Evidence map›Paper›PMID 30914794›Full record

ArticleScientific reports2019

Automated tumour budding quantification by machine learning augments TNM staging in muscle-invasive bladder cancer prognosis.

Nicolas Brieu, Christos G Gavriel, Ines P Nearchou, David J Harrison, Günter Schmidt, Peter D Caie

Abstract read
In one paragraph

Article in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–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

21 citing papers in PubMed.

  1. Article
  2. Distance-based evaluation of tumor budding in colorectal cancer.Virchows Archiv : an international journal of pathology · 2026
    Article
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  16. [Research status and prospect of artificial intelligence technology in the diagnosis of urinary system tumors].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2021
    Article
  17. Article
  18. Tumour budding in solid cancers.Nature reviews. Clinical oncology · 2021
    Review
  19. Review
  20. Article
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

6 authors.

Nicolas BrieuDefiniens AG, Bernhard-Wicki-Straße 5, 80636, München, Germany.
Christos G GavrielSchool of Medicine, University of St Andrews, North Haugh, St Andrews, Fife, KY16 9TF, UK.
Ines P NearchouSchool of Medicine, University of St Andrews, North Haugh, St Andrews, Fife, KY16 9TF, UK.
David J HarrisonSchool of Medicine, University of St Andrews, North Haugh, St Andrews, Fife, KY16 9TF, UK.
Günter SchmidtDefiniens AG, Bernhard-Wicki-Straße 5, 80636, München, Germany.
Peter D CaieSchool of Medicine, University of St Andrews, North Haugh, St Andrews, Fife, KY16 9TF, UK. pdc5@st-andrews.ac.uk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Tumour budding has been described as an independent prognostic feature in several tumour types. We report for the first time the relationship between tumour budding and survival evaluated in patients with muscle invasive bladder cancer. A machine learning-based methodology was applied to accurately quantify tumour buds across immunofluorescence labelled whole slide images from 100 muscle invasive bladder cancer patients. Furthermore, tumour budding was found to be correlated to TNM (p = 0.00089) and pT (p = 0.0078) staging. A novel classification and regression tree model was constructed to stratify all stage II, III, and IV patients into three new staging criteria based on disease specific survival. For the stratification of non-metastatic patients into high or low risk of disease specific death, our decision tree model reported that tumour budding was the most significant feature (HR = 2.59, p = 0.0091), and no clinical feature was utilised to categorise these patients. Our findings demonstrate that tumour budding, quantified using automated image analysis provides prognostic value for muscle invasive bladder cancer patients and a better model fit than TNM staging.

Indexed as

Machine LearningAdultAgedAged, 80 and overAutomationCohort StudiesDecision TreesFemaleHumansImage Processing, Computer-AssistedKaplan-Meier EstimateMaleMiddle AgedMusclesNeoplasm StagingPrognosis

Identifiers

PMID30914794
PMCPMC6435679

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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.