Evidence map›Paper›PMID 32400056›Full record

ArticleCancer medicine2020

Assessment of associations between clinical and immune microenvironmental factors and tumor mutation burden in resected nonsmall cell lung cancer by applying machine learning to whole-slide images.

Akira Ono, Yukihiro Terada, Takuya Kawata, Masakuni Serizawa, Mitsuhiro Isaka, Takanori Kawabata, Toru Imai, Keita Mori, Koji Muramatsu, Isamu Hayashi and 10 more

Open access · goldAbstract read
In one paragraph

Article in Cancer medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.2field-weighted citation impact, top 19% 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.

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

13 citing papers in PubMed, 17 citations in OpenAlex.

  1. Review
  2. Respiratory research · 2025
    Article
  3. Review
  4. Article
  5. Predictive value ofCancer medicine · 2023
    Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. 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

20 authors at 2 institutions in 1 country.

Akira OnoDivision of Thoracic Oncology, Shizuoka Cancer Center, Shizuoka, Japan.ORCID 0000-0001-5705-9423
Yukihiro TeradaDivision of Thoracic Surgery, Shizuoka Cancer Center, Shizuoka, Japan.
Takuya KawataDivision of Pathology, Shizuoka Cancer Center, Shizuoka, Japan.
Masakuni SerizawaDrug Discovery and Development Division, Shizuoka Cancer Center Research Institute, Shizuoka Cancer Center, Shizuoka, Japan.
Mitsuhiro IsakaDivision of Thoracic Surgery, Shizuoka Cancer Center, Shizuoka, Japan.
Takanori KawabataClinical Research Center, Shizuoka Cancer Center, Shizuoka, Japan.
Toru ImaiDepartment of Clinical Biostatistics, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Keita MoriClinical Research Center, Shizuoka Cancer Center, Shizuoka, Japan.
Koji MuramatsuDivision of Pathology, Shizuoka Cancer Center, Shizuoka, Japan.
Isamu HayashiDivision of Pathology, Shizuoka Cancer Center, Shizuoka, Japan.
Hirotsugu KenmotsuDivision of Thoracic Oncology, Shizuoka Cancer Center, Shizuoka, Japan.
Keiichi OhshimaMedical Genetics Division, Shizuoka Cancer Center Research Institute, Shizuoka Cancer Center, Shizuoka, Japan.ORCID 0000-0002-2882-7566
Kenichi UrakamiCancer Diagnostics Research Division, Shizuoka Cancer Center Research Institute, Shizuoka Cancer Center, Shizuoka, Japan.
Takeshi NagashimaCancer Diagnostics Research Division, Shizuoka Cancer Center Research Institute, Shizuoka Cancer Center, Shizuoka, Japan.
Masatoshi KusuharaRegion Resources Division, Shizuoka Cancer Center Research Institute, Shizuoka Cancer Center, Shizuoka, Japan.
Yasuto AkiyamaImmunotherapy Division, Shizuoka Cancer Center Research Institute, Shizuoka Cancer Center, Shizuoka, Japan.
Takashi SuginoDivision of Pathology, Shizuoka Cancer Center, Shizuoka, Japan.
Yasuhisa OhdeDivision of Thoracic Surgery, Shizuoka Cancer Center, Shizuoka, Japan.
Ken YamaguchiShizuoka Cancer Center, Shizuoka, Japan.
Toshiaki TakahashiDivision of Thoracic Oncology, Shizuoka Cancer Center, Shizuoka, Japan.
Shizuoka Cancer Center · JPKyoto University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIt is unclear whether clinical factors and immune microenvironment (IME) factors are associated with tumor mutation burden (TMB) in patients with nonsmall cell lung cancer (NSCLC). MATERIALS AND

methodsWe assessed TMB in surgical tumor specimens by performing whole exome sequencing. IME profiles, including PD-L1 tumor proportion score (TPS), stromal CD8 tumor-infiltrating lymphocyte (TIL) density, and stromal Foxp3 TIL density, were quantified by digital pathology using a machine learning algorithm. To detect factors associated with TMB, clinical data, and IME factors were assessed by means of a multiple regression model.

resultsWe analyzed tumors from 200 of the 246 surgically resected NSCLC patients between September 2014 and September 2015. Patient background: median age (range) 70 years (39-87); male 37.5%; smoker 27.5%; pathological stage (p-stage) I/II/III, 63.5/22.5/14.0%; histological type Ad/Sq, 77.0/23.0%; primary tumor location upper/lower, 58.5/41.5%; median PET SUV 7.5 (0.86-29.8); median serum CEA (sCEA) level 3.4 ng/mL (0.5-144.3); median serum CYFRA 21-1 (sCYFRA) level 1.2 ng/mL (1.0-38.0); median TMB 2.19/ Mb (0.12-64.38); median PD-L1 TPS 15.1% (0.09-77.4); median stromal CD8 TIL density 582.1/mm

conclusionsThe IME factors assessed were not associated with TMB, but our findings showed that, in addition to smoking, PET SUV and sCEA levels may be independent predictors of TMB. TMB and IME factors are independent factors in resected NSCLC.

Indexed as

Machine LearningMutationAdenocarcinomaAdultAgedAged, 80 and overAntigens, NeoplasmB7-H1 AntigenCarcinoembryonic AntigenCarcinoma, Non-Small-Cell LungCarcinoma, Squamous CellExome SequencingEx-SmokersFemaleForkhead Transcription FactorsHumansantigen CYFRA21.1Antigens, NeoplasmB7-H1 AntigenCarcinoembryonic AntigenCD274 protein, humanForkhead Transcription FactorsFOXP3 protein, humanKeratin-19CEAimmune microenvironmentmachine learningnonsmall cell lung cancertumor mutation burdenwhole-slide imaging

Identifiers

PMID32400056
PMCPMC7333844
OpenAlexW3025865536

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.