Primary Unit for Statistical Analysis in Morphometry: Patient or Cell?

In a series of 16 oxyphilic follicular neoplasms of the thyroid (8 adenomas and 8 carcinomas), three different approaches for the analysis of morphometric data were evaluated. It was shown that the statistical design of morphometric studies is by nature nested due to subsampling of cells within each...

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Main Authors: Oleksiy Tsybrovskyy, Andrea Berghold
Format: Article
Language:English
Published: Wiley 1999-01-01
Series:Analytical Cellular Pathology
Online Access:http://dx.doi.org/10.1155/1999/897698
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author Oleksiy Tsybrovskyy
Andrea Berghold
author_facet Oleksiy Tsybrovskyy
Andrea Berghold
author_sort Oleksiy Tsybrovskyy
collection DOAJ
description In a series of 16 oxyphilic follicular neoplasms of the thyroid (8 adenomas and 8 carcinomas), three different approaches for the analysis of morphometric data were evaluated. It was shown that the statistical design of morphometric studies is by nature nested due to subsampling of cells within each patient. Therefore, the most appropriate analysis would be to account for this hierarchical structure. However, related statistical methods are not at present well established, especially as far as classification rules are concerned. Therefore, the nested design is converted into the simple factorial one by considering only one kind of statistical unit – either patients or cells. The results of the study presented indicate that ignoring the patient as unit of analysis leads to a substantial error in statistical output, regardless of the particular procedure applied. Moreover, the size of the error can be neither diminished nor controlled. Choosing patients as primary units assures accurate results and also has an advantage of gaining some additional information by calculating several distributional estimates in each patient. However, this approach often requires a reduction of dimensions and, furthermore, is not encouraged in certain fields of quantitative cytology. Advantages and disadvantages of all approaches have been summarized and practical recommendations for their use have been worked out.
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spelling doaj-art-d003bc89f75645d3be6d23e1c1e0eb072025-02-03T05:46:32ZengWileyAnalytical Cellular Pathology0921-89121878-36511999-01-0118419120210.1155/1999/897698Primary Unit for Statistical Analysis in Morphometry: Patient or Cell?Oleksiy Tsybrovskyy0Andrea Berghold1Department of Pathology, University of Graz, School of Medicine, Graz, AustriaDepartment of Medical Informatics, Statistics and Documentation, University of Graz, School of Medicine, Graz, AustriaIn a series of 16 oxyphilic follicular neoplasms of the thyroid (8 adenomas and 8 carcinomas), three different approaches for the analysis of morphometric data were evaluated. It was shown that the statistical design of morphometric studies is by nature nested due to subsampling of cells within each patient. Therefore, the most appropriate analysis would be to account for this hierarchical structure. However, related statistical methods are not at present well established, especially as far as classification rules are concerned. Therefore, the nested design is converted into the simple factorial one by considering only one kind of statistical unit – either patients or cells. The results of the study presented indicate that ignoring the patient as unit of analysis leads to a substantial error in statistical output, regardless of the particular procedure applied. Moreover, the size of the error can be neither diminished nor controlled. Choosing patients as primary units assures accurate results and also has an advantage of gaining some additional information by calculating several distributional estimates in each patient. However, this approach often requires a reduction of dimensions and, furthermore, is not encouraged in certain fields of quantitative cytology. Advantages and disadvantages of all approaches have been summarized and practical recommendations for their use have been worked out.http://dx.doi.org/10.1155/1999/897698
spellingShingle Oleksiy Tsybrovskyy
Andrea Berghold
Primary Unit for Statistical Analysis in Morphometry: Patient or Cell?
Analytical Cellular Pathology
title Primary Unit for Statistical Analysis in Morphometry: Patient or Cell?
title_full Primary Unit for Statistical Analysis in Morphometry: Patient or Cell?
title_fullStr Primary Unit for Statistical Analysis in Morphometry: Patient or Cell?
title_full_unstemmed Primary Unit for Statistical Analysis in Morphometry: Patient or Cell?
title_short Primary Unit for Statistical Analysis in Morphometry: Patient or Cell?
title_sort primary unit for statistical analysis in morphometry patient or cell
url http://dx.doi.org/10.1155/1999/897698
work_keys_str_mv AT oleksiytsybrovskyy primaryunitforstatisticalanalysisinmorphometrypatientorcell
AT andreaberghold primaryunitforstatisticalanalysisinmorphometrypatientorcell