PMID- 36142468 OWN - NLM STAT- MEDLINE DCOM- 20220926 LR - 20220928 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 23 IP - 18 DP - 2022 Sep 12 TI - Comparison between Immunocytochemistry, FISH and NGS for ALK and ROS1 Rearrangement Detection in Cytological Samples. LID - 10.3390/ijms231810556 [doi] LID - 10556 AB - The detection of ROS1 and ALK rearrangements is performed for advanced-stage non-small cell lung cancer. Several techniques can be used on cytological samples, such as immunocytochemistry (ICC), fluorescence in situ hybridization (FISH) and, more recently, next-generation sequencing (NGS), which is gradually becoming the gold standard. We performed a retrospective study to compare ALK and ROS1 rearrangement results from immunocytochemistry, FISH and NGS methods from 131 cytological samples. Compared to NGS, the sensitivity and specificity of ICC were 0.79 and 0.91, respectively, for ALK, and 1 and 0.87 for ROS1. Regarding FISH, the sensitivity and specificity were both at 1 for ALK and ROS1 probes. False-positive cases obtained by ICC were systematically corrected by FISH. When using ICC and FISH techniques, results are very close to NGS. The false-positive cases obtained by ICC are corrected by FISH, and the true-positive cases are confirmed. NGS has the potential to improve the detection of ALK and ROS1 rearrangements in cytological samples; however, the cost of this technique is still much higher than the sequential use of ICC and FISH. FAU - Frankel, Diane AU - Frankel D AUID- ORCID: 0000-0003-3321-6951 AD - Aix Marseille Univ, APHM, INSERM, MMG, Hopital la Timone, Service de Biologie Cellulaire, 13005 Marseille, France. FAU - Nanni, Isabelle AU - Nanni I AD - APHM, Faculte de Medecine Nord, Service d'Oncobiologie, 13015 Marseille, France. FAU - Ouafik, L'Houcine AU - Ouafik L AD - APHM, Faculte de Medecine Nord, Service d'Oncobiologie, 13015 Marseille, France. AD - Aix Marseille Univ, CNRS, INP, Inst Neurophysiopathol, 13005 Marseille, France. FAU - Camilla, Clara AU - Camilla C AD - APHM, Faculte de Medecine Nord, Service d'Oncobiologie, 13015 Marseille, France. FAU - Pellegrino, Eric AU - Pellegrino E AUID- ORCID: 0000-0002-2422-5947 AD - APHM, Faculte de Medecine Nord, Service d'Oncobiologie, 13015 Marseille, France. FAU - Beaufils, Nathalie AU - Beaufils N AD - APHM, Faculte de Medecine Nord, Service d'Oncobiologie, 13015 Marseille, France. FAU - Greillier, Laurent AU - Greillier L AUID- ORCID: 0000-0002-5807-9503 AD - Multidisciplinary Oncology and Therapeutic Innovations, Marseille University Hospital (APHM), Aix Marseille University, 13015 Marseille, France. FAU - Dutau, Herve AU - Dutau H AD - Department of Thoracic Oncology, Pleural Diseases and Interventional Pulmonology, APHM, 13015 Marseille, France. FAU - Astoul, Philippe AU - Astoul P AUID- ORCID: 0000-0003-3988-1792 AD - Department of Thoracic Oncology, Pleural Diseases and Interventional Pulmonology, APHM, 13015 Marseille, France. FAU - Kaspi, Elise AU - Kaspi E AUID- ORCID: 0000-0003-0458-5109 AD - Aix Marseille Univ, APHM, INSERM, MMG, Hopital la Timone, Service de Biologie Cellulaire, 13005 Marseille, France. FAU - Roll, Patrice AU - Roll P AUID- ORCID: 0000-0002-0045-5641 AD - Aix Marseille Univ, APHM, INSERM, MMG, Hopital la Timone, Service de Biologie Cellulaire, 13005 Marseille, France. LA - eng PT - Journal Article DEP - 20220912 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 RN - 0 (Proto-Oncogene Proteins) RN - EC 2.7.10.1 (Anaplastic Lymphoma Kinase) RN - EC 2.7.10.1 (Protein-Tyrosine Kinases) RN - EC 2.7.10.1 (ROS1 protein, human) SB - IM MH - Anaplastic Lymphoma Kinase/genetics MH - *Carcinoma, Non-Small-Cell Lung/diagnosis/genetics MH - Gene Rearrangement MH - High-Throughput Nucleotide Sequencing/methods MH - Humans MH - Immunohistochemistry MH - In Situ Hybridization, Fluorescence/methods MH - *Lung Neoplasms/diagnosis/genetics MH - Protein-Tyrosine Kinases/genetics MH - Proto-Oncogene Proteins/genetics MH - Retrospective Studies PMC - PMC9502752 OTO - NOTNLM OT - ALK OT - FISH OT - NGS OT - ROS1 OT - adenocarcinoma OT - cytology OT - immunocytochemistry OT - lung cancer COIS- The authors declare no conflict of interest. EDAT- 2022/09/24 06:00 MHDA- 2022/09/28 06:00 PMCR- 2022/09/12 CRDT- 2022/09/23 01:24 PHST- 2022/08/02 00:00 [received] PHST- 2022/08/30 00:00 [revised] PHST- 2022/09/06 00:00 [accepted] PHST- 2022/09/23 01:24 [entrez] PHST- 2022/09/24 06:00 [pubmed] PHST- 2022/09/28 06:00 [medline] PHST- 2022/09/12 00:00 [pmc-release] AID - ijms231810556 [pii] AID - ijms-23-10556 [pii] AID - 10.3390/ijms231810556 [doi] PST - epublish SO - Int J Mol Sci. 2022 Sep 12;23(18):10556. doi: 10.3390/ijms231810556.