Il test HER2 : Standard di qualità - overgroup.eu _Oscar_Nappi.pdf · Il test HER2 : Standard di...

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Il test HER2 : Standard di qualità Linee Guida ASCO-CAP Controllo di qualità AIOM-SIAPEC nella pratica clinica Oscar Nappi UOSC Anatomia patologica AORN A. Cardarelli - Napoli

Transcript of Il test HER2 : Standard di qualità - overgroup.eu _Oscar_Nappi.pdf · Il test HER2 : Standard di...

Page 1: Il test HER2 : Standard di qualità - overgroup.eu _Oscar_Nappi.pdf · Il test HER2 : Standard di qualità Linee Guida ASCO-CAP Controllo di qualità AIOM-SIAPEC nella pratica clinica

Il test HER2

Standard di qualitagrave

Linee Guida ASCO-CAP

Controllo di qualitagrave AIOM-SIAPEC

nella pratica clinica

Oscar Nappi

UOSC Anatomia patologica

AORN A Cardarelli - Napoli

Controllo di qualitagrave esterno

bull Secondo le linee-guida EUSOMA tra i requisiti indispensabili di una Breast Unit figura il Controllo di qualitagrave esterno dei marcatori predittivi

bull Le Regioni Italiane ( in Lombardia giagrave egrave previsto dallrsquo anno in corso) si avviano a considerarlo un requisito obbligatorio

Il progetto Nazionale di CQ della mammella

bull Consiglio Direttivo

bull SIAPEC-Servizi

bull Coordinamento Nazionale

bull Segretari regionali

bull Centri partecipanti

bull ROCHE

bull NordiQC

NordiQC is an independent scientific organization promoting the quality of immunohistochemistry by arranging schemes for pathology laboratories assessing tissue stains giving recommendations for improvement and providing good protocols

1722

11

6

7

12

16

4

1

3

3

1

175 2

14

6

1

10

158 centri

La richiesta di partecipazione al controllo di qualitagrave della Societagrave scientifica italiana per tutti i Centri Nazionali ha indotto Nordiqc a programmare una Run speciale denominata

B19xA tale run hanno aderito 158 Centri

La run B20ordinariaha visto lrsquoadesione di 123 Centri

Gli Strumenti del Coordinamento Nazionale

bull Mail progettoher2gmailcom

bull News letters

bull Tutorials

bull Disponibilitagrave telefonica

13 Aprile 2015

Cliccare sul link relativo alla Run B19x

Criteri HER2

Criteri ER

Criteri PR

HER-2

FDACE IVD approved

HER2 assays

n Vendor O G B P Suff

PATHWAY rmAb clone

4B5 790-2991

51 Ventana 39 8 0 4 92

CONFIRM rmAb clone

4B5 790-4493

7 Ventana 6 1 0 0 100

HercepTest SK001 20 Dako 9 8 0 3 85

HercepTest K5207 8 Dako 0 4 1 2 50

HercepTest K5204 7 Dako 0 5 1 1 71

Oracle mAb clone

CB11 TA9145

8 Leica 0 2 0 6 25

Antibodies for

laboratory developed

HER2 assays

concantibody

n Vendor O G B P Suff

mAb clone CB11 10 LeicaCell Marque 1 5 1 3 60

pAb clone A0485 10 Dako 1 7 0 2 80

Antibodies for

laboratory developed

HER-2 assays RTU

n Vendor O G B P Suff

pAb E2441 1 Spring Bioscience 0 0 0 1 nv

Total 122 56 40 3 23

Proportion 46 33 2 19 79

Risultati HER2-Run (Tabella 4)B20

PR

Concentrated antibodies n Vendor O G B P Suff

mAb clone PgR 1294 5 Dako 3 2 0 0 100

mAb clone PgR 636 22 Dako 16 6 0 0 100

mAb clone 1A6 5 Leica 1 2 0 2 60

mAb clone 16 13 Leica 11 1 0 1 92

Ready to use n Vendor O G B P Suff

mAb clone 16 PA0312 6 Leica 5 1 0 0 100

mAb PgR 636 IRISO68 10 Dako 7 3 0 0 100

mAb clone PgR 1294 1 Dako 0 1 0 0 nv

rmAb clone 1E2 790-

22234296

60 Ventana 17 31 10 2 80

mAb clone PR88 AM328-5

ME

1 Biogenex 1 0 0 0 nv

Total 123 61 47 10 5

Proportion 50 38 8 4 88

Risultati PR-Run (Tabella 3) B201

RunB19x Her2 scoring consensus92111 (83)

RunB20 Her2 scoring consensus94113 (83)

Distribuzione risultati nazionali

Andamento dei risultati HER2 nazionali tra le due Run

Sufficiente rarrInsufficiente 16 (13)

(In)Sufficienterarr(In)Sufficiente 94(77)

InsufficienterarrSufficiente 12(10)

Un risultato Optimal o Good egrave stato ritenuto Sufficiente

Un risultato Borderline o Poor egrave stato ritenuto Insufficente

dei 94 casi rimasti invariati 11 (12) partivano da score insufficiente

VenetoTotlabs 17 16 14 14

nr ()

Her2 ER PR Her2

Poor 1(6) 1(6) 0 3(22)

Borderline 0 7(44) 0 1(7)

Good 0 2(12) 7(50) 1(7)

Optimal 16 (94) 6(38) 7(50) 9(64)

Consensus score 17 14

Yes 15(88) 13(93)

No 2(12) 1(7)

PiemonteTot labs 22 21 19 18

nr()

Her2 ER PR Her2

Poor 5(23) 7(33) 2(10) 2(11)

Borderline 0 0 1(5) 1(5)

Good 1(4) 9(43) 6(32) 10(56)

Optimal 16(73) 5(24) 10(53) 5(28)

Consensus score 22 17

Yes 16(72) 13(76)

No 6(28) 4(24)

e Val DAosta

Emilia Romagna Totlabs 11 11 11 11

nr()

Her2 ER PR Her2

Poor 5(45) 4(37) 0 3(27)

Borderline 0 0 0 0(0)

Good 0 5(45) 7(64) 1(9)

Optimal 6(55) 2(18) 4(36) 7(64)

Consensus score 11 11

Yes 10(91) 10(91)

No 1(9) 1(9)

FVGTotlabs 7 7 5 5

nr()

Her2 ER PR Her2

Poor 0 3(43) 0 0

Borderline 0 1(14) 0 0

Good 1(14) 2(29) 1(20) 3(60)

Optimal 6(86) 1(14) 4(80) 2(40)

Consensus score 6 5

Yes 4(67) 5(100)

No 2(33) 0

e TAA

LiguriaTotlabs 7 6 6 6

nr()

Her2 ER PR Her2

Poor 3(43) 2(33) 0 1(17)

Borderline 0 0 0 0

Good 0 1(17) 2(33) 1(17)

Optimal 4(57) 3(50) 4(67) 4(66)

Consensus score 6 6

Yes 5(83) 4(67)

No 1(17) 2(33)

Nord Italia

Distribuzione risultati regionali

J Clin Pathol 2015 Nov68(11)879-82 doi 101136jclinpath-2014-202705 Getting controls under control the time is now for immunohistochemistryTorlakovic EE1 Nielsen S2 Vyberg M2 Taylor CR3

AbstractFor several decades immunohistochemistry (IHC) more specifically diagnostic IHC (dIHC) has been considered an art rather than a laboratory test There was no clarity about what test performance characteristics are relevant to dIHC test performance characteristics were not fully defined for dIHC and partly as a consequence of that there were no standardisedcontrols or reference standards Herein we discuss the role of standardisation of external controls for test performance characteristics and the role of standardised controls and reference standards for overall standardisation of IHC

Grazie

Page 2: Il test HER2 : Standard di qualità - overgroup.eu _Oscar_Nappi.pdf · Il test HER2 : Standard di qualità Linee Guida ASCO-CAP Controllo di qualità AIOM-SIAPEC nella pratica clinica

Controllo di qualitagrave esterno

bull Secondo le linee-guida EUSOMA tra i requisiti indispensabili di una Breast Unit figura il Controllo di qualitagrave esterno dei marcatori predittivi

bull Le Regioni Italiane ( in Lombardia giagrave egrave previsto dallrsquo anno in corso) si avviano a considerarlo un requisito obbligatorio

Il progetto Nazionale di CQ della mammella

bull Consiglio Direttivo

bull SIAPEC-Servizi

bull Coordinamento Nazionale

bull Segretari regionali

bull Centri partecipanti

bull ROCHE

bull NordiQC

NordiQC is an independent scientific organization promoting the quality of immunohistochemistry by arranging schemes for pathology laboratories assessing tissue stains giving recommendations for improvement and providing good protocols

1722

11

6

7

12

16

4

1

3

3

1

175 2

14

6

1

10

158 centri

La richiesta di partecipazione al controllo di qualitagrave della Societagrave scientifica italiana per tutti i Centri Nazionali ha indotto Nordiqc a programmare una Run speciale denominata

B19xA tale run hanno aderito 158 Centri

La run B20ordinariaha visto lrsquoadesione di 123 Centri

Gli Strumenti del Coordinamento Nazionale

bull Mail progettoher2gmailcom

bull News letters

bull Tutorials

bull Disponibilitagrave telefonica

13 Aprile 2015

Cliccare sul link relativo alla Run B19x

Criteri HER2

Criteri ER

Criteri PR

HER-2

FDACE IVD approved

HER2 assays

n Vendor O G B P Suff

PATHWAY rmAb clone

4B5 790-2991

51 Ventana 39 8 0 4 92

CONFIRM rmAb clone

4B5 790-4493

7 Ventana 6 1 0 0 100

HercepTest SK001 20 Dako 9 8 0 3 85

HercepTest K5207 8 Dako 0 4 1 2 50

HercepTest K5204 7 Dako 0 5 1 1 71

Oracle mAb clone

CB11 TA9145

8 Leica 0 2 0 6 25

Antibodies for

laboratory developed

HER2 assays

concantibody

n Vendor O G B P Suff

mAb clone CB11 10 LeicaCell Marque 1 5 1 3 60

pAb clone A0485 10 Dako 1 7 0 2 80

Antibodies for

laboratory developed

HER-2 assays RTU

n Vendor O G B P Suff

pAb E2441 1 Spring Bioscience 0 0 0 1 nv

Total 122 56 40 3 23

Proportion 46 33 2 19 79

Risultati HER2-Run (Tabella 4)B20

PR

Concentrated antibodies n Vendor O G B P Suff

mAb clone PgR 1294 5 Dako 3 2 0 0 100

mAb clone PgR 636 22 Dako 16 6 0 0 100

mAb clone 1A6 5 Leica 1 2 0 2 60

mAb clone 16 13 Leica 11 1 0 1 92

Ready to use n Vendor O G B P Suff

mAb clone 16 PA0312 6 Leica 5 1 0 0 100

mAb PgR 636 IRISO68 10 Dako 7 3 0 0 100

mAb clone PgR 1294 1 Dako 0 1 0 0 nv

rmAb clone 1E2 790-

22234296

60 Ventana 17 31 10 2 80

mAb clone PR88 AM328-5

ME

1 Biogenex 1 0 0 0 nv

Total 123 61 47 10 5

Proportion 50 38 8 4 88

Risultati PR-Run (Tabella 3) B201

RunB19x Her2 scoring consensus92111 (83)

RunB20 Her2 scoring consensus94113 (83)

Distribuzione risultati nazionali

Andamento dei risultati HER2 nazionali tra le due Run

Sufficiente rarrInsufficiente 16 (13)

(In)Sufficienterarr(In)Sufficiente 94(77)

InsufficienterarrSufficiente 12(10)

