Evidence map›Paper›PMID 31784511›Full record

ArticleNature communications2019

An open source automated tumor infiltrating lymphocyte algorithm for prognosis in melanoma.

Balazs Acs, Fahad Shabbir Ahmed, Swati Gupta, Pok Fai Wong, Robyn D Gartrell, Jaya Sarin Pradhan, Emanuelle M Rizk, Bonnie Gould Rothberg, Yvonne M Saenger, David L Rimm

Abstract read
In one paragraph

Article in Nature communications, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 66 papers.

0numbers the graph read from it
0cells of the map it votes in
66citing 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

66 citing papers in PubMed.

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6 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

10 authors.

Balazs AcsDepartment of Pathology, Yale School of Medicine, New Haven, CT, 06510, USA.ORCID http://orcid.org/0000-0002-0972-4633
Fahad Shabbir AhmedDepartment of Pathology, Yale School of Medicine, New Haven, CT, 06510, USA.ORCID http://orcid.org/0000-0002-5857-5478
Swati GuptaDepartment of Pathology, Yale School of Medicine, New Haven, CT, 06510, USA.
Pok Fai WongDepartment of Pathology, Yale School of Medicine, New Haven, CT, 06510, USA.
Robyn D GartrellDepartment of Medicine, Division of Hematology/Oncology, Columbia University Medical Center/New York Presbyterian, New York, NY, USA.
Jaya Sarin PradhanDepartment of Pathology and Cell Biology, Division of Oral and Maxillofacial Pathology, Columbia University Irving Medical Center/New York Presbyterian, New York, NY, USA.
Emanuelle M RizkDepartment of Medicine, Division of Hematology/Oncology, Columbia University Irving Medical Center/New York Presbyterian, New York, NY, USA.
Bonnie Gould RothbergDepartment of Medicine, Yale School of Medicine, New Haven, CT, 06510, USA.
Yvonne M SaengerDepartment of Medicine, Division of Hematology/Oncology, Columbia University Irving Medical Center/New York Presbyterian, New York, NY, USA.
David L RimmDepartment of Pathology, Yale School of Medicine, New Haven, CT, 06510, USA. david.rimm@yale.edu.ORCID http://orcid.org/0000-0001-5820-4397

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Yale Pathology Tissue Services Shared ResourceP30CA016359 · NCI · YALE UNIVERSITY · PI MEGAN C KING · 1985 to 2026
$85.0M
Institutional Career Development CoreKL2TR001874 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GENKINGER, JEANINE M., SHIMBO, DAICHI · 2016 to 2025
$13.6M
NCATS NIH HHS KL2 TR001874NCATS NIH HHS UL1 TR001863NCI NIH HHS P30 CA016359U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) KL2TR001874U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) P30CA016359
6 · The paper itself

Abstract

Assessment of tumor infiltrating lymphocytes (TILs) as a prognostic variable in melanoma has not seen broad adoption due to lack of standardization. Automation could represent a solution. Here, using open source software, we build an algorithm for image-based automated assessment of TILs on hematoxylin-eosin stained sections in melanoma. Using a retrospective collection of 641 melanoma patients comprising four independent cohorts; one training set (N = 227) and three validation cohorts (N = 137, N = 201, N = 76) from 2 institutions, we show that the automated TIL scoring algorithm separates patients into favorable and poor prognosis cohorts, where higher TILs scores were associated with favorable prognosis. In multivariable analyses, automated TIL scores show an independent association with disease-specific overall survival. Therefore, the open source, automated TIL scoring is an independent prognostic marker in melanoma. With further study, we believe that this algorithm could be useful to define a subset of patients that could potentially be spared immunotherapy.

Indexed as

AdolescentAdultAgedAged, 80 and overAlgorithmsFemaleHumansImage Interpretation, Computer-AssistedLymphocytes, Tumor-InfiltratingMaleMelanomaMiddle AgedNeoplasm StagingPrognosisRetrospective StudiesSkin Neoplasms

Identifiers

PMID31784511
PMCPMC6884485

What OpenQuestion holds

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Registered trials

None linked

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.