Evidence map›Paper›PMID 30224757›Full record

ArticleNature medicine2018

Classification and mutation prediction from non-small cell lung cancer histopathology images using deep learning.

Nicolas Coudray, Paolo Santiago Ocampo, Theodore Sakellaropoulos, Navneet Narula, Matija Snuderl, David Fenyö, Andre L Moreira, Narges Razavian, Aristotelis Tsirigos

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Nature medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05151718 (Ependymomics), which is not on this map. Cited by 1,296 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1,296citing papers in PubMed, 4 pooled it
168.7field-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.

NCT05151718 recruitingnot on this mapstarted 2021, after this paper: background citation

Ependymomics: Multiomic Approach to Radioresistance of Ependymomas in Children and Adolescents

TypeobservationalSponsorInstitut Claudius RegaudRan2021 to 2026Enrolled370ConditionsEpendymoma of Brain, Pediatric Solid Tumor
3 · Its place in the literature

Who cites it

1,296 citing papers in PubMed, 4 syntheses or guidelines pooled it, 2,777 citations in OpenAlex.

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  13. Developing a Histology-Based Artificial Intelligence Biomarker to Predict Adjuvant Chemotherapy Benefit in Pancreatic Cancer.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2026
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1,236 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 3 countries.

Nicolas Coudray *Applied Bioinformatics Laboratories, New York University School of Medicine, New York, NY, USA.ORCID http://orcid.org/0000-0002-6050-2219
Paolo Santiago Ocampo *Department of Pathology, New York University School of Medicine, New York, NY, USA.
Theodore SakellaropoulosSchool of Mechanical Engineering, National Technical University of Athens, Zografou, Greece.
Navneet NarulaDepartment of Pathology, New York University School of Medicine, New York, NY, USA.
Matija SnuderlDepartment of Pathology, New York University School of Medicine, New York, NY, USA.
David FenyöInstitute for Systems Genetics, New York University School of Medicine, New York, NY, USA.
Andre L MoreiraDepartment of Pathology, New York University School of Medicine, New York, NY, USA.
Narges RazavianDepartment of Population Health and the Center for Healthcare Innovation and Delivery Science, New York University School of Medicine, New York, NY, USA. narges.razavian@nyumc.org.ORCID http://orcid.org/0000-0002-9922-6370
Aristotelis TsirigosApplied Bioinformatics Laboratories, New York University School of Medicine, New York, NY, USA. aristotelis.tsirigos@nyumc.org.ORCID http://orcid.org/0000-0002-7512-8477
New York University · USNational Technical University of Athens · GRTelio (Norway) · NO

Funding

Vaccine FacilityP30CA016087 · NCI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI ADRIANA HEGUY · 1985 to 2026
$83.1M
NCI NIH HHS P30 CA016087
6 · The paper itself

Abstract

Visual inspection of histopathology slides is one of the main methods used by pathologists to assess the stage, type and subtype of lung tumors. Adenocarcinoma (LUAD) and squamous cell carcinoma (LUSC) are the most prevalent subtypes of lung cancer, and their distinction requires visual inspection by an experienced pathologist. In this study, we trained a deep convolutional neural network (inception v3) on whole-slide images obtained from The Cancer Genome Atlas to accurately and automatically classify them into LUAD, LUSC or normal lung tissue. The performance of our method is comparable to that of pathologists, with an average area under the curve (AUC) of 0.97. Our model was validated on independent datasets of frozen tissues, formalin-fixed paraffin-embedded tissues and biopsies. Furthermore, we trained the network to predict the ten most commonly mutated genes in LUAD. We found that six of them-STK11, EGFR, FAT1, SETBP1, KRAS and TP53-can be predicted from pathology images, with AUCs from 0.733 to 0.856 as measured on a held-out population. These findings suggest that deep-learning models can assist pathologists in the detection of cancer subtype or gene mutations. Our approach can be applied to any cancer type, and the code is available at https://github.com/ncoudray/DeepPATH .

Indexed as

AdenocarcinomaCarcinoma, Non-Small-Cell LungCarcinoma, Squamous CellDeep LearningGene Expression Regulation, NeoplasticHumansMutationNeoplasm ProteinsNeural Networks, ComputerNeoplasm Proteins

Identifiers

PMID30224757
PMCPMC9847512
OpenAlexW2760946358

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.