Un risultato Optimal o Good egrave stato ritenuto Sufficiente

Un risultato Borderline o Poor egrave stato ritenuto Insufficente

dei 94 casi rimasti invariati 11 (12) partivano da score insufficiente

VenetoTotlabs 17 16 14 14

nr ()

Her2 ER PR Her2

Poor 1(6) 1(6) 0 3(22)

Borderline 0 7(44) 0 1(7)

Good 0 2(12) 7(50) 1(7)

Optimal 16 (94) 6(38) 7(50) 9(64)

Consensus score 17 14

Yes 15(88) 13(93)

No 2(12) 1(7)

PiemonteTot labs 22 21 19 18

nr()

Her2 ER PR Her2

Poor 5(23) 7(33) 2(10) 2(11)

Borderline 0 0 1(5) 1(5)

Good 1(4) 9(43) 6(32) 10(56)

Optimal 16(73) 5(24) 10(53) 5(28)

Consensus score 22 17

Yes 16(72) 13(76)

No 6(28) 4(24)

e Val DAosta

Emilia Romagna Totlabs 11 11 11 11

nr()

Her2 ER PR Her2

Poor 5(45) 4(37) 0 3(27)

Borderline 0 0 0 0(0)

Good 0 5(45) 7(64) 1(9)

Optimal 6(55) 2(18) 4(36) 7(64)

Consensus score 11 11

Yes 10(91) 10(91)

No 1(9) 1(9)

FVGTotlabs 7 7 5 5

nr()

Her2 ER PR Her2

Poor 0 3(43) 0 0

Borderline 0 1(14) 0 0

Good 1(14) 2(29) 1(20) 3(60)

Optimal 6(86) 1(14) 4(80) 2(40)

Consensus score 6 5

Yes 4(67) 5(100)

No 2(33) 0

e TAA

LiguriaTotlabs 7 6 6 6

nr()

Her2 ER PR Her2

Poor 3(43) 2(33) 0 1(17)

Borderline 0 0 0 0

Good 0 1(17) 2(33) 1(17)

Optimal 4(57) 3(50) 4(67) 4(66)

Consensus score 6 6

Yes 5(83) 4(67)

No 1(17) 2(33)

Nord Italia

Distribuzione risultati regionali

J Clin Pathol 2015 Nov68(11)879-82 doi 101136jclinpath-2014-202705 Getting controls under control the time is now for immunohistochemistryTorlakovic EE1 Nielsen S2 Vyberg M2 Taylor CR3

AbstractFor several decades immunohistochemistry (IHC) more specifically diagnostic IHC (dIHC) has been considered an art rather than a laboratory test There was no clarity about what test performance characteristics are relevant to dIHC test performance characteristics were not fully defined for dIHC and partly as a consequence of that there were no standardisedcontrols or reference standards Herein we discuss the role of standardisation of external controls for test performance characteristics and the role of standardised controls and reference standards for overall standardisation of IHC

Grazie

Page 3: Il test HER2 : Standard di qualità - overgroup.eu _Oscar_Nappi.pdf · Il test HER2 : Standard di qualità Linee Guida ASCO-CAP Controllo di qualità AIOM-SIAPEC nella pratica clinica

Il progetto Nazionale di CQ della mammella

bull Consiglio Direttivo

bull SIAPEC-Servizi

bull Coordinamento Nazionale

bull Segretari regionali

bull Centri partecipanti

bull ROCHE

bull NordiQC

NordiQC is an independent scientific organization promoting the quality of immunohistochemistry by arranging schemes for pathology laboratories assessing tissue stains giving recommendations for improvement and providing good protocols

1722

11

6

7

12

16

4

1

3

3

1

175 2

14

6

1

10

158 centri

La richiesta di partecipazione al controllo di qualitagrave della Societagrave scientifica italiana per tutti i Centri Nazionali ha indotto Nordiqc a programmare una Run speciale denominata

B19xA tale run hanno aderito 158 Centri

La run B20ordinariaha visto lrsquoadesione di 123 Centri

Gli Strumenti del Coordinamento Nazionale

bull Mail progettoher2gmailcom

bull News letters

bull Tutorials

bull Disponibilitagrave telefonica

13 Aprile 2015

Cliccare sul link relativo alla Run B19x

Criteri HER2

Criteri ER

Criteri PR

HER-2

FDACE IVD approved

HER2 assays

n Vendor O G B P Suff

PATHWAY rmAb clone

4B5 790-2991

51 Ventana 39 8 0 4 92

CONFIRM rmAb clone

4B5 790-4493

7 Ventana 6 1 0 0 100

HercepTest SK001 20 Dako 9 8 0 3 85

HercepTest K5207 8 Dako 0 4 1 2 50

HercepTest K5204 7 Dako 0 5 1 1 71

Oracle mAb clone

CB11 TA9145

8 Leica 0 2 0 6 25

Antibodies for

laboratory developed

HER2 assays

concantibody

n Vendor O G B P Suff

mAb clone CB11 10 LeicaCell Marque 1 5 1 3 60

pAb clone A0485 10 Dako 1 7 0 2 80

Antibodies for

laboratory developed

HER-2 assays RTU

n Vendor O G B P Suff

pAb E2441 1 Spring Bioscience 0 0 0 1 nv

Total 122 56 40 3 23

Proportion 46 33 2 19 79

Risultati HER2-Run (Tabella 4)B20

PR

Concentrated antibodies n Vendor O G B P Suff

mAb clone PgR 1294 5 Dako 3 2 0 0 100

mAb clone PgR 636 22 Dako 16 6 0 0 100

mAb clone 1A6 5 Leica 1 2 0 2 60

mAb clone 16 13 Leica 11 1 0 1 92

Ready to use n Vendor O G B P Suff

mAb clone 16 PA0312 6 Leica 5 1 0 0 100

mAb PgR 636 IRISO68 10 Dako 7 3 0 0 100

mAb clone PgR 1294 1 Dako 0 1 0 0 nv

rmAb clone 1E2 790-

22234296

60 Ventana 17 31 10 2 80

mAb clone PR88 AM328-5

ME

1 Biogenex 1 0 0 0 nv

Total 123 61 47 10 5

Proportion 50 38 8 4 88

Risultati PR-Run (Tabella 3) B201

RunB19x Her2 scoring consensus92111 (83)

RunB20 Her2 scoring consensus94113 (83)

Distribuzione risultati nazionali

Andamento dei risultati HER2 nazionali tra le due Run

Sufficiente rarrInsufficiente 16 (13)

(In)Sufficienterarr(In)Sufficiente 94(77)

InsufficienterarrSufficiente 12(10)

Un risultato Optimal o Good egrave stato ritenuto Sufficiente

Un risultato Borderline o Poor egrave stato ritenuto Insufficente

dei 94 casi rimasti invariati 11 (12) partivano da score insufficiente

VenetoTotlabs 17 16 14 14

nr ()

Her2 ER PR Her2

Poor 1(6) 1(6) 0 3(22)

Borderline 0 7(44) 0 1(7)

Good 0 2(12) 7(50) 1(7)

Optimal 16 (94) 6(38) 7(50) 9(64)

Consensus score 17 14

Yes 15(88) 13(93)

No 2(12) 1(7)

PiemonteTot labs 22 21 19 18

nr()

Her2 ER PR Her2

Poor 5(23) 7(33) 2(10) 2(11)

Borderline 0 0 1(5) 1(5)

Good 1(4) 9(43) 6(32) 10(56)

Optimal 16(73) 5(24) 10(53) 5(28)

Consensus score 22 17

Yes 16(72) 13(76)

No 6(28) 4(24)

e Val DAosta

Emilia Romagna Totlabs 11 11 11 11

nr()

Her2 ER PR Her2

Poor 5(45) 4(37) 0 3(27)

Borderline 0 0 0 0(0)

Good 0 5(45) 7(64) 1(9)

Optimal 6(55) 2(18) 4(36) 7(64)

Consensus score 11 11

Yes 10(91) 10(91)

No 1(9) 1(9)

FVGTotlabs 7 7 5 5

nr()

Her2 ER PR Her2

Poor 0 3(43) 0 0

Borderline 0 1(14) 0 0

Good 1(14) 2(29) 1(20) 3(60)

Optimal 6(86) 1(14) 4(80) 2(40)

Consensus score 6 5

Yes 4(67) 5(100)

No 2(33) 0

e TAA

LiguriaTotlabs 7 6 6 6

nr()

Her2 ER PR Her2

Poor 3(43) 2(33) 0 1(17)

Borderline 0 0 0 0

Good 0 1(17) 2(33) 1(17)

Optimal 4(57) 3(50) 4(67) 4(66)

Consensus score 6 6

Yes 5(83) 4(67)

No 1(17) 2(33)

Nord Italia

Distribuzione risultati regionali

J Clin Pathol 2015 Nov68(11)879-82 doi 101136jclinpath-2014-202705 Getting controls under control the time is now for immunohistochemistryTorlakovic EE1 Nielsen S2 Vyberg M2 Taylor CR3

AbstractFor several decades immunohistochemistry (IHC) more specifically diagnostic IHC (dIHC) has been considered an art rather than a laboratory test There was no clarity about what test performance characteristics are relevant to dIHC test performance characteristics were not fully defined for dIHC and partly as a consequence of that there were no standardisedcontrols or reference standards Herein we discuss the role of standardisation of external controls for test performance characteristics and the role of standardised controls and reference standards for overall standardisation of IHC

Grazie

Page 4: Il test HER2 : Standard di qualità - overgroup.eu _Oscar_Nappi.pdf · Il test HER2 : Standard di qualità Linee Guida ASCO-CAP Controllo di qualità AIOM-SIAPEC nella pratica clinica

NordiQC is an independent scientific organization promoting the quality of immunohistochemistry by arranging schemes for pathology laboratories assessing tissue stains giving recommendations for improvement and providing good protocols

1722

11

6

7

12

16

4

1

3

3

1

175 2

14

6

1

10

158 centri

La richiesta di partecipazione al controllo di qualitagrave della Societagrave scientifica italiana per tutti i Centri Nazionali ha indotto Nordiqc a programmare una Run speciale denominata

B19xA tale run hanno aderito 158 Centri

La run B20ordinariaha visto lrsquoadesione di 123 Centri

Gli Strumenti del Coordinamento Nazionale

bull Mail progettoher2gmailcom

bull News letters

bull Tutorials

bull Disponibilitagrave telefonica

13 Aprile 2015

Cliccare sul link relativo alla Run B19x

Criteri HER2

Criteri ER

Criteri PR

HER-2

FDACE IVD approved

HER2 assays

n Vendor O G B P Suff

PATHWAY rmAb clone

4B5 790-2991

51 Ventana 39 8 0 4 92

CONFIRM rmAb clone

4B5 790-4493

7 Ventana 6 1 0 0 100

HercepTest SK001 20 Dako 9 8 0 3 85

HercepTest K5207 8 Dako 0 4 1 2 50

HercepTest K5204 7 Dako 0 5 1 1 71

Oracle mAb clone

CB11 TA9145

8 Leica 0 2 0 6 25

Antibodies for

laboratory developed

HER2 assays

concantibody

n Vendor O G B P Suff

mAb clone CB11 10 LeicaCell Marque 1 5 1 3 60

pAb clone A0485 10 Dako 1 7 0 2 80

Antibodies for

laboratory developed

HER-2 assays RTU

n Vendor O G B P Suff

pAb E2441 1 Spring Bioscience 0 0 0 1 nv

Total 122 56 40 3 23

Proportion 46 33 2 19 79

Risultati HER2-Run (Tabella 4)B20

PR

Concentrated antibodies n Vendor O G B P Suff

mAb clone PgR 1294 5 Dako 3 2 0 0 100

mAb clone PgR 636 22 Dako 16 6 0 0 100

mAb clone 1A6 5 Leica 1 2 0 2 60

mAb clone 16 13 Leica 11 1 0 1 92

Ready to use n Vendor O G B P Suff

mAb clone 16 PA0312 6 Leica 5 1 0 0 100

mAb PgR 636 IRISO68 10 Dako 7 3 0 0 100

mAb clone PgR 1294 1 Dako 0 1 0 0 nv

rmAb clone 1E2 790-

22234296

60 Ventana 17 31 10 2 80

mAb clone PR88 AM328-5

ME

1 Biogenex 1 0 0 0 nv

Total 123 61 47 10 5

Proportion 50 38 8 4 88

Risultati PR-Run (Tabella 3) B201

RunB19x Her2 scoring consensus92111 (83)

