RE: Bad FACS data presentation -- more discussion points.

From: TRAGANOS FRANK (FRANK_TRAGANOS@nymc.edu)
Date: Mon Nov 05 2001 - 11:17:15 EST


Mario:
	I am afraid you are right in almost all respects. Being an
old-timer, I have spent much time trying to educate users, students, etc. on
what good flow data is and how to present it. However, I think the problems
goes much deeper in the sense that it is not just flow cytometry that is
being battered and abused in the literature. There are a lot of other areas
both new and old. One sees the same lack of understanding or scientific
rigor in the presentation of Western blots, fluorescence microscopic images
[i.e., the concept that green and red stained molecules when they give you
yellow fluorescence means that actually interact], genomics [failure to
provide information that errors exist at every level of the analysis], etc.
	Yes, there should be documents available to journals and authors
that help both to decide how best to present data. Those in the position to
should continue to teach new users or students how to present their data.
Those on editorial boards or reviewers for all journals should be very
demanding of authors when their manuscripts contain cytometric data (as one
should with any data). Yet, as you pointed out, to the extent that this is
already going on it has had only a small impact on this issue (e.g., many
manuscripts don't go through the hands of "experts" on cytometry before they
are published). And it is also true that many investigators will fail to ask
or follow the advice of flow people in core facilities.
How to respond. One way is to moan and groan as we have been doing lo these
many years. Another is to provide post-publication review of articles that
have especially egregious examples of bad flow data. As you say this may be
a bit ugly. I submit, however, that if one is willing to go that far why not
take it one step further. Maybe it is time to start publicly embarrassing
scientists who misrepresent or misinterpret data, i.e., through questions
following talks/presentations, letter to the editor, etc. I am not
advocating embarrassing people over poorly labeled axes on their dot or
contour plots. I am more concerned with those people who use misunderstood,
misinterpreted data for support of a scientific conclusion. This does all
science a disservice and is one of the few areas where the damage is serious
enough to require this type of action. (By the way, in my experience, this
is not as infrequent as it should be). There will be lots of examples where
the flow is bad but does not change the bottom line - was the hypothesis
proved. Those examples are annoying but not sufficiently serious for public
comment. While scientists who published misunderstood or misinterpreted data
are not guilty of knowingly misrepresenting the data, in some instances, the
effect is the same. Should we as individuals or as a group of scientists
with a particular expertise take such a proactive stance? Might some of us
not be guilty of butchering some other disciplines data? I do not know the
answers. Maybe its time that some researchers that have, what might be
called a cavalier attitude about these things, realize that sometimes such
behavior may not go unpunished.
Respectively
Frank Traganos


	-----Original Message-----
	From:	Mario Roederer [SMTP:roederer@drmr.com]
	Sent:	Thursday, November 01, 2001 1:23 PM
	To:	Cytometry Mailing List
	Subject:	Bad FACS data presentation -- more discussion
points.

	I must respectfully disagree with the recent prevailing sentiment
expressed by "old-timers" on this board.  (Since I'm not an old-timer, and
I've been in the field for almost 20 years, then I guess the definition of
old-timers are those who were publishing FACS data in the 70's).  While my
comments below may rankle a few people--nothing new for me--please be
assured that I mean no disrespect to anyone.

	This is a very serious topic, one that has obviously raised a lot of
interest if not emotions in the community.  It is one about which I have a
very central interest, have studied extensively, and have even taught about.
Hence, I have much to say on the topic.  (What a surprise.)

	First of all, I strongly support an endeavor to produce a document
(or two) to help people present their flow data.  This has been strongly
needed for a long time, and I will be more than happy to help in any way I
can.

	But to think that such a document will make a dent in bad data
publications is just plain fantasy.  Face it, the "experts" have been around
for 30 years trying to explain to scientists how to present data, and it
hasn't really helped.  A document such as is proposed isn't going to be
considered outside of our little group of cytometrists.

	Why?  Well, for example, how many people at whom this is targeted
have been bothered to read Howard's or Alice's or anyone else's book about
Flow Cytometry?  If they haven't read those excellent texts (or even parts
of them), I don't think that presenting them with even a brief missive is
going to budge them.

	The fact is, scientists don't have the time to assimilate any more
"helpful" documents.  The problem is not that they don't want to, it is that
they don't believe that they have a problem.  They don't understand what's
wrong with what they are doing, especially since they've been doing it for
decades.  And no amount of our going to them and saying "Hey, here's a
better way to present your data" is going to change them.  Scientists are
the ultimate curmudgeons.

