Tumor-Infiltrating Lymphocytes in Endometrial Cancer
NCT06976333 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 52
Last updated 2025-05-16
Summary
Endometrial cancer (EC) is a leading cancer among women globally. The tumor microenvironment in EC is characterized by complex interactions between cancer cells and immune components. Among these proteins, CD133, WNT-1, and mTOR have emerged as key molecular markers with potential prognostic and therapeutic implications in EC. Understanding the association between these molecular alterations and the immune contexture of EC can provide valuable insights into EC biology and lead to the identification of novel therapeutic targets.
In this study, the spatial organization of tumor-infiltrating lymphocytes (TILs) in EC and their correlations with tumor grade, stage, and subcellular CD133, WNT-1, and mTOR expression were investigated. Artificial intelligence-assisted image analysis was performed to quantify TIL metrics, including TIL percentage, grey level co-occurrence matrix (GLCM M1 and M2) parameters, and fractal dimension (FD).
Conditions
- Endometrium Cancer
- Tumor Infiltration
Interventions
- DIAGNOSTIC_TEST
-
Tumor-infliltrating lymphocyte (TIL) percentage
TIL percentage was calculated as the area occupied by lymphocytes divided by the cancer area, expressed as a percentage \[%\]
- DIAGNOSTIC_TEST
-
Grey level co-occurrence matrix (GLCM)
The GLCM is a second-order statistical method for texture feature extraction. Structured images typically contain numerous pixel pairs with co-occurring low- and high-intensity values. After GLCM calculation, different weights were applied to each matrix element to derive two measures: M1 and M2, representing areas with low and high intensities, respectively. Lower M1 and higher M2 values characterized more structured images with distinct TIL patterns.
- DIAGNOSTIC_TEST
-
Fractal dimension (FD)
Quantification of the complexity of TIL
Sponsors & Collaborators
-
Jagiellonian University
lead OTHER
Principal Investigators
-
Milosz Pietrus, PhD · Jagiellonian University
Eligibility
- Min Age
- 18 Years
- Sex
- FEMALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-12-01
- Primary Completion
- 2025-04-30
- Completion
- 2025-05-08
Countries
- Poland
Study Locations
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