RunB20 Her2 scoring consensus94113 (83)

Distribuzione risultati nazionali

Andamento dei risultati HER2 nazionali tra le due Run

Sufficiente rarrInsufficiente 16 (13)

(In)Sufficienterarr(In)Sufficiente 94(77)

InsufficienterarrSufficiente 12(10)

Un risultato Optimal o Good egrave stato ritenuto Sufficiente

Un risultato Borderline o Poor egrave stato ritenuto Insufficente

dei 94 casi rimasti invariati 11 (12) partivano da score insufficiente

VenetoTotlabs 17 16 14 14

nr ()

Her2 ER PR Her2

Poor 1(6) 1(6) 0 3(22)

Borderline 0 7(44) 0 1(7)

Good 0 2(12) 7(50) 1(7)

Optimal 16 (94) 6(38) 7(50) 9(64)

Consensus score 17 14

Yes 15(88) 13(93)

No 2(12) 1(7)

PiemonteTot labs 22 21 19 18

nr()

Her2 ER PR Her2

Poor 5(23) 7(33) 2(10) 2(11)

Borderline 0 0 1(5) 1(5)

Good 1(4) 9(43) 6(32) 10(56)

Optimal 16(73) 5(24) 10(53) 5(28)

Consensus score 22 17

Yes 16(72) 13(76)

No 6(28) 4(24)

e Val DAosta

Emilia Romagna Totlabs 11 11 11 11

nr()

Her2 ER PR Her2

Poor 5(45) 4(37) 0 3(27)

Borderline 0 0 0 0(0)

Good 0 5(45) 7(64) 1(9)

Optimal 6(55) 2(18) 4(36) 7(64)

Consensus score 11 11

Yes 10(91) 10(91)

No 1(9) 1(9)

FVGTotlabs 7 7 5 5

nr()

Her2 ER PR Her2

Poor 0 3(43) 0 0

Borderline 0 1(14) 0 0

Good 1(14) 2(29) 1(20) 3(60)

Optimal 6(86) 1(14) 4(80) 2(40)

Consensus score 6 5

Yes 4(67) 5(100)

No 2(33) 0

e TAA

LiguriaTotlabs 7 6 6 6

nr()

Her2 ER PR Her2

Poor 3(43) 2(33) 0 1(17)

Borderline 0 0 0 0

Good 0 1(17) 2(33) 1(17)

Optimal 4(57) 3(50) 4(67) 4(66)

Consensus score 6 6

Yes 5(83) 4(67)

No 1(17) 2(33)

Nord Italia

Distribuzione risultati regionali

J Clin Pathol 2015 Nov68(11)879-82 doi 101136jclinpath-2014-202705 Getting controls under control the time is now for immunohistochemistryTorlakovic EE1 Nielsen S2 Vyberg M2 Taylor CR3

AbstractFor several decades immunohistochemistry (IHC) more specifically diagnostic IHC (dIHC) has been considered an art rather than a laboratory test There was no clarity about what test performance characteristics are relevant to dIHC test performance characteristics were not fully defined for dIHC and partly as a consequence of that there were no standardisedcontrols or reference standards Herein we discuss the role of standardisation of external controls for test performance characteristics and the role of standardised controls and reference standards for overall standardisation of IHC

Grazie

Page 5: Il test HER2 : Standard di qualità - overgroup.eu _Oscar_Nappi.pdf · Il test HER2 : Standard di qualità Linee Guida ASCO-CAP Controllo di qualità AIOM-SIAPEC nella pratica clinica

1722

11

6

7

12

16

4

1

3

3

1

175 2

14

6

1

10

158 centri

La richiesta di partecipazione al controllo di qualitagrave della Societagrave scientifica italiana per tutti i Centri Nazionali ha indotto Nordiqc a programmare una Run speciale denominata

B19xA tale run hanno aderito 158 Centri

La run B20ordinariaha visto lrsquoadesione di 123 Centri

Gli Strumenti del Coordinamento Nazionale

bull Mail progettoher2gmailcom

bull News letters

bull Tutorials

bull Disponibilitagrave telefonica

13 Aprile 2015

Cliccare sul link relativo alla Run B19x

Criteri HER2

Criteri ER

Criteri PR

HER-2

FDACE IVD approved

HER2 assays

n Vendor O G B P Suff

PATHWAY rmAb clone

4B5 790-2991

51 Ventana 39 8 0 4 92

CONFIRM rmAb clone

4B5 790-4493

7 Ventana 6 1 0 0 100

HercepTest SK001 20 Dako 9 8 0 3 85

HercepTest K5207 8 Dako 0 4 1 2 50

HercepTest K5204 7 Dako 0 5 1 1 71

Oracle mAb clone

CB11 TA9145

8 Leica 0 2 0 6 25

Antibodies for

laboratory developed

HER2 assays

concantibody

n Vendor O G B P Suff

mAb clone CB11 10 LeicaCell Marque 1 5 1 3 60

pAb clone A0485 10 Dako 1 7 0 2 80

Antibodies for

laboratory developed

HER-2 assays RTU

n Vendor O G B P Suff

pAb E2441 1 Spring Bioscience 0 0 0 1 nv

Total 122 56 40 3 23

Proportion 46 33 2 19 79

Risultati HER2-Run (Tabella 4)B20

PR

Concentrated antibodies n Vendor O G B P Suff

mAb clone PgR 1294 5 Dako 3 2 0 0 100

mAb clone PgR 636 22 Dako 16 6 0 0 100

mAb clone 1A6 5 Leica 1 2 0 2 60

mAb clone 16 13 Leica 11 1 0 1 92

Ready to use n Vendor O G B P Suff

mAb clone 16 PA0312 6 Leica 5 1 0 0 100

mAb PgR 636 IRISO68 10 Dako 7 3 0 0 100

mAb clone PgR 1294 1 Dako 0 1 0 0 nv

rmAb clone 1E2 790-

22234296

60 Ventana 17 31 10 2 80

mAb clone PR88 AM328-5

ME

1 Biogenex 1 0 0 0 nv

Total 123 61 47 10 5

Proportion 50 38 8 4 88

Risultati PR-Run (Tabella 3) B201

RunB19x Her2 scoring consensus92111 (83)

RunB20 Her2 scoring consensus94113 (83)

Distribuzione risultati nazionali

Andamento dei risultati HER2 nazionali tra le due Run

Sufficiente rarrInsufficiente 16 (13)

(In)Sufficienterarr(In)Sufficiente 94(77)

InsufficienterarrSufficiente 12(10)

Un risultato Optimal o Good egrave stato ritenuto Sufficiente

Un risultato Borderline o Poor egrave stato ritenuto Insufficente

dei 94 casi rimasti invariati 11 (12) partivano da score insufficiente

VenetoTotlabs 17 16 14 14

nr ()

Her2 ER PR Her2

Poor 1(6) 1(6) 0 3(22)

Borderline 0 7(44) 0 1(7)

Good 0 2(12) 7(50) 1(7)

Optimal 16 (94) 6(38) 7(50) 9(64)

Consensus score 17 14

Yes 15(88) 13(93)

No 2(12) 1(7)

PiemonteTot labs 22 21 19 18

nr()

Her2 ER PR Her2

Poor 5(23) 7(33) 2(10) 2(11)

Borderline 0 0 1(5) 1(5)

Good 1(4) 9(43) 6(32) 10(56)

Optimal 16(73) 5(24) 10(53) 5(28)

Consensus score 22 17

Yes 16(72) 13(76)

No 6(28) 4(24)

e Val DAosta

Emilia Romagna Totlabs 11 11 11 11

nr()

Her2 ER PR Her2

Poor 5(45) 4(37) 0 3(27)

Borderline 0 0 0 0(0)

Good 0 5(45) 7(64) 1(9)

Optimal 6(55) 2(18) 4(36) 7(64)

Consensus score 11 11

Yes 10(91) 10(91)

No 1(9) 1(9)

FVGTotlabs 7 7 5 5

nr()

Her2 ER PR Her2

Poor 0 3(43) 0 0

Borderline 0 1(14) 0 0

Good 1(14) 2(29) 1(20) 3(60)

Optimal 6(86) 1(14) 4(80) 2(40)

Consensus score 6 5

Yes 4(67) 5(100)

No 2(33) 0

e TAA

LiguriaTotlabs 7 6 6 6

nr()

Her2 ER PR Her2

Poor 3(43) 2(33) 0 1(17)

Borderline 0 0 0 0

Good 0 1(17) 2(33) 1(17)

Optimal 4(57) 3(50) 4(67) 4(66)

Consensus score 6 6

Yes 5(83) 4(67)

No 1(17) 2(33)

Nord Italia

Distribuzione risultati regionali

J Clin Pathol 2015 Nov68(11)879-82 doi 101136jclinpath-2014-202705 Getting controls under control the time is now for immunohistochemistryTorlakovic EE1 Nielsen S2 Vyberg M2 Taylor CR3

AbstractFor several decades immunohistochemistry (IHC) more specifically diagnostic IHC (dIHC) has been considered an art rather than a laboratory test There was no clarity about what test performance characteristics are relevant to dIHC test performance characteristics were not fully defined for dIHC and partly as a consequence of that there were no standardisedcontrols or reference standards Herein we discuss the role of standardisation of external controls for test performance characteristics and the role of standardised controls and reference standards for overall standardisation of IHC

Grazie

Page 6: Il test HER2 : Standard di qualità - overgroup.eu _Oscar_Nappi.pdf · Il test HER2 : Standard di qualità Linee Guida ASCO-CAP Controllo di qualità AIOM-SIAPEC nella pratica clinica

La richiesta di partecipazione al controllo di qualitagrave della Societagrave scientifica italiana per tutti i Centri Nazionali ha indotto Nordiqc a programmare una Run speciale denominata

