Evidence map›Paper›PMID 32958579›Full record

ArticleCancer discovery2021

Deep Learning to Estimate RECIST in Patients with NSCLC Treated with PD-1 Blockade.

Kathryn C Arbour, Anh Tuan Luu, Jia Luo, Hira Rizvi, Andrew J Plodkowski, Mustafa Sakhi, Kevin B Huang, Subba R Digumarthy, Michelle S Ginsberg, Jeffrey Girshman and 6 more

Abstract read
In one paragraph

Article in Cancer discovery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 1 pooled it
–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

41 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Observational
  4. Article
  5. Review
  6. Review
  7. Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Review
  18. Review
  19. Review
  20. Review
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

16 authors.

Kathryn C Arbour *Thoracic Oncology Service, Memorial Sloan Kettering Cancer Center, New York, New York.ORCID 0000-0001-5951-8427
Anh Tuan Luu *Computer Science and Artificial Intelligence Laboratory, Massachusetts Institute for Technology, Cambridge, Massachusetts.
Jia Luo *Thoracic Oncology Service, Memorial Sloan Kettering Cancer Center, New York, New York.ORCID 0000-0003-3606-827X
Hira RizviThoracic Oncology Service, Memorial Sloan Kettering Cancer Center, New York, New York.
Andrew J PlodkowskiDepartment of Radiology, Memorial Sloan Kettering Cancer Center, New York, New York.ORCID 0000-0002-3772-370X
Mustafa SakhiDepartment of Medicine, Massachusetts General Hospital, Boston, Massachusetts.ORCID 0000-0002-4941-7152
Kevin B HuangDepartment of Medicine, Massachusetts General Hospital, Boston, Massachusetts.ORCID 0000-0003-3290-3346
Subba R DigumarthyDepartment of Radiology, Massachusetts General Hospital, Boston, Massachusetts.ORCID 0000-0003-4041-6716
Michelle S GinsbergDepartment of Radiology, Memorial Sloan Kettering Cancer Center, New York, New York.
Jeffrey GirshmanDepartment of Radiology, Memorial Sloan Kettering Cancer Center, New York, New York.ORCID 0000-0003-0533-0423
Mark G KrisThoracic Oncology Service, Memorial Sloan Kettering Cancer Center, New York, New York.
Gregory J RielyThoracic Oncology Service, Memorial Sloan Kettering Cancer Center, New York, New York.
Adam YalaComputer Science and Artificial Intelligence Laboratory, Massachusetts Institute for Technology, Cambridge, Massachusetts.ORCID 0000-0001-9576-2590
Justin F Gainor *Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, New York.
Regina Barzilay *Computer Science and Artificial Intelligence Laboratory, Massachusetts Institute for Technology, Cambridge, Massachusetts. hellmanm@mskcc.org regina@csail.mit.edu.
Matthew D Hellmann *Thoracic Oncology Service, Memorial Sloan Kettering Cancer Center, New York, New York. hellmanm@mskcc.org regina@csail.mit.edu.ORCID 0000-0002-2670-9777

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Disparities in COVID Disease Severity and Outcomes in New York CityUL1TR002384 · NCATS · WEILL MEDICAL COLL OF CORNELL UNIV · PI JULIANNE L IMPERATO-MCGINLEY · 2017 to 2026
$86.2M
Clinical and Translational Science CenterUL1TR000457 · NCATS · WEILL MEDICAL COLL OF CORNELL UNIV · PI IMPERATO-MCGINLEY, JULIANNE L · 2012 to 2016
$46.0M
Investigational Cancer Therapeutics Training Program (ICTTP)T32CA009207 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Omar Abdel-Wahab, Alexander Drilon · 1985 to 2026
$13.7M
Institutional Career Development CoreKL2TR002385 · NCATS · WEILL MEDICAL COLL OF CORNELL UNIV · PI YUAN-SHAN ZHU · 2017 to 2026
$13.3M
Summer research experiences for medical students supervised by faculty mentorsR25CA020449 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Charlotte Eielson Ariyan · 1985 to 2026
$6.2M
NCATS NIH HHS KL2 TR002385NCATS NIH HHS UL1 TR000457NCATS NIH HHS UL1 TR002384NCI NIH HHS P30 CA008748NCI NIH HHS R25 CA020449NCI NIH HHS T32 CA009207
6 · The paper itself

Abstract

Real-world evidence (RWE), conclusions derived from analysis of patients not treated in clinical trials, is increasingly recognized as an opportunity for discovery, to reduce disparities, and to contribute to regulatory approval. Maximal value of RWE may be facilitated through machine-learning techniques to integrate and interrogate large and otherwise underutilized datasets. In cancer research, an ongoing challenge for RWE is the lack of reliable, reproducible, scalable assessment of treatment-specific outcomes. We hypothesized a deep-learning model could be trained to use radiology text reports to estimate gold-standard RECIST-defined outcomes. Using text reports from patients with non-small cell lung cancer treated with PD-1 blockade in a training cohort and two test cohorts, we developed a deep-learning model to accurately estimate best overall response and progression-free survival. Our model may be a tool to determine outcomes at scale, enabling analyses of large clinical databases. SIGNIFICANCE: We developed and validated a deep-learning model trained on radiology text reports to estimate gold-standard objective response categories used in clinical trial assessments. This tool may facilitate analysis of large real-world oncology datasets using objective outcome metrics determined more reliably and at greater scale than currently possible.

Indexed as

Carcinoma, Non-Small-Cell LungDeep LearningLung NeoplasmsHumansProgrammed Cell Death 1 ReceptorResponse Evaluation Criteria in Solid TumorsProgrammed Cell Death 1 Receptor

Identifiers

PMID32958579
PMCPMC7981277

What OpenQuestion holds

Textmetadata
LicenceTDM
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.