Evidence map›Paper›PMID 30478349›Full record

ArticleScientific reports2018

Deep Semi Supervised Generative Learning for Automated Tumor Proportion Scoring on NSCLC Tissue Needle Biopsies.

Ansh Kapil, Armin Meier, Aleksandra Zuraw, Keith E Steele, Marlon C Rebelatto, Günter Schmidt, Nicolas Brieu

Abstract read
In one paragraph

Article in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 1 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

46 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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.

Ansh KapilDefiniens AG, Munich, 80636, Germany.
Armin MeierDefiniens AG, Munich, 80636, Germany.
Aleksandra ZurawDefiniens AG, Munich, 80636, Germany.
Keith E SteeleMedImmune LLC, Gaithersburg, MD, 20878, USA.
Marlon C RebelattoMedImmune LLC, Gaithersburg, MD, 20878, USA.
Günter SchmidtDefiniens AG, Munich, 80636, Germany.
Nicolas BrieuDefiniens AG, Munich, 80636, Germany. nbrieu@definiens.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The level of PD-L1 expression in immunohistochemistry (IHC) assays is a key biomarker for the identification of Non-Small-Cell-Lung-Cancer (NSCLC) patients that may respond to anti PD-1/PD-L1 treatments. The quantification of PD-L1 expression currently includes the visual estimation by a pathologist of the percentage (tumor proportional scoring or TPS) of tumor cells showing PD-L1 staining. Known challenges like differences in positivity estimation around clinically relevant cut-offs and sub-optimal quality of samples makes visual scoring tedious and subjective, yielding a scoring variability between pathologists. In this work, we propose a novel deep learning solution that enables the first automated and objective scoring of PD-L1 expression in late stage NSCLC needle biopsies. To account for the low amount of tissue available in biopsy images and to restrict the amount of manual annotations necessary for training, we explore the use of semi-supervised approaches against standard fully supervised methods. We consolidate the manual annotations used for training as well the visual TPS scores used for quantitative evaluation with multiple pathologists. Concordance measures computed on a set of slides unseen during training provide evidence that our automatic scoring method matches visual scoring on the considered dataset while ensuring repeatability and objectivity.

Indexed as

Supervised Machine LearningB7-H1 AntigenBiopsy, NeedleCarcinoma, Non-Small-Cell LungHumansImage Processing, Computer-AssistedImmunohistochemistryLung NeoplasmsB7-H1 AntigenCD274 protein, human

Identifiers

PMID30478349
PMCPMC6255873

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Registered trials

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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.