Diagnostic distinction of malignant melanoma and benign nevi by a gene expression signature and correlation to clinical outcomes

2017 ◽  
Vol 76 (6) ◽  
pp. AB100
2017 ◽  
Vol 26 (7) ◽  
pp. 1107-1113 ◽  
Author(s):  
Jennifer S. Ko ◽  
Balwir Matharoo-Ball ◽  
Steven D. Billings ◽  
Brian J. Thomson ◽  
Jean Y. Tang ◽  
...  

2014 ◽  
Vol 32 (15_suppl) ◽  
pp. 9021-9021
Author(s):  
Colleen Rock ◽  
Loren E Clarke ◽  
M. Bryan Warf ◽  
Darl D Flake ◽  
Anne-Renee Hartman ◽  
...  

2015 ◽  
Vol 42 (4) ◽  
pp. 244-252 ◽  
Author(s):  
Loren E. Clarke ◽  
M.B. Warf ◽  
Darl D. Flake ◽  
Anne‐Renee Hartman ◽  
Steven Tahan ◽  
...  

Cancer ◽  
2016 ◽  
Vol 123 (4) ◽  
pp. 617-628 ◽  
Author(s):  
Loren E. Clarke ◽  
Darl D. Flake ◽  
Klaus Busam ◽  
Clay Cockerell ◽  
Klaus Helm ◽  
...  

2020 ◽  
Vol 17 (5) ◽  
pp. 361-371
Author(s):  
Loren E Clarke ◽  
Brent Mabey ◽  
Darl D Flake II ◽  
Stephanie Meek ◽  
David S Cassarino ◽  
...  

Aim: Evaluate the accuracy of a 23-gene expression signature in differentiating benign nevi from melanoma by comparing test results with clinical outcomes. Materials & methods: Seven dermatopathologists blinded to gene expression test results and clinical outcomes examined 181 lesions to identify diagnostically uncertain cases. Participants independently recorded diagnoses and responses to questions quantifying diagnostic certainty. Test accuracy was determined through comparison with clinical outcomes (sensitivity and percent negative agreement). Results: Overall, 125 cases fulfilled criteria for diagnostic uncertainty (69.1%; 95% CI: 61.8–75.7%). Test sensitivity and percent negative agreement in these cases were 90.4% (95% CI: 79.0–96.8%) and 95.5% (95% CI: 87.3–99.1%), respectively. Conclusion: The 23-gene expression signature has high diagnostic accuracy in diagnostically uncertain cases when evaluated against clinical outcomes.


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