	I've heard from dozens of Operators or facility Managers that they
try very hard to be a part of the review process for data presentation out
of their facilities.  However, most scientists at these facilities simply
disdain the effort.  What happens?  Our facility people go to them to help
them, but the scientists think they already know how.  They simply won't
accord the facility people with enough respect, and admitting that maybe the
flowjocks might actually know something the vaunted immunologist doesn't.
Giving the flowjock a piece of paper to hand the scientist isn't going to be
of much help in this regard.

	And to those of you who suggested that we need to do our part by
reviewing the documents that come out of our facilities or our departments
and to provide presentation help to the scientists, you are 100% correct.
But unfortunately this too is fantasy.	The reality is, I have enough
trouble in my own institute "educating" people on flow data presentation.
And I have the advantage of being one of their peers (i.e., "faculty").
They wouldn't give me the time of day if I were "only" an Operator, despite
the fact that most of the Operators around know far more about flow
cytometry than they do.

	This is why there has to be an effort to demonstrate what's wrong
with the existing data presentations.  Among others, Zbigniew, Guenter,
Paul, and Howard have been vocal about this being the wrong approach.  The
tenet underlying their opposition is that we don't want to be negative, we
want to be positive about things.  Of course, this presumes that scientists
are a sensitive lot that can't take criticism and will respond poorly to
such criticism.  (Well, OK, many of them are.  But the majority, I believe,
are not.  In fact, I believe that the majority of scientists would take the
criticism in stride.  To say otherwise would be to accuse them of
insecurity.)

	The only way to convince scientists to turn to the Operators, to the
Facility Managers, to the flowjocks, is to prove to them that there are
serious problems with what the scientists are publishing.  I don't like
being negative, but I'm willing to bet that for the time being, it's going
to be the only way to get the attention of the people outside our community.

	Of course, once we have their attention, once we've demonstrated
that there are serious flaws in most presentations, then they will turn to
the Facility people and ask for advice.  Then they will be receptive to
documents that illustrate good presentation practices.	Then they will turn
to "only" Operators and discover that the facility people actually do know
what they're talking about.  And maybe they'll start listening to the
Operators, to the Managers.

	I am convinced that it is only by empowering the people who actually
run the facilities to educate the scientists, that we will we be able to
change the prevailing presentation techniques.	Only by empowering the
Operators and the Managers to advise the scientists in a meaningful way will
result in long-term success.

	This requires a two-pronged approach. First, we must indeed generate
the appropriate educational material -- documents -- that illustrate what
the right way is to present flow data, and why, and how, etc.  This document
can have the brief form useful as a checklist for publication, and as a more
complete form that not only gives the checklist and guidelines, but explains
WHY those guidelines are important.

	But second, we must prove that the existing literature is replete
with awful FACS data.  In my opinion, the best way to do this is to convince
editorial boards to solicit a separate specialized review of all FACS data
in tentatively-accepted papers to ensure that the data is presented properly
(and, if there are problems pointed out in the FACS review, to give the
original reviewers a chance to re-evaluate based on what they missed in the
first go-around).  However, I am sure that editorial boards will be loathe
to load up the review process any more than it already is.  Should we
encounter resistance to this kind of review assistance, then I will stand by
my original suggestion of post-publication review.  Sure, it's ugly, and
will likely be viewed as arrogant.  So what!  Everyone (including
scientists) already thinks that scientists are arrogant.

	But it just might have a positive impact:  imagine your local
immunologist finding out that the data presentation atrocities he or she
just published in Nature have been pointed out for the world to see.  Do you
think said immunologist will not think once or twice about asking for advice
with the next paper?  And the bottom line is that most scientists will admit
that the artifacts inherent to the technology are too many, and often too
subtle, for them to be facile with those problems.  Hence, a forum for those
who are familiar with the problems to illustrate them can be very valuable.
This is nothing unique to flow cytometry; the recent burgeoning field of
gene-chip analysis has many problems that could be similarly addressed.

	I will admit that this is a radical approach, one that is fraught
with danger because of the perception that it is criticism only for the
point of being critical.  In fact, it is what I consider a last-ditch
effort.  But we've now had 25+ years of bad data.  Just when is it that
we've come to the last ditch, if not now?

	mr

	(PS:   I found an old "questions" list that I gave my class some
years ago--questions to ask when you are reading a FACS-based paper--and to
kick things off, I put it at <http://www.drmr.com/facsquestions.html>.	It's
very short, it hasn't been updated in a long time, but it's still valid...)



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