B19xA tale run hanno aderito 158 Centri

La run B20ordinariaha visto lrsquoadesione di 123 Centri

Gli Strumenti del Coordinamento Nazionale

bull Mail progettoher2gmailcom

bull News letters

bull Tutorials

bull Disponibilitagrave telefonica

13 Aprile 2015

Cliccare sul link relativo alla Run B19x

Criteri HER2

Criteri ER

Criteri PR

HER-2

FDACE IVD approved

HER2 assays

n Vendor O G B P Suff

PATHWAY rmAb clone

4B5 790-2991

51 Ventana 39 8 0 4 92

CONFIRM rmAb clone

4B5 790-4493

7 Ventana 6 1 0 0 100

HercepTest SK001 20 Dako 9 8 0 3 85

HercepTest K5207 8 Dako 0 4 1 2 50

HercepTest K5204 7 Dako 0 5 1 1 71

Oracle mAb clone

CB11 TA9145

8 Leica 0 2 0 6 25

Antibodies for

laboratory developed

HER2 assays

concantibody

n Vendor O G B P Suff

mAb clone CB11 10 LeicaCell Marque 1 5 1 3 60

pAb clone A0485 10 Dako 1 7 0 2 80

Antibodies for

laboratory developed

HER-2 assays RTU

n Vendor O G B P Suff

pAb E2441 1 Spring Bioscience 0 0 0 1 nv

Total 122 56 40 3 23

Proportion 46 33 2 19 79

Risultati HER2-Run (Tabella 4)B20

PR

Concentrated antibodies n Vendor O G B P Suff

mAb clone PgR 1294 5 Dako 3 2 0 0 100

mAb clone PgR 636 22 Dako 16 6 0 0 100

mAb clone 1A6 5 Leica 1 2 0 2 60

mAb clone 16 13 Leica 11 1 0 1 92

Ready to use n Vendor O G B P Suff

mAb clone 16 PA0312 6 Leica 5 1 0 0 100

mAb PgR 636 IRISO68 10 Dako 7 3 0 0 100

mAb clone PgR 1294 1 Dako 0 1 0 0 nv

rmAb clone 1E2 790-

22234296

60 Ventana 17 31 10 2 80

mAb clone PR88 AM328-5

ME

1 Biogenex 1 0 0 0 nv

Total 123 61 47 10 5

Proportion 50 38 8 4 88

Risultati PR-Run (Tabella 3) B201

RunB19x Her2 scoring consensus92111 (83)

RunB20 Her2 scoring consensus94113 (83)

Distribuzione risultati nazionali

Andamento dei risultati HER2 nazionali tra le due Run

Sufficiente rarrInsufficiente 16 (13)

(In)Sufficienterarr(In)Sufficiente 94(77)

InsufficienterarrSufficiente 12(10)

Un risultato Optimal o Good egrave stato ritenuto Sufficiente

Un risultato Borderline o Poor egrave stato ritenuto Insufficente

dei 94 casi rimasti invariati 11 (12) partivano da score insufficiente

VenetoTotlabs 17 16 14 14

nr ()

Her2 ER PR Her2

Poor 1(6) 1(6) 0 3(22)

Borderline 0 7(44) 0 1(7)

Good 0 2(12) 7(50) 1(7)

Optimal 16 (94) 6(38) 7(50) 9(64)

Consensus score 17 14

Yes 15(88) 13(93)

No 2(12) 1(7)

PiemonteTot labs 22 21 19 18

nr()

Her2 ER PR Her2

Poor 5(23) 7(33) 2(10) 2(11)

Borderline 0 0 1(5) 1(5)

Good 1(4) 9(43) 6(32) 10(56)

Optimal 16(73) 5(24) 10(53) 5(28)

Consensus score 22 17

Yes 16(72) 13(76)

No 6(28) 4(24)

e Val DAosta

Emilia Romagna Totlabs 11 11 11 11

nr()

Her2 ER PR Her2

Poor 5(45) 4(37) 0 3(27)

Borderline 0 0 0 0(0)

Good 0 5(45) 7(64) 1(9)

Optimal 6(55) 2(18) 4(36) 7(64)

Consensus score 11 11

Yes 10(91) 10(91)

No 1(9) 1(9)

FVGTotlabs 7 7 5 5

nr()

Her2 ER PR Her2

Poor 0 3(43) 0 0

Borderline 0 1(14) 0 0

Good 1(14) 2(29) 1(20) 3(60)

Optimal 6(86) 1(14) 4(80) 2(40)

Consensus score 6 5

Yes 4(67) 5(100)

No 2(33) 0

e TAA

LiguriaTotlabs 7 6 6 6

nr()

Her2 ER PR Her2

Poor 3(43) 2(33) 0 1(17)

Borderline 0 0 0 0

Good 0 1(17) 2(33) 1(17)

Optimal 4(57) 3(50) 4(67) 4(66)

Consensus score 6 6

Yes 5(83) 4(67)

No 1(17) 2(33)

Nord Italia

Distribuzione risultati regionali

J Clin Pathol 2015 Nov68(11)879-82 doi 101136jclinpath-2014-202705 Getting controls under control the time is now for immunohistochemistryTorlakovic EE1 Nielsen S2 Vyberg M2 Taylor CR3

AbstractFor several decades immunohistochemistry (IHC) more specifically diagnostic IHC (dIHC) has been considered an art rather than a laboratory test There was no clarity about what test performance characteristics are relevant to dIHC test performance characteristics were not fully defined for dIHC and partly as a consequence of that there were no standardisedcontrols or reference standards Herein we discuss the role of standardisation of external controls for test performance characteristics and the role of standardised controls and reference standards for overall standardisation of IHC

Grazie

Page 7: Il test HER2 : Standard di qualità - overgroup.eu _Oscar_Nappi.pdf · Il test HER2 : Standard di qualità Linee Guida ASCO-CAP Controllo di qualità AIOM-SIAPEC nella pratica clinica

Gli Strumenti del Coordinamento Nazionale

bull Mail progettoher2gmailcom

bull News letters

bull Tutorials

bull Disponibilitagrave telefonica

13 Aprile 2015

Cliccare sul link relativo alla Run B19x

Criteri HER2

Criteri ER

Criteri PR

HER-2

FDACE IVD approved

HER2 assays

n Vendor O G B P Suff

PATHWAY rmAb clone

4B5 790-2991

51 Ventana 39 8 0 4 92

CONFIRM rmAb clone

4B5 790-4493

7 Ventana 6 1 0 0 100

HercepTest SK001 20 Dako 9 8 0 3 85

HercepTest K5207 8 Dako 0 4 1 2 50

HercepTest K5204 7 Dako 0 5 1 1 71

Oracle mAb clone

CB11 TA9145

8 Leica 0 2 0 6 25

Antibodies for

laboratory developed

HER2 assays

concantibody

n Vendor O G B P Suff

mAb clone CB11 10 LeicaCell Marque 1 5 1 3 60

pAb clone A0485 10 Dako 1 7 0 2 80

Antibodies for

laboratory developed

HER-2 assays RTU

n Vendor O G B P Suff

pAb E2441 1 Spring Bioscience 0 0 0 1 nv

Total 122 56 40 3 23

Proportion 46 33 2 19 79

Risultati HER2-Run (Tabella 4)B20

PR

Concentrated antibodies n Vendor O G B P Suff

mAb clone PgR 1294 5 Dako 3 2 0 0 100

mAb clone PgR 636 22 Dako 16 6 0 0 100

mAb clone 1A6 5 Leica 1 2 0 2 60

mAb clone 16 13 Leica 11 1 0 1 92

Ready to use n Vendor O G B P Suff

mAb clone 16 PA0312 6 Leica 5 1 0 0 100

mAb PgR 636 IRISO68 10 Dako 7 3 0 0 100

mAb clone PgR 1294 1 Dako 0 1 0 0 nv

rmAb clone 1E2 790-

22234296

60 Ventana 17 31 10 2 80

mAb clone PR88 AM328-5

ME

1 Biogenex 1 0 0 0 nv

Total 123 61 47 10 5

Proportion 50 38 8 4 88

Risultati PR-Run (Tabella 3) B201

RunB19x Her2 scoring consensus92111 (83)

RunB20 Her2 scoring consensus94113 (83)

Distribuzione risultati nazionali

Andamento dei risultati HER2 nazionali tra le due Run

Sufficiente rarrInsufficiente 16 (13)

(In)Sufficienterarr(In)Sufficiente 94(77)

InsufficienterarrSufficiente 12(10)

Un risultato Optimal o Good egrave stato ritenuto Sufficiente

Un risultato Borderline o Poor egrave stato ritenuto Insufficente

dei 94 casi rimasti invariati 11 (12) partivano da score insufficiente

VenetoTotlabs 17 16 14 14

nr ()

Her2 ER PR Her2

Poor 1(6) 1(6) 0 3(22)

Borderline 0 7(44) 0 1(7)

Good 0 2(12) 7(50) 1(7)

Optimal 16 (94) 6(38) 7(50) 9(64)

Consensus score 17 14

Yes 15(88) 13(93)

No 2(12) 1(7)

PiemonteTot labs 22 21 19 18

nr()

Her2 ER PR Her2

Poor 5(23) 7(33) 2(10) 2(11)

Borderline 0 0 1(5) 1(5)

Good 1(4) 9(43) 6(32) 10(56)

Optimal 16(73) 5(24) 10(53) 5(28)

Consensus score 22 17

Yes 16(72) 13(76)

No 6(28) 4(24)

e Val DAosta

Emilia Romagna Totlabs 11 11 11 11

nr()

Her2 ER PR Her2

Poor 5(45) 4(37) 0 3(27)

Borderline 0 0 0 0(0)

Good 0 5(45) 7(64) 1(9)

Optimal 6(55) 2(18) 4(36) 7(64)

Consensus score 11 11

Yes 10(91) 10(91)

No 1(9) 1(9)

FVGTotlabs 7 7 5 5

nr()

Her2 ER PR Her2

Poor 0 3(43) 0 0

Borderline 0 1(14) 0 0

Good 1(14) 2(29) 1(20) 3(60)

Optimal 6(86) 1(14) 4(80) 2(40)

Consensus score 6 5

Yes 4(67) 5(100)

No 2(33) 0

e TAA

LiguriaTotlabs 7 6 6 6

nr()

Her2 ER PR Her2

Poor 3(43) 2(33) 0 1(17)

Borderline 0 0 0 0

Good 0 1(17) 2(33) 1(17)

Optimal 4(57) 3(50) 4(67) 4(66)

Consensus score 6 6

Yes 5(83) 4(67)

No 1(17) 2(33)

Nord Italia

Distribuzione risultati regionali

J Clin Pathol 2015 Nov68(11)879-82 doi 101136jclinpath-2014-202705 Getting controls under control the time is now for immunohistochemistryTorlakovic EE1 Nielsen S2 Vyberg M2 Taylor CR3

AbstractFor several decades immunohistochemistry (IHC) more specifically diagnostic IHC (dIHC) has been considered an art rather than a laboratory test There was no clarity about what test performance characteristics are relevant to dIHC test performance characteristics were not fully defined for dIHC and partly as a consequence of that there were no standardisedcontrols or reference standards Herein we discuss the role of standardisation of external controls for test performance characteristics and the role of standardised controls and reference standards for overall standardisation of IHC

Grazie

Page 8: Il test HER2 : Standard di qualità - overgroup.eu _Oscar_Nappi.pdf · Il test HER2 : Standard di qualità Linee Guida ASCO-CAP Controllo di qualità AIOM-SIAPEC nella pratica clinica

13 Aprile 2015

Cliccare sul link relativo alla Run B19x

Criteri HER2

Criteri ER

Criteri PR

HER-2

FDACE IVD approved

HER2 assays

n Vendor O G B P Suff

PATHWAY rmAb clone

4B5 790-2991

51 Ventana 39 8 0 4 92

CONFIRM rmAb clone

4B5 790-4493

7 Ventana 6 1 0 0 100

HercepTest SK001 20 Dako 9 8 0 3 85

HercepTest K5207 8 Dako 0 4 1 2 50

HercepTest K5204 7 Dako 0 5 1 1 71

Oracle mAb clone

CB11 TA9145

8 Leica 0 2 0 6 25

Antibodies for

laboratory developed

HER2 assays

concantibody

n Vendor O G B P Suff

mAb clone CB11 10 LeicaCell Marque 1 5 1 3 60

pAb clone A0485 10 Dako 1 7 0 2 80

Antibodies for

laboratory developed

HER-2 assays RTU

n Vendor O G B P Suff

pAb E2441 1 Spring Bioscience 0 0 0 1 nv

Total 122 56 40 3 23

Proportion 46 33 2 19 79

Risultati HER2-Run (Tabella 4)B20

PR

Concentrated antibodies n Vendor O G B P Suff

mAb clone PgR 1294 5 Dako 3 2 0 0 100

mAb clone PgR 636 22 Dako 16 6 0 0 100

mAb clone 1A6 5 Leica 1 2 0 2 60

mAb clone 16 13 Leica 11 1 0 1 92

Ready to use n Vendor O G B P Suff

mAb clone 16 PA0312 6 Leica 5 1 0 0 100

mAb PgR 636 IRISO68 10 Dako 7 3 0 0 100

mAb clone PgR 1294 1 Dako 0 1 0 0 nv

rmAb clone 1E2 790-

22234296

60 Ventana 17 31 10 2 80

mAb clone PR88 AM328-5

ME

1 Biogenex 1 0 0 0 nv

Total 123 61 47 10 5

Proportion 50 38 8 4 88

Risultati PR-Run (Tabella 3) B201

RunB19x Her2 scoring consensus92111 (83)

