Evidence map›Paper›PMID 32364237›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2020

Classifying non-small cell lung cancer types and transcriptomic subtypes using convolutional neural networks.

Kun-Hsing Yu, Feiran Wang, Gerald J Berry, Christopher Ré, Russ B Altman, Michael Snyder, Isaac S Kohane

Abstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers.

0numbers the graph read from it
0cells of the map it votes in
61citing 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

61 citing papers in PubMed.

  1. Article
  2. Artificial intelligence-enabled histological analysis in pre-clinical respiratory disease models: a scoping review.European respiratory review : an official journal of the European Respiratory Society · 2026
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  14. Role of Nanoformulations in the Treatment of Lung Cancer.Recent patents on nanotechnology · 2025
    Review
  15. Review
  16. Article
  17. Article
  18. Advancing Precision Medicine: Algebraic Topology and Differential Geometry in Radiology and Computational Pathology.Laboratory investigation; a journal of technical methods and pathology · 2024
    Review
  19. Review
  20. Article

1 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

7 authors.

Kun-Hsing YuDepartment of Biomedical Informatics, Harvard Medical School, Boston, Massachusetts, USA.
Feiran WangDepartment of Electrical Engineering, Stanford University, Stanford, California, USA.
Gerald J BerryDepartment of Pathology, Stanford University, Stanford, California, USA.
Christopher RéDepartment of Computer Science, Stanford University, Stanford, California, USA.
Russ B AltmanBiomedical Informatics Program, Stanford University, Stanford, California, USA.
Michael SnyderDepartment of Genetics, Stanford University, Stanford, California, USA.
Isaac S KohaneDepartment of Biomedical Informatics, Harvard Medical School, Boston, Massachusetts, USA.

Funding

Special EquipmentP50HG007735 · NHGRI · STANFORD UNIVERSITY · PI CHANG, HOWARD Y · 2014 to 2018
$15.2M
Proteome Characterization Center: A Genoproteomics Pipeline for Cance ResearchU24CA160036 · NCI · JOHNS HOPKINS UNIVERSITY · PI CHAN, DANIEL WANYUI, ZHANG, HUI · 2011 to 2016
$10.7M
NCI NIH HHS U24 CA160036NHGRI NIH HHS P50 HG007735
6 · The paper itself

Abstract

objectiveNon-small cell lung cancer is a leading cause of cancer death worldwide, and histopathological evaluation plays the primary role in its diagnosis. However, the morphological patterns associated with the molecular subtypes have not been systematically studied. To bridge this gap, we developed a quantitative histopathology analytic framework to identify the types and gene expression subtypes of non-small cell lung cancer objectively. MATERIALS AND

methodsWe processed whole-slide histopathology images of lung adenocarcinoma (n = 427) and lung squamous cell carcinoma patients (n = 457) in the Cancer Genome Atlas. We built convolutional neural networks to classify histopathology images, evaluated their performance by the areas under the receiver-operating characteristic curves (AUCs), and validated the results in an independent cohort (n = 125).

resultsTo establish neural networks for quantitative image analyses, we first built convolutional neural network models to identify tumor regions from adjacent dense benign tissues (AUCs > 0.935) and recapitulated expert pathologists' diagnosis (AUCs > 0.877), with the results validated in an independent cohort (AUCs = 0.726-0.864). We further demonstrated that quantitative histopathology morphology features identified the major transcriptomic subtypes of both adenocarcinoma and squamous cell carcinoma (P < .01). DISCUSSION: Our study is the first to classify the transcriptomic subtypes of non-small cell lung cancer using fully automated machine learning methods. Our approach does not rely on prior pathology knowledge and can discover novel clinically relevant histopathology patterns objectively. The developed procedure is generalizable to other tumor types or diseases.

Indexed as

Machine LearningNeural Networks, ComputerTranscriptomeAdenocarcinoma of LungCarcinoma, Non-Small-Cell LungCarcinoma, Squamous CellHumansLung NeoplasmsROC Curveconvolutional neural networksmachine learningnon-small cell lung cancerquantitative pathologytranscriptomic subtypes

Identifiers

PMID32364237
PMCPMC7309263

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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.