PMID- 26580488 OWN - NLM STAT- MEDLINE DCOM- 20161213 LR - 20161230 IS - 1552-4930 (Electronic) IS - 1552-4922 (Linking) VI - 89 IP - 3 DP - 2016 Mar TI - Calibration of interphase fluorescence in situ hybridization cutoff by mathematical models. PG - 239-45 LID - 10.1002/cyto.a.22797 [doi] AB - Fluorescence in situ hybridization (FISH) continues to play an important role in clinical investigations. Laboratories may create their own cutoff, a percentage of positive nuclei to determine whether a specimen is positive or negative, to eliminate false positives that are created by signal overlap in most cases. In some cases, it is difficult to determine the cutoff value because of differences in both the area of nuclei and the number of signals. To address these problems, we established two mathematical models using probability theory. To verify these two models, normal disomy cells from healthy individuals were used to simulate cells with different numbers of signals by hybridization with different probes. We used an X/Y probe to obtain the average distance between two signals and the probability of signal overlap in different nuclei area. Frequencies of all signal patterns were scored and compared with theoretical frequencies, and models were assessed using a goodness of fit test. We used five BCR/ABL1-positive samples, 20 BCR/ABL1-negative samples and two samples with ambiguous results to verify the cutoff calibrated by these two models. The models were in agreement with experimental results. The dynamic cutoff can classify cases in routine analysis correctly, and it can also correct for influences from nuclei area and the number of signals in some ambiguous cases. The probability models can be used to assess the effect of signal overlap and calibrate the cutoff. CI - (c) 2015 International Society for Advancement of Cytometry. FAU - Du, Qinghua AU - Du Q AD - Department of Hematology, Guangzhou First People's Hospital, Guangzhou Medical University, Guangzhou, China. FAU - Li, Qingshan AU - Li Q AD - Department of Hematology, Guangzhou First People's Hospital, Guangzhou Medical University, Guangzhou, China. FAU - Sun, Daochun AU - Sun D AD - School of Mathematics Science, South China Normal University, Guangzhou, China. FAU - Chen, Xiaoyan AU - Chen X AD - Department of Hematology, Guangzhou First People's Hospital, Guangzhou Medical University, Guangzhou, China. FAU - Yu, Bizhen AU - Yu B AD - Department of Hematology, Guangzhou First People's Hospital, Guangzhou Medical University, Guangzhou, China. FAU - Ying, Yi AU - Ying Y AD - Department of Hematology, Guangzhou First People's Hospital, Guangzhou Medical University, Guangzhou, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20151118 PL - United States TA - Cytometry A JT - Cytometry. Part A : the journal of the International Society for Analytical Cytology JID - 101235694 RN - 0 (BCR-ABL1 fusion protein, human) RN - 0 (DNA Probes) RN - EC 2.7.10.2 (Fusion Proteins, bcr-abl) SB - IM MH - Calibration/standards MH - Case-Control Studies MH - Cell Nucleus/genetics MH - DNA Probes/chemistry MH - False Positive Reactions MH - Fusion Proteins, bcr-abl/*genetics MH - Gene Expression MH - Humans MH - In Situ Hybridization, Fluorescence/*standards MH - Interphase/*genetics MH - Leukemia, Myelogenous, Chronic, BCR-ABL Positive/*diagnosis/genetics/pathology MH - Male MH - *Models, Statistical MH - Myeloid Cells/*metabolism/pathology OTO - NOTNLM OT - cell nucleus/genetics OT - fluorescence in situ hybridization OT - mathematical model OT - reference standards OT - spot counting EDAT- 2015/11/19 06:00 MHDA- 2016/12/15 06:00 CRDT- 2015/11/19 06:00 PHST- 2014/09/29 00:00 [received] PHST- 2015/07/05 00:00 [revised] PHST- 2015/10/23 00:00 [accepted] PHST- 2015/11/19 06:00 [entrez] PHST- 2015/11/19 06:00 [pubmed] PHST- 2016/12/15 06:00 [medline] AID - 10.1002/cyto.a.22797 [doi] PST - ppublish SO - Cytometry A. 2016 Mar;89(3):239-45. doi: 10.1002/cyto.a.22797. Epub 2015 Nov 18.