RunB20 Her2 scoring consensus94113 (83)

Distribuzione risultati nazionali

Andamento dei risultati HER2 nazionali tra le due Run

Sufficiente rarrInsufficiente 16 (13)

(In)Sufficienterarr(In)Sufficiente 94(77)

InsufficienterarrSufficiente 12(10)

Un risultato Optimal o Good egrave stato ritenuto Sufficiente

Un risultato Borderline o Poor egrave stato ritenuto Insufficente

dei 94 casi rimasti invariati 11 (12) partivano da score insufficiente

VenetoTotlabs 17 16 14 14

nr ()

Her2 ER PR Her2

Poor 1(6) 1(6) 0 3(22)

Borderline 0 7(44) 0 1(7)

Good 0 2(12) 7(50) 1(7)

Optimal 16 (94) 6(38) 7(50) 9(64)

Consensus score 17 14

Yes 15(88) 13(93)

No 2(12) 1(7)

PiemonteTot labs 22 21 19 18

nr()

Her2 ER PR Her2

Poor 5(23) 7(33) 2(10) 2(11)

Borderline 0 0 1(5) 1(5)

Good 1(4) 9(43) 6(32) 10(56)

Optimal 16(73) 5(24) 10(53) 5(28)

Consensus score 22 17

Yes 16(72) 13(76)

No 6(28) 4(24)

e Val DAosta

Emilia Romagna Totlabs 11 11 11 11

nr()

Her2 ER PR Her2

Poor 5(45) 4(37) 0 3(27)

Borderline 0 0 0 0(0)

Good 0 5(45) 7(64) 1(9)

Optimal 6(55) 2(18) 4(36) 7(64)

Consensus score 11 11

Yes 10(91) 10(91)

No 1(9) 1(9)

FVGTotlabs 7 7 5 5

nr()

Her2 ER PR Her2

Poor 0 3(43) 0 0

Borderline 0 1(14) 0 0

Good 1(14) 2(29) 1(20) 3(60)

Optimal 6(86) 1(14) 4(80) 2(40)

Consensus score 6 5

Yes 4(67) 5(100)

No 2(33) 0

e TAA

LiguriaTotlabs 7 6 6 6

nr()

Her2 ER PR Her2

Poor 3(43) 2(33) 0 1(17)

Borderline 0 0 0 0

Good 0 1(17) 2(33) 1(17)

Optimal 4(57) 3(50) 4(67) 4(66)

Consensus score 6 6

Yes 5(83) 4(67)

No 1(17) 2(33)

Nord Italia

Distribuzione risultati regionali

J Clin Pathol 2015 Nov68(11)879-82 doi 101136jclinpath-2014-202705 Getting controls under control the time is now for immunohistochemistryTorlakovic EE1 Nielsen S2 Vyberg M2 Taylor CR3

AbstractFor several decades immunohistochemistry (IHC) more specifically diagnostic IHC (dIHC) has been considered an art rather than a laboratory test There was no clarity about what test performance characteristics are relevant to dIHC test performance characteristics were not fully defined for dIHC and partly as a consequence of that there were no standardisedcontrols or reference standards Herein we discuss the role of standardisation of external controls for test performance characteristics and the role of standardised controls and reference standards for overall standardisation of IHC

Grazie

Page 9: Il test HER2 : Standard di qualità - overgroup.eu _Oscar_Nappi.pdf · Il test HER2 : Standard di qualità Linee Guida ASCO-CAP Controllo di qualità AIOM-SIAPEC nella pratica clinica

Cliccare sul link relativo alla Run B19x

Criteri HER2

Criteri ER

Criteri PR

HER-2

FDACE IVD approved

HER2 assays

n Vendor O G B P Suff

PATHWAY rmAb clone

4B5 790-2991

51 Ventana 39 8 0 4 92

CONFIRM rmAb clone

4B5 790-4493

7 Ventana 6 1 0 0 100

HercepTest SK001 20 Dako 9 8 0 3 85

HercepTest K5207 8 Dako 0 4 1 2 50

HercepTest K5204 7 Dako 0 5 1 1 71

Oracle mAb clone

CB11 TA9145

8 Leica 0 2 0 6 25

Antibodies for

laboratory developed

HER2 assays

concantibody

n Vendor O G B P Suff

mAb clone CB11 10 LeicaCell Marque 1 5 1 3 60

pAb clone A0485 10 Dako 1 7 0 2 80

Antibodies for

laboratory developed

HER-2 assays RTU

n Vendor O G B P Suff

pAb E2441 1 Spring Bioscience 0 0 0 1 nv

Total 122 56 40 3 23

Proportion 46 33 2 19 79

Risultati HER2-Run (Tabella 4)B20

PR

Concentrated antibodies n Vendor O G B P Suff

mAb clone PgR 1294 5 Dako 3 2 0 0 100

mAb clone PgR 636 22 Dako 16 6 0 0 100

mAb clone 1A6 5 Leica 1 2 0 2 60

mAb clone 16 13 Leica 11 1 0 1 92

Ready to use n Vendor O G B P Suff

mAb clone 16 PA0312 6 Leica 5 1 0 0 100

mAb PgR 636 IRISO68 10 Dako 7 3 0 0 100

mAb clone PgR 1294 1 Dako 0 1 0 0 nv

rmAb clone 1E2 790-

22234296

60 Ventana 17 31 10 2 80

mAb clone PR88 AM328-5

ME

1 Biogenex 1 0 0 0 nv

Total 123 61 47 10 5

Proportion 50 38 8 4 88

Risultati PR-Run (Tabella 3) B201

RunB19x Her2 scoring consensus92111 (83)

RunB20 Her2 scoring consensus94113 (83)

Distribuzione risultati nazionali

Andamento dei risultati HER2 nazionali tra le due Run

Sufficiente rarrInsufficiente 16 (13)

(In)Sufficienterarr(In)Sufficiente 94(77)

InsufficienterarrSufficiente 12(10)

Un risultato Optimal o Good egrave stato ritenuto Sufficiente

Un risultato Borderline o Poor egrave stato ritenuto Insufficente

dei 94 casi rimasti invariati 11 (12) partivano da score insufficiente

VenetoTotlabs 17 16 14 14

nr ()

Her2 ER PR Her2

Poor 1(6) 1(6) 0 3(22)

Borderline 0 7(44) 0 1(7)

Good 0 2(12) 7(50) 1(7)

Optimal 16 (94) 6(38) 7(50) 9(64)

Consensus score 17 14

Yes 15(88) 13(93)

No 2(12) 1(7)

PiemonteTot labs 22 21 19 18

nr()

Her2 ER PR Her2

Poor 5(23) 7(33) 2(10) 2(11)

Borderline 0 0 1(5) 1(5)

Good 1(4) 9(43) 6(32) 10(56)

Optimal 16(73) 5(24) 10(53) 5(28)

Consensus score 22 17

Yes 16(72) 13(76)

No 6(28) 4(24)

e Val DAosta

Emilia Romagna Totlabs 11 11 11 11

nr()

Her2 ER PR Her2

Poor 5(45) 4(37) 0 3(27)

Borderline 0 0 0 0(0)

Good 0 5(45) 7(64) 1(9)

Optimal 6(55) 2(18) 4(36) 7(64)

Consensus score 11 11

Yes 10(91) 10(91)

No 1(9) 1(9)

FVGTotlabs 7 7 5 5

nr()

Her2 ER PR Her2

Poor 0 3(43) 0 0

Borderline 0 1(14) 0 0

Good 1(14) 2(29) 1(20) 3(60)

Optimal 6(86) 1(14) 4(80) 2(40)

Consensus score 6 5

Yes 4(67) 5(100)

No 2(33) 0

e TAA

LiguriaTotlabs 7 6 6 6

nr()

Her2 ER PR Her2

Poor 3(43) 2(33) 0 1(17)

Borderline 0 0 0 0

Good 0 1(17) 2(33) 1(17)

Optimal 4(57) 3(50) 4(67) 4(66)

Consensus score 6 6

Yes 5(83) 4(67)

No 1(17) 2(33)

Nord Italia

Distribuzione risultati regionali

J Clin Pathol 2015 Nov68(11)879-82 doi 101136jclinpath-2014-202705 Getting controls under control the time is now for immunohistochemistryTorlakovic EE1 Nielsen S2 Vyberg M2 Taylor CR3

AbstractFor several decades immunohistochemistry (IHC) more specifically diagnostic IHC (dIHC) has been considered an art rather than a laboratory test There was no clarity about what test performance characteristics are relevant to dIHC test performance characteristics were not fully defined for dIHC and partly as a consequence of that there were no standardisedcontrols or reference standards Herein we discuss the role of standardisation of external controls for test performance characteristics and the role of standardised controls and reference standards for overall standardisation of IHC

Grazie

Page 10: Il test HER2 : Standard di qualità - overgroup.eu _Oscar_Nappi.pdf · Il test HER2 : Standard di qualità Linee Guida ASCO-CAP Controllo di qualità AIOM-SIAPEC nella pratica clinica

Criteri HER2

Criteri ER

Criteri PR

HER-2

FDACE IVD approved

HER2 assays

n Vendor O G B P Suff

PATHWAY rmAb clone

4B5 790-2991

51 Ventana 39 8 0 4 92

CONFIRM rmAb clone

4B5 790-4493

7 Ventana 6 1 0 0 100

HercepTest SK001 20 Dako 9 8 0 3 85

HercepTest K5207 8 Dako 0 4 1 2 50

HercepTest K5204 7 Dako 0 5 1 1 71

Oracle mAb clone

CB11 TA9145

8 Leica 0 2 0 6 25

Antibodies for

laboratory developed

HER2 assays

concantibody

n Vendor O G B P Suff

mAb clone CB11 10 LeicaCell Marque 1 5 1 3 60

pAb clone A0485 10 Dako 1 7 0 2 80

Antibodies for

laboratory developed

HER-2 assays RTU

n Vendor O G B P Suff

pAb E2441 1 Spring Bioscience 0 0 0 1 nv

Total 122 56 40 3 23

Proportion 46 33 2 19 79

Risultati HER2-Run (Tabella 4)B20

PR

Concentrated antibodies n Vendor O G B P Suff

mAb clone PgR 1294 5 Dako 3 2 0 0 100

mAb clone PgR 636 22 Dako 16 6 0 0 100

mAb clone 1A6 5 Leica 1 2 0 2 60

mAb clone 16 13 Leica 11 1 0 1 92

Ready to use n Vendor O G B P Suff

mAb clone 16 PA0312 6 Leica 5 1 0 0 100

mAb PgR 636 IRISO68 10 Dako 7 3 0 0 100

mAb clone PgR 1294 1 Dako 0 1 0 0 nv

rmAb clone 1E2 790-

22234296

60 Ventana 17 31 10 2 80

mAb clone PR88 AM328-5

ME

1 Biogenex 1 0 0 0 nv

Total 123 61 47 10 5

Proportion 50 38 8 4 88

Risultati PR-Run (Tabella 3) B201

RunB19x Her2 scoring consensus92111 (83)

