PMID- 31135445 OWN - NLM STAT- MEDLINE DCOM- 20210719 LR - 20210719 IS - 1533-4058 (Electronic) IS - 1533-4058 (Linking) VI - 28 IP - 6 DP - 2020 Jul TI - Chromogenic and Silver in Situ Hybridization for Identification of HER 2 Overexpression in Breast Cancer Patients: A Systematic Review and Meta-Analysis. PG - 411-421 LID - 10.1097/PAI.0000000000000773 [doi] AB - INTRODUCTION: This systematic review has the purpose to characterize the accuracy of chromogenic in situ hybridization (CISH) and silver in situ hybridization (SISH), in comparison to fluorescence in situ hybridization (FISH) in the identification of human epidermal growth factor receptor-2 (HER2) overexpression and to inform decisions about test selection. MATERIALS AND METHODS: We searched MEDLINE and EMBASE databases using these eligibility criteria: studies evaluating invasive breast cancer samples which examined agreement between CISH or SISH, and FISH, and reported sensitivity, specificity, or concordance. We performed a bivariate meta-analysis of sensitivity and specificity using a generalized linear mixed model. We used likelihood ratio tests from meta-regression to compare accuracy between HER2 tests. RESULTS: The search identified 4475 articles, of which 32 were included. The summary estimates for sensitivity and specificity were 0.91 [95% confidence interval (CI), 0.85-0.95], and 0.97 (95% CI, 0.93-0.99) for SISH; 0.97 (95% CI, 0.83-1.00) and 0.99 (95% CI, 0.96-1.00) for single-probe CISH; and, 0.98 (95% CI, 0.92-0.99) and 0.98 (95% CI, 0.91-0.99) for dual-probe CISH. Significantly higher sensitivity was reported for dual-CISH than SISH (chi: 5.36; P=0.02) when compared with the reference test FISH. CONCLUSIONS: The agreement between new bright field tests (SISH and CISH) and FISH is high (>/=92%). Indirect comparison of HER2 tests indicated that overall CISH performance exceeds that of SISH. The pooled estimates from this meta-analysis summarize the current published literature and, in addition to other factors such as costs differentials, can help inform future HER2 test selection decisions. FAU - Grazziotin, Luiza R AU - Grazziotin LR AD - Departments of Community Health Sciences. FAU - Dada, Bukky R AU - Dada BR AD - Departments of Community Health Sciences. FAU - de la Rosa Jaimes, Carolina AU - de la Rosa Jaimes C AD - Departments of Community Health Sciences. FAU - Cheung, Winson Y AU - Cheung WY AD - Oncology, University of Calgary, Calgary, AB, Canada. FAU - Marshall, Deborah A AU - Marshall DA AD - Departments of Community Health Sciences. LA - eng PT - Journal Article PT - Meta-Analysis PT - Systematic Review PL - United States TA - Appl Immunohistochem Mol Morphol JT - Applied immunohistochemistry & molecular morphology : AIMM JID - 100888796 RN - 0 (Arabidopsis Proteins) RN - 0 (Homeodomain Proteins) RN - 0 (OCP3 protein, Arabidopsis) RN - 0 (Transcription Factors) RN - 3M4G523W1G (Silver) RN - EC 2.7.10.1 (ERBB2 protein, human) RN - EC 2.7.10.1 (Receptor, ErbB-2) SB - IM MH - Arabidopsis Proteins MH - Breast Neoplasms/*diagnosis/*metabolism MH - Female MH - Homeodomain Proteins MH - Humans MH - In Situ Hybridization/methods MH - In Situ Hybridization, Fluorescence/*methods MH - Receptor, ErbB-2/genetics/*metabolism MH - Sensitivity and Specificity MH - Silver/metabolism MH - Transcription Factors EDAT- 2019/05/29 06:00 MHDA- 2021/07/20 06:00 CRDT- 2019/05/29 06:00 PHST- 2019/05/29 06:00 [pubmed] PHST- 2021/07/20 06:00 [medline] PHST- 2019/05/29 06:00 [entrez] AID - 00129039-202007000-00001 [pii] AID - 10.1097/PAI.0000000000000773 [doi] PST - ppublish SO - Appl Immunohistochem Mol Morphol. 2020 Jul;28(6):411-421. doi: 10.1097/PAI.0000000000000773.