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Design and Validation of the Biliary Atresia Research Consortium Histologic Assessment System for Cholestasis in Infancy  Pierre Russo, John C. Magee,

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Presentation on theme: "Design and Validation of the Biliary Atresia Research Consortium Histologic Assessment System for Cholestasis in Infancy  Pierre Russo, John C. Magee,"— Presentation transcript:

1 Design and Validation of the Biliary Atresia Research Consortium Histologic Assessment System for Cholestasis in Infancy  Pierre Russo, John C. Magee, John Boitnott, Kevin E. Bove, Trivellore Raghunathan, Milton Finegold, Joel Haas, Ronald Jaffe, Grace E. Kim, Margret Magid, Hector Melin–Aldana, Frances White, Peter F. Whitington, Ronald J. Sokol  Clinical Gastroenterology and Hepatology  Volume 9, Issue 4, Pages e2 (April 2011) DOI: /j.cgh Copyright © 2011 AGA Institute Terms and Conditions

2 Figure 1 (A) Portal tract expansion with bile duct/ductular proliferation, especially evident at the limiting plate (arrowheads), is noted in this liver biopsy from a 6-week-old infant with BA. Biliary pigment is noted in some ductules (arrows). There is also a cellular infiltrate in the portal spaces that appears to be largely extramedullary hematopoiesis. The surrounding lobule shows little change, except for mild extramedullary hematopoiesis and focal hepatocellular multinucleation. This was rated as consistent with BA by 10 of 10 pathologists. H&E stain; original magnification, ×100. (B) Wedge biopsy from a 2-week-old infant with BA. Portal tracts are mildly expanded by a cellular infiltrate, with only minimal bile duct/ductular proliferation. Only 2 of 9 pathologists favored diagnosis of BA. H&E stain; original magnification, ×100. (C) Biopsy from a case of INH categorized as obstructive by the pathologists. There are portal tract expansion and fibrosis with bile ductular proliferation. Ten of 10 pathologists favored diagnosis of obstruction; however, clinical follow-up confirmed absence of biliary obstruction. H&E stain; original magnification, ×200. (D) Needle biopsy from case of alpha1-antitrypsin deficiency. There are portal expansions and fibrosis, with bile ductular proliferation and presence of rare bile plugs. Eight of 10 pathologists favored diagnosis of BA. H&E stain; original magnification, ×100. Clinical Gastroenterology and Hepatology 2011 9, e2DOI: ( /j.cgh ) Copyright © 2011 AGA Institute Terms and Conditions

3 Figure 2 Correlation of individual pathologists' diagnosis in cases of BA. Clinical Gastroenterology and Hepatology 2011 9, e2DOI: ( /j.cgh ) Copyright © 2011 AGA Institute Terms and Conditions


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