RunB20 Her2 scoring consensus94113 (83)

Distribuzione risultati nazionali

Andamento dei risultati HER2 nazionali tra le due Run

Sufficiente rarrInsufficiente 16 (13)

(In)Sufficienterarr(In)Sufficiente 94(77)

InsufficienterarrSufficiente 12(10)

Un risultato Optimal o Good egrave stato ritenuto Sufficiente

Un risultato Borderline o Poor egrave stato ritenuto Insufficente

dei 94 casi rimasti invariati 11 (12) partivano da score insufficiente

VenetoTotlabs 17 16 14 14

nr ()

Her2 ER PR Her2

Poor 1(6) 1(6) 0 3(22)

Borderline 0 7(44) 0 1(7)

Good 0 2(12) 7(50) 1(7)

Optimal 16 (94) 6(38) 7(50) 9(64)

Consensus score 17 14

Yes 15(88) 13(93)

No 2(12) 1(7)

PiemonteTot labs 22 21 19 18

nr()

Her2 ER PR Her2

Poor 5(23) 7(33) 2(10) 2(11)

Borderline 0 0 1(5) 1(5)

Good 1(4) 9(43) 6(32) 10(56)

Optimal 16(73) 5(24) 10(53) 5(28)

Consensus score 22 17

Yes 16(72) 13(76)

No 6(28) 4(24)

e Val DAosta

Emilia Romagna Totlabs 11 11 11 11

nr()

Her2 ER PR Her2

Poor 5(45) 4(37) 0 3(27)

Borderline 0 0 0 0(0)

Good 0 5(45) 7(64) 1(9)

Optimal 6(55) 2(18) 4(36) 7(64)

Consensus score 11 11

Yes 10(91) 10(91)

No 1(9) 1(9)

FVGTotlabs 7 7 5 5

nr()

Her2 ER PR Her2

Poor 0 3(43) 0 0

Borderline 0 1(14) 0 0

Good 1(14) 2(29) 1(20) 3(60)

Optimal 6(86) 1(14) 4(80) 2(40)

Consensus score 6 5

Yes 4(67) 5(100)

No 2(33) 0

e TAA

LiguriaTotlabs 7 6 6 6

nr()

Her2 ER PR Her2

Poor 3(43) 2(33) 0 1(17)

Borderline 0 0 0 0

Good 0 1(17) 2(33) 1(17)

Optimal 4(57) 3(50) 4(67) 4(66)

Consensus score 6 6

Yes 5(83) 4(67)

No 1(17) 2(33)

Nord Italia

Distribuzione risultati regionali

J Clin Pathol 2015 Nov68(11)879-82 doi 101136jclinpath-2014-202705 Getting controls under control the time is now for immunohistochemistryTorlakovic EE1 Nielsen S2 Vyberg M2 Taylor CR3

AbstractFor several decades immunohistochemistry (IHC) more specifically diagnostic IHC (dIHC) has been considered an art rather than a laboratory test There was no clarity about what test performance characteristics are relevant to dIHC test performance characteristics were not fully defined for dIHC and partly as a consequence of that there were no standardisedcontrols or reference standards Herein we discuss the role of standardisation of external controls for test performance characteristics and the role of standardised controls and reference standards for overall standardisation of IHC

Grazie

Page 11: Il test HER2 : Standard di qualità - overgroup.eu _Oscar_Nappi.pdf · Il test HER2 : Standard di qualità Linee Guida ASCO-CAP Controllo di qualità AIOM-SIAPEC nella pratica clinica

Criteri ER

Criteri PR

HER-2

FDACE IVD approved

HER2 assays

n Vendor O G B P Suff

PATHWAY rmAb clone

4B5 790-2991

51 Ventana 39 8 0 4 92

CONFIRM rmAb clone

4B5 790-4493

7 Ventana 6 1 0 0 100

HercepTest SK001 20 Dako 9 8 0 3 85

HercepTest K5207 8 Dako 0 4 1 2 50

HercepTest K5204 7 Dako 0 5 1 1 71

Oracle mAb clone

CB11 TA9145

8 Leica 0 2 0 6 25

Antibodies for

laboratory developed

HER2 assays

concantibody

n Vendor O G B P Suff

mAb clone CB11 10 LeicaCell Marque 1 5 1 3 60

pAb clone A0485 10 Dako 1 7 0 2 80

Antibodies for

laboratory developed

HER-2 assays RTU

n Vendor O G B P Suff

pAb E2441 1 Spring Bioscience 0 0 0 1 nv

Total 122 56 40 3 23

Proportion 46 33 2 19 79

Risultati HER2-Run (Tabella 4)B20

PR

Concentrated antibodies n Vendor O G B P Suff

mAb clone PgR 1294 5 Dako 3 2 0 0 100

mAb clone PgR 636 22 Dako 16 6 0 0 100

mAb clone 1A6 5 Leica 1 2 0 2 60

mAb clone 16 13 Leica 11 1 0 1 92

Ready to use n Vendor O G B P Suff

mAb clone 16 PA0312 6 Leica 5 1 0 0 100

mAb PgR 636 IRISO68 10 Dako 7 3 0 0 100

mAb clone PgR 1294 1 Dako 0 1 0 0 nv

rmAb clone 1E2 790-

22234296

60 Ventana 17 31 10 2 80

mAb clone PR88 AM328-5

ME

1 Biogenex 1 0 0 0 nv

Total 123 61 47 10 5

Proportion 50 38 8 4 88

Risultati PR-Run (Tabella 3) B201

RunB19x Her2 scoring consensus92111 (83)

RunB20 Her2 scoring consensus94113 (83)

Distribuzione risultati nazionali

Andamento dei risultati HER2 nazionali tra le due Run

Sufficiente rarrInsufficiente 16 (13)

(In)Sufficienterarr(In)Sufficiente 94(77)

InsufficienterarrSufficiente 12(10)

Un risultato Optimal o Good egrave stato ritenuto Sufficiente

Un risultato Borderline o Poor egrave stato ritenuto Insufficente

dei 94 casi rimasti invariati 11 (12) partivano da score insufficiente

VenetoTotlabs 17 16 14 14

nr ()

Her2 ER PR Her2

Poor 1(6) 1(6) 0 3(22)

Borderline 0 7(44) 0 1(7)

Good 0 2(12) 7(50) 1(7)

Optimal 16 (94) 6(38) 7(50) 9(64)

Consensus score 17 14

Yes 15(88) 13(93)

No 2(12) 1(7)

PiemonteTot labs 22 21 19 18

nr()

Her2 ER PR Her2

Poor 5(23) 7(33) 2(10) 2(11)

Borderline 0 0 1(5) 1(5)

Good 1(4) 9(43) 6(32) 10(56)

Optimal 16(73) 5(24) 10(53) 5(28)

Consensus score 22 17

Yes 16(72) 13(76)

No 6(28) 4(24)

e Val DAosta

Emilia Romagna Totlabs 11 11 11 11

nr()

Her2 ER PR Her2

Poor 5(45) 4(37) 0 3(27)

Borderline 0 0 0 0(0)

Good 0 5(45) 7(64) 1(9)

Optimal 6(55) 2(18) 4(36) 7(64)

Consensus score 11 11

Yes 10(91) 10(91)

No 1(9) 1(9)

FVGTotlabs 7 7 5 5

nr()

Her2 ER PR Her2

Poor 0 3(43) 0 0

Borderline 0 1(14) 0 0

Good 1(14) 2(29) 1(20) 3(60)

Optimal 6(86) 1(14) 4(80) 2(40)

Consensus score 6 5

Yes 4(67) 5(100)

No 2(33) 0

e TAA

LiguriaTotlabs 7 6 6 6

nr()

Her2 ER PR Her2

Poor 3(43) 2(33) 0 1(17)

Borderline 0 0 0 0

Good 0 1(17) 2(33) 1(17)

Optimal 4(57) 3(50) 4(67) 4(66)

Consensus score 6 6

Yes 5(83) 4(67)

No 1(17) 2(33)

Nord Italia

Distribuzione risultati regionali

J Clin Pathol 2015 Nov68(11)879-82 doi 101136jclinpath-2014-202705 Getting controls under control the time is now for immunohistochemistryTorlakovic EE1 Nielsen S2 Vyberg M2 Taylor CR3

AbstractFor several decades immunohistochemistry (IHC) more specifically diagnostic IHC (dIHC) has been considered an art rather than a laboratory test There was no clarity about what test performance characteristics are relevant to dIHC test performance characteristics were not fully defined for dIHC and partly as a consequence of that there were no standardisedcontrols or reference standards Herein we discuss the role of standardisation of external controls for test performance characteristics and the role of standardised controls and reference standards for overall standardisation of IHC

Grazie

Page 12: Il test HER2 : Standard di qualità - overgroup.eu _Oscar_Nappi.pdf · Il test HER2 : Standard di qualità Linee Guida ASCO-CAP Controllo di qualità AIOM-SIAPEC nella pratica clinica

Criteri PR

HER-2

FDACE IVD approved

HER2 assays

n Vendor O G B P Suff

PATHWAY rmAb clone

4B5 790-2991

51 Ventana 39 8 0 4 92

CONFIRM rmAb clone

4B5 790-4493

7 Ventana 6 1 0 0 100

HercepTest SK001 20 Dako 9 8 0 3 85

HercepTest K5207 8 Dako 0 4 1 2 50

HercepTest K5204 7 Dako 0 5 1 1 71

Oracle mAb clone

CB11 TA9145

8 Leica 0 2 0 6 25

Antibodies for

laboratory developed

HER2 assays

concantibody

n Vendor O G B P Suff

mAb clone CB11 10 LeicaCell Marque 1 5 1 3 60

pAb clone A0485 10 Dako 1 7 0 2 80

Antibodies for

laboratory developed

HER-2 assays RTU

n Vendor O G B P Suff

pAb E2441 1 Spring Bioscience 0 0 0 1 nv

Total 122 56 40 3 23

Proportion 46 33 2 19 79

Risultati HER2-Run (Tabella 4)B20

PR

Concentrated antibodies n Vendor O G B P Suff

mAb clone PgR 1294 5 Dako 3 2 0 0 100

mAb clone PgR 636 22 Dako 16 6 0 0 100

mAb clone 1A6 5 Leica 1 2 0 2 60

mAb clone 16 13 Leica 11 1 0 1 92

Ready to use n Vendor O G B P Suff

mAb clone 16 PA0312 6 Leica 5 1 0 0 100

mAb PgR 636 IRISO68 10 Dako 7 3 0 0 100

mAb clone PgR 1294 1 Dako 0 1 0 0 nv

rmAb clone 1E2 790-

22234296

60 Ventana 17 31 10 2 80

mAb clone PR88 AM328-5

ME

1 Biogenex 1 0 0 0 nv

Total 123 61 47 10 5

Proportion 50 38 8 4 88

Risultati PR-Run (Tabella 3) B201

RunB19x Her2 scoring consensus92111 (83)

RunB20 Her2 scoring consensus94113 (83)

Distribuzione risultati nazionali

Andamento dei risultati HER2 nazionali tra le due Run

Sufficiente rarrInsufficiente 16 (13)

(In)Sufficienterarr(In)Sufficiente 94(77)

InsufficienterarrSufficiente 12(10)

Un risultato Optimal o Good egrave stato ritenuto Sufficiente

Un risultato Borderline o Poor egrave stato ritenuto Insufficente

dei 94 casi rimasti invariati 11 (12) partivano da score insufficiente

VenetoTotlabs 17 16 14 14

nr ()

