye pain, swelling, and difficulty moving his eye, with a medical history of diabetes and chronic lymphocytic leukemia.
  • Imaging showed significant swelling and changes around his optic nerve, leading to a diagnosis of orbital cellulitis initially.
  • Further tests revealed he had cryptococcal meningitis causing optic nerve inflammation, but after a month of antifungal treatment, his symptoms improved despite challenges from immune reconstitution inflammatory syndrome.
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Background: The Paris System for Reporting Urinary Cytology (TPS) is a recently developed standardized terminology system. It is well-established that urine cytology has low sensitivity for detecting low-grade urothelial neoplasia (LGUN). Though the majority of tumors are low-grade, surveillance of these lesions is important to monitor for possible progression.

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Importance: Histopathological diagnoses of tumors from tissue biopsy after hematoxylin and eosin (H&E) dye staining is the criterion standard for oncological care, but H&E staining requires trained operators, dyes and reagents, and precious tissue samples that cannot be reused.

Objectives: To use deep learning algorithms to develop models that perform accurate computational H&E staining of native nonstained prostate core biopsy images and to develop methods for interpretation of H&E staining deep learning models and analysis of computationally stained images by computer vision and clinical approaches.

Design, Setting, And Participants: This cross-sectional study used hundreds of thousands of native nonstained RGB (red, green, and blue channel) whole slide image (WSI) patches of prostate core tissue biopsies obtained from excess tissue material from prostate core biopsies performed in the course of routine clinical care between January 7, 2014, and January 7, 2017, at Brigham and Women's Hospital, Boston, Massachusetts.

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Introduction: The Paris System for classifying urine cytology emphasizes identification of high-grade urothelial carcinoma (HGUC). The causes of false-negative urine cytologies (UC) within this system are not well described.

Material And Methods: We identified 660 cases between 2005 and 2013 with both UC and subsequent cystoscopic biopsies.

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Introduction: The goal of Barrett esophagus surveillance is to identify high-grade dysplasia (HGD) for eradication. Surveillance programs currently rely on limited histologic sampling; however, the role of cytology in this setting is not well studied.

Materials And Methods: From December 1, 2011 to March 30, 2014, 45 patients underwent 4 circumferential brushings of the distal tubular esophagus followed by standard 4-quadrant biopsies.

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