Evidence map›Paper›PMID 27527408›Full record

ArticleNature communications2016

Predicting non-small cell lung cancer prognosis by fully automated microscopic pathology image features.

Kun-Hsing Yu, Ce Zhang, Gerald J Berry, Russ B Altman, Christopher Ré, Daniel L Rubin, Michael Snyder

Registry-linked trialAbstract read
In one paragraph

Article in Nature communications, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05300113 (Artificial Intelligence Neuropathologist - Automated CNS Tumor Pathological Diagnosis Based on Deep Learning), which is not on this map. Cited by 455 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
455citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05300113 unknown statusnot on this mapstarted 2022, after this paper: background citation

Artificial Intelligence Neuropathologist - Automated CNS Tumor Pathological Diagnosis Based on Deep Learning

TypeobservationalSponsorHuashan HospitalRan2022 to 2024Enrolled1,000ConditionsCNS Tumor, Neuropathology
3 · Its place in the literature

Who cites it

455 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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  16. The Prognostic and Biological Value of PGF-Based H&E Pathomics in Hepatocellular Carcinoma.Liver international : official journal of the International Association for the Study of the Liver · 2026
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395 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Kun-Hsing YuBiomedical Informatics Program, Stanford University, 1265 Welch Road, MSOB, X-215, MC 5479, Stanford 94305-5479, California, USA.ORCID 0000-0001-9892-8218
Ce ZhangDepartment of Computer Science, Stanford University, 353 Serra Mall, Stanford 94305-9025, California, USA.
Gerald J BerryDepartment of Pathology, Stanford University, 300 Pasteur Dr, L235, Stanford 94305, California, USA.
Russ B AltmanBiomedical Informatics Program, Stanford University, 1265 Welch Road, MSOB, X-215, MC 5479, Stanford 94305-5479, California, USA.
Christopher RéDepartment of Computer Science, Stanford University, 353 Serra Mall, Stanford 94305-9025, California, USA.
Daniel L RubinBiomedical Informatics Program, Stanford University, 1265 Welch Road, MSOB, X-215, MC 5479, Stanford 94305-5479, California, USA.
Michael SnyderDepartment of Genetics, Stanford University, 300 Pasteur Dr, M-344, Stanford 94305-5120, California, USA.

Funding

Special EquipmentP50HG007735 · NHGRI · STANFORD UNIVERSITY · PI CHANG, HOWARD Y · 2014 to 2018
$15.2M
Proteome Characterization Center: A Genoproteomics Pipeline for Cance ResearchU24CA160036 · NCI · JOHNS HOPKINS UNIVERSITY · PI CHAN, DANIEL WANYUI, ZHANG, HUI · 2011 to 2016
$10.7M
Computerized Quantitative Imaging Assessment of Tumor BurdenU01CA142555 · NCI · STANFORD UNIVERSITY · PI RUBIN, DANIEL L · 2010 to 2014
$2.9M
Robust, Generalizable, and Fair Machine Learning Models for BiomedicineR35GM142879 · NIGMS · HARVARD MEDICAL SCHOOL · PI YU, KUN-HSING · 2021 to 2025
$2.4M
Howard Hughes Medical InstituteNCI NIH HHS U01 CA142555NCI NIH HHS U24 CA160036NHGRI NIH HHS P50 HG007735NIGMS NIH HHS R35 GM142879
6 · The paper itself

Abstract

Lung cancer is the most prevalent cancer worldwide, and histopathological assessment is indispensable for its diagnosis. However, human evaluation of pathology slides cannot accurately predict patients' prognoses. In this study, we obtain 2,186 haematoxylin and eosin stained histopathology whole-slide images of lung adenocarcinoma and squamous cell carcinoma patients from The Cancer Genome Atlas (TCGA), and 294 additional images from Stanford Tissue Microarray (TMA) Database. We extract 9,879 quantitative image features and use regularized machine-learning methods to select the top features and to distinguish shorter-term survivors from longer-term survivors with stage I adenocarcinoma (P<0.003) or squamous cell carcinoma (P=0.023) in the TCGA data set. We validate the survival prediction framework with the TMA cohort (P<0.036 for both tumour types). Our results suggest that automatically derived image features can predict the prognosis of lung cancer patients and thereby contribute to precision oncology. Our methods are extensible to histopathology images of other organs.

Indexed as

AdenocarcinomaAgedCarcinoma, Squamous CellFemaleHumansImage Processing, Computer-AssistedKaplan-Meier EstimateLungLung NeoplasmsMachine LearningMaleMiddle AgedPathology, ClinicalPrognosis

Identifiers

PMID27527408
PMCPMC4990706

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.