Her2 ER PR Her2

Poor 1(6) 1(6) 0 3(22)

Borderline 0 7(44) 0 1(7)

Good 0 2(12) 7(50) 1(7)

Optimal 16 (94) 6(38) 7(50) 9(64)

Consensus score 17 14

Yes 15(88) 13(93)

No 2(12) 1(7)

PiemonteTot labs 22 21 19 18

nr()

Her2 ER PR Her2

Poor 5(23) 7(33) 2(10) 2(11)

Borderline 0 0 1(5) 1(5)

Good 1(4) 9(43) 6(32) 10(56)

Optimal 16(73) 5(24) 10(53) 5(28)

Consensus score 22 17

Yes 16(72) 13(76)

No 6(28) 4(24)

e Val DAosta

Emilia Romagna Totlabs 11 11 11 11

nr()

Her2 ER PR Her2

Poor 5(45) 4(37) 0 3(27)

Borderline 0 0 0 0(0)

Good 0 5(45) 7(64) 1(9)

Optimal 6(55) 2(18) 4(36) 7(64)

Consensus score 11 11

Yes 10(91) 10(91)

No 1(9) 1(9)

FVGTotlabs 7 7 5 5

nr()

Her2 ER PR Her2

Poor 0 3(43) 0 0

Borderline 0 1(14) 0 0

Good 1(14) 2(29) 1(20) 3(60)

Optimal 6(86) 1(14) 4(80) 2(40)

Consensus score 6 5

Yes 4(67) 5(100)

No 2(33) 0

e TAA

LiguriaTotlabs 7 6 6 6

nr()

Her2 ER PR Her2

Poor 3(43) 2(33) 0 1(17)

Borderline 0 0 0 0

Good 0 1(17) 2(33) 1(17)

Optimal 4(57) 3(50) 4(67) 4(66)

Consensus score 6 6

Yes 5(83) 4(67)

No 1(17) 2(33)

Nord Italia

Distribuzione risultati regionali

J Clin Pathol 2015 Nov68(11)879-82 doi 101136jclinpath-2014-202705 Getting controls under control the time is now for immunohistochemistryTorlakovic EE1 Nielsen S2 Vyberg M2 Taylor CR3

AbstractFor several decades immunohistochemistry (IHC) more specifically diagnostic IHC (dIHC) has been considered an art rather than a laboratory test There was no clarity about what test performance characteristics are relevant to dIHC test performance characteristics were not fully defined for dIHC and partly as a consequence of that there were no standardisedcontrols or reference standards Herein we discuss the role of standardisation of external controls for test performance characteristics and the role of standardised controls and reference standards for overall standardisation of IHC

Grazie

Page 13: Il test HER2 : Standard di qualità - overgroup.eu _Oscar_Nappi.pdf · Il test HER2 : Standard di qualità Linee Guida ASCO-CAP Controllo di qualità AIOM-SIAPEC nella pratica clinica

HER-2

FDACE IVD approved

HER2 assays

n Vendor O G B P Suff

PATHWAY rmAb clone

4B5 790-2991

51 Ventana 39 8 0 4 92

CONFIRM rmAb clone

4B5 790-4493

7 Ventana 6 1 0 0 100

HercepTest SK001 20 Dako 9 8 0 3 85

HercepTest K5207 8 Dako 0 4 1 2 50

HercepTest K5204 7 Dako 0 5 1 1 71

Oracle mAb clone

CB11 TA9145

8 Leica 0 2 0 6 25

Antibodies for

laboratory developed

HER2 assays

concantibody

n Vendor O G B P Suff

mAb clone CB11 10 LeicaCell Marque 1 5 1 3 60

pAb clone A0485 10 Dako 1 7 0 2 80

Antibodies for

laboratory developed

HER-2 assays RTU

n Vendor O G B P Suff

pAb E2441 1 Spring Bioscience 0 0 0 1 nv

Total 122 56 40 3 23

Proportion 46 33 2 19 79

Risultati HER2-Run (Tabella 4)B20

PR

Concentrated antibodies n Vendor O G B P Suff

mAb clone PgR 1294 5 Dako 3 2 0 0 100

mAb clone PgR 636 22 Dako 16 6 0 0 100

mAb clone 1A6 5 Leica 1 2 0 2 60

mAb clone 16 13 Leica 11 1 0 1 92

Ready to use n Vendor O G B P Suff

mAb clone 16 PA0312 6 Leica 5 1 0 0 100

mAb PgR 636 IRISO68 10 Dako 7 3 0 0 100

mAb clone PgR 1294 1 Dako 0 1 0 0 nv

rmAb clone 1E2 790-

22234296

60 Ventana 17 31 10 2 80

mAb clone PR88 AM328-5

ME

1 Biogenex 1 0 0 0 nv

Total 123 61 47 10 5

Proportion 50 38 8 4 88

Risultati PR-Run (Tabella 3) B201

RunB19x Her2 scoring consensus92111 (83)

RunB20 Her2 scoring consensus94113 (83)

Distribuzione risultati nazionali

Andamento dei risultati HER2 nazionali tra le due Run

Sufficiente rarrInsufficiente 16 (13)

(In)Sufficienterarr(In)Sufficiente 94(77)

InsufficienterarrSufficiente 12(10)

Un risultato Optimal o Good egrave stato ritenuto Sufficiente

Un risultato Borderline o Poor egrave stato ritenuto Insufficente

dei 94 casi rimasti invariati 11 (12) partivano da score insufficiente

VenetoTotlabs 17 16 14 14

nr ()

Her2 ER PR Her2

Poor 1(6) 1(6) 0 3(22)

Borderline 0 7(44) 0 1(7)

Good 0 2(12) 7(50) 1(7)

Optimal 16 (94) 6(38) 7(50) 9(64)

Consensus score 17 14

Yes 15(88) 13(93)

No 2(12) 1(7)

PiemonteTot labs 22 21 19 18

nr()

Her2 ER PR Her2

Poor 5(23) 7(33) 2(10) 2(11)

Borderline 0 0 1(5) 1(5)

Good 1(4) 9(43) 6(32) 10(56)

Optimal 16(73) 5(24) 10(53) 5(28)

Consensus score 22 17

Yes 16(72) 13(76)

No 6(28) 4(24)

e Val DAosta

Emilia Romagna Totlabs 11 11 11 11

nr()

Her2 ER PR Her2

Poor 5(45) 4(37) 0 3(27)

Borderline 0 0 0 0(0)

Good 0 5(45) 7(64) 1(9)

Optimal 6(55) 2(18) 4(36) 7(64)

Consensus score 11 11

Yes 10(91) 10(91)

No 1(9) 1(9)

FVGTotlabs 7 7 5 5

nr()

Her2 ER PR Her2

Poor 0 3(43) 0 0

Borderline 0 1(14) 0 0

Good 1(14) 2(29) 1(20) 3(60)

Optimal 6(86) 1(14) 4(80) 2(40)

Consensus score 6 5

Yes 4(67) 5(100)

No 2(33) 0

e TAA

LiguriaTotlabs 7 6 6 6

nr()

Her2 ER PR Her2

Poor 3(43) 2(33) 0 1(17)

Borderline 0 0 0 0

Good 0 1(17) 2(33) 1(17)

Optimal 4(57) 3(50) 4(67) 4(66)

Consensus score 6 6

Yes 5(83) 4(67)

No 1(17) 2(33)

Nord Italia

Distribuzione risultati regionali

J Clin Pathol 2015 Nov68(11)879-82 doi 101136jclinpath-2014-202705 Getting controls under control the time is now for immunohistochemistryTorlakovic EE1 Nielsen S2 Vyberg M2 Taylor CR3

AbstractFor several decades immunohistochemistry (IHC) more specifically diagnostic IHC (dIHC) has been considered an art rather than a laboratory test There was no clarity about what test performance characteristics are relevant to dIHC test performance characteristics were not fully defined for dIHC and partly as a consequence of that there were no standardisedcontrols or reference standards Herein we discuss the role of standardisation of external controls for test performance characteristics and the role of standardised controls and reference standards for overall standardisation of IHC

Grazie

Page 14: Il test HER2 : Standard di qualità - overgroup.eu _Oscar_Nappi.pdf · Il test HER2 : Standard di qualità Linee Guida ASCO-CAP Controllo di qualità AIOM-SIAPEC nella pratica clinica

PR

Concentrated antibodies n Vendor O G B P Suff

mAb clone PgR 1294 5 Dako 3 2 0 0 100

mAb clone PgR 636 22 Dako 16 6 0 0 100

mAb clone 1A6 5 Leica 1 2 0 2 60

mAb clone 16 13 Leica 11 1 0 1 92

Ready to use n Vendor O G B P Suff

mAb clone 16 PA0312 6 Leica 5 1 0 0 100

mAb PgR 636 IRISO68 10 Dako 7 3 0 0 100

mAb clone PgR 1294 1 Dako 0 1 0 0 nv

rmAb clone 1E2 790-

22234296

60 Ventana 17 31 10 2 80

mAb clone PR88 AM328-5

ME

1 Biogenex 1 0 0 0 nv

Total 123 61 47 10 5

Proportion 50 38 8 4 88

Risultati PR-Run (Tabella 3) B201

RunB19x Her2 scoring consensus92111 (83)

RunB20 Her2 scoring consensus94113 (83)

Distribuzione risultati nazionali

Andamento dei risultati HER2 nazionali tra le due Run

Sufficiente rarrInsufficiente 16 (13)

(In)Sufficienterarr(In)Sufficiente 94(77)

InsufficienterarrSufficiente 12(10)

Un risultato Optimal o Good egrave stato ritenuto Sufficiente

Un risultato Borderline o Poor egrave stato ritenuto Insufficente

dei 94 casi rimasti invariati 11 (12) partivano da score insufficiente

VenetoTotlabs 17 16 14 14

nr ()

Her2 ER PR Her2

Poor 1(6) 1(6) 0 3(22)

Borderline 0 7(44) 0 1(7)

Good 0 2(12) 7(50) 1(7)

Optimal 16 (94) 6(38) 7(50) 9(64)

Consensus score 17 14

Yes 15(88) 13(93)

No 2(12) 1(7)

PiemonteTot labs 22 21 19 18

nr()

Her2 ER PR Her2

Poor 5(23) 7(33) 2(10) 2(11)

Borderline 0 0 1(5) 1(5)

Good 1(4) 9(43) 6(32) 10(56)

Optimal 16(73) 5(24) 10(53) 5(28)

Consensus score 22 17

Yes 16(72) 13(76)

No 6(28) 4(24)

e Val DAosta

Emilia Romagna Totlabs 11 11 11 11

nr()

Her2 ER PR Her2

Poor 5(45) 4(37) 0 3(27)

Borderline 0 0 0 0(0)

Good 0 5(45) 7(64) 1(9)

Optimal 6(55) 2(18) 4(36) 7(64)

Consensus score 11 11

Yes 10(91) 10(91)

No 1(9) 1(9)

FVGTotlabs 7 7 5 5

nr()

Her2 ER PR Her2

Poor 0 3(43) 0 0

Borderline 0 1(14) 0 0

Good 1(14) 2(29) 1(20) 3(60)

Optimal 6(86) 1(14) 4(80) 2(40)

Consensus score 6 5

Yes 4(67) 5(100)

No 2(33) 0

e TAA

LiguriaTotlabs 7 6 6 6

nr()

Her2 ER PR Her2

Poor 3(43) 2(33) 0 1(17)

Borderline 0 0 0 0

Good 0 1(17) 2(33) 1(17)

Optimal 4(57) 3(50) 4(67) 4(66)

Consensus score 6 6

Yes 5(83) 4(67)

