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Assessment of tumour proliferation by use of the mitotic activity index, and Ki67 and phosphohistone H3 expression, in early-stage luminal breast cancer Aims: Phosphohistone H3 (PhH3) has been proposed as a novel proliferation marker in breast cancer. This study compares the interobserver agreement for assessment of the mitotic activity index (MAI), Ki67 expression, and PhH3 in a cohort of oestrogen receptor (ER)-positive breast cancer patients. Methods and results: Tumour samples of 159 luminal breast cancer patients were collected. MAI and PhH3 scores were assessed by three breast cancer pathologists. Ki67 scores were assessed separately by two of the three pathologists. PhH3-positive cells were counted in an area of 2 mm 2 , with a threshold of ≥13 positive cells being used to discriminate between low-proliferative and high-proliferative tumours. Ki67 expression was assessed with the global scoring method. Ki67 percentages of <20% were considered to be low. The intraclass correlation coefficient (ICC) and Cohen's j statistics were used to evaluate interobserver agreement. The impact on histological grading of replacing the MAI with PhH3 was assessed. Counting PhH3-positive cells was highly reproducible among all three observers (ICC of 0.86). The j scores for the categorical PhH3 count (j = 0.78, j = 0.68, and j = 0.80) reflected substantial agreement among all observers, whereas agreement for the MAI (j = 0.38, j = 0.52, and j = 0.26) and Ki67 (j = 0.55) was fair to moderate. When PhH3 was used to determine the histological grade, agreement in grading increased (PhH3, j = 0.52, j = 0.48, and j = 0.52; MAI, j = 0.43, j = 0.35, and j = 0.32), and the proportion of grade III tumours increased (14%, 18%, and 27%). Conclusion: PhH3 seems to outperform Ki67 and the MAI as a reproducible means to measure tumour proliferation in luminal-type breast cancer. Variation in the assessment of histological grade might be reduced by using PhH3, but would result in an increase in the proportion of high-grade cancers.

The luminescent solar concentrator (LSC) is a promising concept for the integration of photovoltaic (PV) generators into the building envelope. Having the form of semitransparent plates, LSCs offer a high degree of flexibility and can be used as windows or facades, as part of the of building-integrated photovoltaic (BIPV) industry. Existing performance characterizations of LSC devices focus almost exclusively on electric power generation. However, when used as window components, the transmitted spectrum can alter the color, potentially affecting the visual comfort of the occupants by altering the properties of the sunlight. In this study, eight different state-of-the-art nanocrystals are evaluated as potential candidates for LSC window luminophores, using Monte Carlo simulations. The transparency of each LSC window varies between 90% and 50%, and the color-rendering properties are assessed with respect to the color rendering index (CRI) and the correlated color temperature (CCT). It is found that luminophores with a wide absorption bandwidth in the visible spectrum can maintain a high CRI value (above 85) and CCT values close to the Planckian locus, even for high luminophore concentrations. In contrast, luminophores that only absorb partly in the visible spectrum suffer from color distortion, a situation characterized by low CCT and CRI values, even at high transmittance.