Evidence map›Paper›PMID 29531073›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2018

Predicting cancer outcomes from histology and genomics using convolutional networks.

Pooya Mobadersany, Safoora Yousefi, Mohamed Amgad, David A Gutman, Jill S Barnholtz-Sloan, José E Velázquez Vega, Daniel J Brat, Lee A D Cooper

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06717295 (The CCANED-CIPHER Study), which is not on this map. Cited by 469 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
469citing papers in PubMed, 3 pooled it
72.1field-weighted citation impact, top 1% of its field
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.

NCT06717295 recruitingnot on this mapstarted 2025, after this paper: background citation

The CCANED-CIPHER Study: Early Cancer Detection and Treatment Response Monitoring Using AI-Based Platelet and Immune Cell Transcriptomic Profiling

TypeobservationalSponsorJavier ToledoRan2025 to 2028Enrolled6,000ConditionsBrest Cancer, Lung Cancer (NSCLC), Pancreatic Cancer, Adult, Prostate CancersArmsDiNanoQ: A multi-cancer early detection (MCED) blood test, DiNanoTrack: Therapeutic Response Monitoring Blood Test
3 · Its place in the literature

Who cites it

469 citing papers in PubMed, 3 syntheses or guidelines pooled it, 1,034 citations in OpenAlex.

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409 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

8 authors at 4 institutions in 1 country.

Pooya MobadersanyDepartment of Biomedical Informatics, Emory University School of Medicine, Atlanta, GA 30322.
Safoora YousefiDepartment of Biomedical Informatics, Emory University School of Medicine, Atlanta, GA 30322.
Mohamed AmgadDepartment of Biomedical Informatics, Emory University School of Medicine, Atlanta, GA 30322.
David A GutmanDepartment of Neurology, Emory University School of Medicine, Atlanta, GA 30322.
Jill S Barnholtz-SloanCase Comprehensive Cancer Center, Case Western Reserve University School of Medicine, Cleveland, OH 44106.
José E Velázquez VegaDepartment of Pathology and Laboratory Medicine, Emory University School of Medicine, Atlanta, GA 30322.
Daniel J BratDepartment of Pathology, Northwestern University Feinberg School of Medicine, Chicago, IL 60611.
Lee A D CooperDepartment of Biomedical Informatics, Emory University School of Medicine, Atlanta, GA 30322; Lee.Cooper@Emory.edu.ORCID 0000-0002-3504-4965
Emory University · USCase Western Reserve University · USGeorgia Institute of Technology · USNorthwestern University · US

Funding

Advanced Development of an Open-source Platform for Web-based Integrative Digital Image Analysis in CancerU24CA194362 · NCI · EMORY UNIVERSITY · PI COOPER, LEE, GUTMAN, DAVID ANDREW · 2015 to 2019
$3.6M
Multiscale Framework for Molecular Heterogeneity AnalysisK22LM011576 · NLM · EMORY UNIVERSITY · PI COOPER, LEE · 2013 to 2015
$485k
NCI NIH HHS U24 CA194362NLM NIH HHS K22 LM011576
6 · The paper itself

Abstract

Cancer histology reflects underlying molecular processes and disease progression and contains rich phenotypic information that is predictive of patient outcomes. In this study, we show a computational approach for learning patient outcomes from digital pathology images using deep learning to combine the power of adaptive machine learning algorithms with traditional survival models. We illustrate how these survival convolutional neural networks (SCNNs) can integrate information from both histology images and genomic biomarkers into a single unified framework to predict time-to-event outcomes and show prediction accuracy that surpasses the current clinical paradigm for predicting the overall survival of patients diagnosed with glioma. We use statistical sampling techniques to address challenges in learning survival from histology images, including tumor heterogeneity and the need for large training cohorts. We also provide insights into the prediction mechanisms of SCNNs, using heat map visualization to show that SCNNs recognize important structures, like microvascular proliferation, that are related to prognosis and that are used by pathologists in grading. These results highlight the emerging role of deep learning in precision medicine and suggest an expanding utility for computational analysis of histology in the future practice of pathology.

Indexed as

Neural Networks, ComputerAlgorithmsBrain NeoplasmsGenomicsGliomaHistological TechniquesHumansImage Processing, Computer-AssistedPrecision MedicinePrognosisartificial intelligencecancerdeep learningdigital pathologymachine learning

Identifiers

PMID29531073
PMCPMC5879673
OpenAlexW2761668583

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.