No 1(17) 2(33)

Nord Italia

Distribuzione risultati regionali

J Clin Pathol 2015 Nov68(11)879-82 doi 101136jclinpath-2014-202705 Getting controls under control the time is now for immunohistochemistryTorlakovic EE1 Nielsen S2 Vyberg M2 Taylor CR3

AbstractFor several decades immunohistochemistry (IHC) more specifically diagnostic IHC (dIHC) has been considered an art rather than a laboratory test There was no clarity about what test performance characteristics are relevant to dIHC test performance characteristics were not fully defined for dIHC and partly as a consequence of that there were no standardisedcontrols or reference standards Herein we discuss the role of standardisation of external controls for test performance characteristics and the role of standardised controls and reference standards for overall standardisation of IHC

Grazie

Page 15: Il test HER2 : Standard di qualità - overgroup.eu _Oscar_Nappi.pdf · Il test HER2 : Standard di qualità Linee Guida ASCO-CAP Controllo di qualità AIOM-SIAPEC nella pratica clinica

RunB19x Her2 scoring consensus92111 (83)

RunB20 Her2 scoring consensus94113 (83)

Distribuzione risultati nazionali

Andamento dei risultati HER2 nazionali tra le due Run

Sufficiente rarrInsufficiente 16 (13)

(In)Sufficienterarr(In)Sufficiente 94(77)

InsufficienterarrSufficiente 12(10)

Un risultato Optimal o Good egrave stato ritenuto Sufficiente

Un risultato Borderline o Poor egrave stato ritenuto Insufficente

dei 94 casi rimasti invariati 11 (12) partivano da score insufficiente

VenetoTotlabs 17 16 14 14

nr ()

Her2 ER PR Her2

Poor 1(6) 1(6) 0 3(22)

Borderline 0 7(44) 0 1(7)

Good 0 2(12) 7(50) 1(7)

Optimal 16 (94) 6(38) 7(50) 9(64)

Consensus score 17 14

Yes 15(88) 13(93)

No 2(12) 1(7)

PiemonteTot labs 22 21 19 18

nr()

Her2 ER PR Her2

Poor 5(23) 7(33) 2(10) 2(11)

Borderline 0 0 1(5) 1(5)

Good 1(4) 9(43) 6(32) 10(56)

Optimal 16(73) 5(24) 10(53) 5(28)

Consensus score 22 17

Yes 16(72) 13(76)

No 6(28) 4(24)

e Val DAosta

Emilia Romagna Totlabs 11 11 11 11

nr()

Her2 ER PR Her2

Poor 5(45) 4(37) 0 3(27)

Borderline 0 0 0 0(0)

Good 0 5(45) 7(64) 1(9)

Optimal 6(55) 2(18) 4(36) 7(64)

Consensus score 11 11

Yes 10(91) 10(91)

No 1(9) 1(9)

FVGTotlabs 7 7 5 5

nr()

Her2 ER PR Her2

Poor 0 3(43) 0 0

Borderline 0 1(14) 0 0

Good 1(14) 2(29) 1(20) 3(60)

Optimal 6(86) 1(14) 4(80) 2(40)

Consensus score 6 5

Yes 4(67) 5(100)

No 2(33) 0

e TAA

LiguriaTotlabs 7 6 6 6

nr()

Her2 ER PR Her2

Poor 3(43) 2(33) 0 1(17)

Borderline 0 0 0 0

Good 0 1(17) 2(33) 1(17)

Optimal 4(57) 3(50) 4(67) 4(66)

Consensus score 6 6

Yes 5(83) 4(67)

No 1(17) 2(33)

Nord Italia

Distribuzione risultati regionali

J Clin Pathol 2015 Nov68(11)879-82 doi 101136jclinpath-2014-202705 Getting controls under control the time is now for immunohistochemistryTorlakovic EE1 Nielsen S2 Vyberg M2 Taylor CR3

AbstractFor several decades immunohistochemistry (IHC) more specifically diagnostic IHC (dIHC) has been considered an art rather than a laboratory test There was no clarity about what test performance characteristics are relevant to dIHC test performance characteristics were not fully defined for dIHC and partly as a consequence of that there were no standardisedcontrols or reference standards Herein we discuss the role of standardisation of external controls for test performance characteristics and the role of standardised controls and reference standards for overall standardisation of IHC

Grazie

Page 16: Il test HER2 : Standard di qualità - overgroup.eu _Oscar_Nappi.pdf · Il test HER2 : Standard di qualità Linee Guida ASCO-CAP Controllo di qualità AIOM-SIAPEC nella pratica clinica

Andamento dei risultati HER2 nazionali tra le due Run

Sufficiente rarrInsufficiente 16 (13)

(In)Sufficienterarr(In)Sufficiente 94(77)

InsufficienterarrSufficiente 12(10)

Un risultato Optimal o Good egrave stato ritenuto Sufficiente

Un risultato Borderline o Poor egrave stato ritenuto Insufficente

dei 94 casi rimasti invariati 11 (12) partivano da score insufficiente

VenetoTotlabs 17 16 14 14

nr ()

Her2 ER PR Her2

Poor 1(6) 1(6) 0 3(22)

Borderline 0 7(44) 0 1(7)

Good 0 2(12) 7(50) 1(7)

Optimal 16 (94) 6(38) 7(50) 9(64)

Consensus score 17 14

Yes 15(88) 13(93)

No 2(12) 1(7)

PiemonteTot labs 22 21 19 18

nr()

Her2 ER PR Her2

Poor 5(23) 7(33) 2(10) 2(11)

Borderline 0 0 1(5) 1(5)

Good 1(4) 9(43) 6(32) 10(56)

Optimal 16(73) 5(24) 10(53) 5(28)

Consensus score 22 17

Yes 16(72) 13(76)

No 6(28) 4(24)

e Val DAosta

Emilia Romagna Totlabs 11 11 11 11

nr()

Her2 ER PR Her2

Poor 5(45) 4(37) 0 3(27)

Borderline 0 0 0 0(0)

Good 0 5(45) 7(64) 1(9)

Optimal 6(55) 2(18) 4(36) 7(64)

Consensus score 11 11

Yes 10(91) 10(91)

No 1(9) 1(9)

FVGTotlabs 7 7 5 5

nr()

Her2 ER PR Her2

Poor 0 3(43) 0 0

Borderline 0 1(14) 0 0

Good 1(14) 2(29) 1(20) 3(60)

Optimal 6(86) 1(14) 4(80) 2(40)

Consensus score 6 5

Yes 4(67) 5(100)

No 2(33) 0

e TAA

LiguriaTotlabs 7 6 6 6

nr()

Her2 ER PR Her2

Poor 3(43) 2(33) 0 1(17)

Borderline 0 0 0 0

Good 0 1(17) 2(33) 1(17)

Optimal 4(57) 3(50) 4(67) 4(66)

Consensus score 6 6

Yes 5(83) 4(67)

No 1(17) 2(33)

Nord Italia

Distribuzione risultati regionali

J Clin Pathol 2015 Nov68(11)879-82 doi 101136jclinpath-2014-202705 Getting controls under control the time is now for immunohistochemistryTorlakovic EE1 Nielsen S2 Vyberg M2 Taylor CR3

AbstractFor several decades immunohistochemistry (IHC) more specifically diagnostic IHC (dIHC) has been considered an art rather than a laboratory test There was no clarity about what test performance characteristics are relevant to dIHC test performance characteristics were not fully defined for dIHC and partly as a consequence of that there were no standardisedcontrols or reference standards Herein we discuss the role of standardisation of external controls for test performance characteristics and the role of standardised controls and reference standards for overall standardisation of IHC

Grazie

Page 17: Il test HER2 : Standard di qualità - overgroup.eu _Oscar_Nappi.pdf · Il test HER2 : Standard di qualità Linee Guida ASCO-CAP Controllo di qualità AIOM-SIAPEC nella pratica clinica

VenetoTotlabs 17 16 14 14

nr ()

Her2 ER PR Her2

Poor 1(6) 1(6) 0 3(22)

Borderline 0 7(44) 0 1(7)

Good 0 2(12) 7(50) 1(7)

Optimal 16 (94) 6(38) 7(50) 9(64)

Consensus score 17 14

Yes 15(88) 13(93)

No 2(12) 1(7)

PiemonteTot labs 22 21 19 18

nr()

Her2 ER PR Her2

Poor 5(23) 7(33) 2(10) 2(11)

Borderline 0 0 1(5) 1(5)

Good 1(4) 9(43) 6(32) 10(56)

Optimal 16(73) 5(24) 10(53) 5(28)

Consensus score 22 17

Yes 16(72) 13(76)

No 6(28) 4(24)

e Val DAosta

Emilia Romagna Totlabs 11 11 11 11

nr()

Her2 ER PR Her2

Poor 5(45) 4(37) 0 3(27)

Borderline 0 0 0 0(0)

Good 0 5(45) 7(64) 1(9)

Optimal 6(55) 2(18) 4(36) 7(64)

Consensus score 11 11

Yes 10(91) 10(91)

No 1(9) 1(9)

FVGTotlabs 7 7 5 5

nr()

Her2 ER PR Her2

Poor 0 3(43) 0 0

Borderline 0 1(14) 0 0

Good 1(14) 2(29) 1(20) 3(60)

Optimal 6(86) 1(14) 4(80) 2(40)

Consensus score 6 5

Yes 4(67) 5(100)

No 2(33) 0

e TAA

LiguriaTotlabs 7 6 6 6

nr()

Her2 ER PR Her2

Poor 3(43) 2(33) 0 1(17)

Borderline 0 0 0 0

Good 0 1(17) 2(33) 1(17)

Optimal 4(57) 3(50) 4(67) 4(66)

Consensus score 6 6

Yes 5(83) 4(67)

No 1(17) 2(33)

Nord Italia

Distribuzione risultati regionali

J Clin Pathol 2015 Nov68(11)879-82 doi 101136jclinpath-2014-202705 Getting controls under control the time is now for immunohistochemistryTorlakovic EE1 Nielsen S2 Vyberg M2 Taylor CR3

AbstractFor several decades immunohistochemistry (IHC) more specifically diagnostic IHC (dIHC) has been considered an art rather than a laboratory test There was no clarity about what test performance characteristics are relevant to dIHC test performance characteristics were not fully defined for dIHC and partly as a consequence of that there were no standardisedcontrols or reference standards Herein we discuss the role of standardisation of external controls for test performance characteristics and the role of standardised controls and reference standards for overall standardisation of IHC

Grazie

Page 18: Il test HER2 : Standard di qualità - overgroup.eu _Oscar_Nappi.pdf · Il test HER2 : Standard di qualità Linee Guida ASCO-CAP Controllo di qualità AIOM-SIAPEC nella pratica clinica

J Clin Pathol 2015 Nov68(11)879-82 doi 101136jclinpath-2014-202705 Getting controls under control the time is now for immunohistochemistryTorlakovic EE1 Nielsen S2 Vyberg M2 Taylor CR3

AbstractFor several decades immunohistochemistry (IHC) more specifically diagnostic IHC (dIHC) has been considered an art rather than a laboratory test There was no clarity about what test performance characteristics are relevant to dIHC test performance characteristics were not fully defined for dIHC and partly as a consequence of that there were no standardisedcontrols or reference standards Herein we discuss the role of standardisation of external controls for test performance characteristics and the role of standardised controls and reference standards for overall standardisation of IHC

Grazie

Page 19: Il test HER2 : Standard di qualità - overgroup.eu _Oscar_Nappi.pdf · Il test HER2 : Standard di qualità Linee Guida ASCO-CAP Controllo di qualità AIOM-SIAPEC nella pratica clinica

Grazie