Evidence map›Paper›PMID 32560475›Full record

ArticleCancers2020

Deep Learning for the Classification of Small-Cell and Non-Small-Cell Lung Cancer.

Mark Kriegsmann, Christian Haag, Cleo-Aron Weis, Georg Steinbuss, Arne Warth, Christiane Zgorzelski, Thomas Muley, Hauke Winter, Martin E Eichhorn, Florian Eichhorn and 11 more

Abstract read
In one paragraph

Article in Cancers, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers.

0numbers the graph read from it
0cells of the map it votes in
44citing 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

44 citing papers in PubMed.

  1. Article
  2. Development and validation of a transformer-based deep learning model for predicting distant metastasis in non-small cell lung cancer usingClinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
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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

21 authors.

Mark KriegsmannInstitute of Pathology, Heidelberg University, 69120 Heidelberg, Germany.ORCID 0000-0002-7319-3646
Christian HaagInstitute of Pathology, Heidelberg University, 69120 Heidelberg, Germany.
Cleo-Aron WeisInstitute of Pathology, University Medical Centre Mannheim, Heidelberg University, 68782 Mannheim, Germany.
Georg SteinbussInstitute of Pathology, Heidelberg University, 69120 Heidelberg, Germany.
Arne WarthInstitute of Pathology, Cytopathology, and Molecular Pathology, UEGP MVZ Gießen/Wetzlar/Limburg.
Christiane ZgorzelskiInstitute of Pathology, Heidelberg University, 69120 Heidelberg, Germany.
Thomas MuleyTranslational Lung Research Centre Heidelberg, Member of the German Centre for Lung Research (DZL), 69120 Heidelberg, Germany.
Hauke WinterTranslational Lung Research Centre Heidelberg, Member of the German Centre for Lung Research (DZL), 69120 Heidelberg, Germany.
Martin E EichhornTranslational Lung Research Centre Heidelberg, Member of the German Centre for Lung Research (DZL), 69120 Heidelberg, Germany.
Florian EichhornTranslational Lung Research Centre Heidelberg, Member of the German Centre for Lung Research (DZL), 69120 Heidelberg, Germany.
Joerg KriegsmannMolecular Pathology Trier, 54296 Trier, Germany.
Petros Christopoulos *Translational Lung Research Centre Heidelberg, Member of the German Centre for Lung Research (DZL), 69120 Heidelberg, Germany.
Michael ThomasTranslational Lung Research Centre Heidelberg, Member of the German Centre for Lung Research (DZL), 69120 Heidelberg, Germany.
Mathias Witzens-HarigMedical Faculty Heidelberg University, 69120 Heidelberg, Germany.
Peter SinnInstitute of Pathology, Heidelberg University, 69120 Heidelberg, Germany.
Moritz von WinterfeldInstitute of Pathology, Heidelberg University, 69120 Heidelberg, Germany.
Claus Peter HeusselTranslational Lung Research Centre Heidelberg, Member of the German Centre for Lung Research (DZL), 69120 Heidelberg, Germany.
Felix J F HerthTranslational Lung Research Centre Heidelberg, Member of the German Centre for Lung Research (DZL), 69120 Heidelberg, Germany.
Frederick KlauschenInstitute of Pathology, University Hospital Charité, 10117 Berlin, Germany.
Albrecht StenzingerInstitute of Pathology, Heidelberg University, 69120 Heidelberg, Germany.
Katharina KriegsmannDepartment Hematology, Oncology and Rheumatology, Heidelberg University, 69120 Heidelberg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Reliable entity subtyping is paramount for therapy stratification in lung cancer. Morphological evaluation remains the basis for entity subtyping and directs the application of additional methods such as immunohistochemistry (IHC). The decision of whether to perform IHC for subtyping is subjective, and access to IHC is not available worldwide. Thus, the application of additional methods to support morphological entity subtyping is desirable. Therefore, the ability of convolutional neuronal networks (CNNs) to classify the most common lung cancer subtypes, pulmonary adenocarcinoma (ADC), pulmonary squamous cell carcinoma (SqCC), and small-cell lung cancer (SCLC), was evaluated. A cohort of 80 ADC, 80 SqCC, 80 SCLC, and 30 skeletal muscle specimens was assembled; slides were scanned; tumor areas were annotated; image patches were extracted; and cases were randomly assigned to a training, validation or test set. Multiple CNN architectures (VGG16, InceptionV3, and InceptionResNetV2) were trained and optimized to classify the four entities. A quality control (QC) metric was established. An optimized InceptionV3 CNN architecture yielded the highest classification accuracy and was used for the classification of the test set. Image patch and patient-based CNN classification results were 95% and 100% in the test set after the application of strict QC. Misclassified cases mainly included ADC and SqCC. The QC metric identified cases that needed further IHC for definite entity subtyping. The study highlights the potential and limitations of CNN image classification models for tumor differentiation.

Indexed as

Artificial intelligencedeep learninghistologylung cancernon-small cell lung cancersmall cell lung cancer

Identifiers

PMID32560475
PMCPMC7352768

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.