Evidence map›Paper›PMID 33199723›Full record

ArticleNature communications2020

Deep learning-enabled breast cancer hormonal receptor status determination from base-level H&E stains.

Nikhil Naik, Ali Madani, Andre Esteva, Nitish Shirish Keskar, Michael F Press, Daniel Ruderman, David B Agus, Richard Socher

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 132 papers.

0numbers the graph read from it
0cells of the map it votes in
132citing papers in PubMed
17.6field-weighted citation impact, top 1% 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

132 citing papers in PubMed, 238 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Pan-cancer Distant Metastasis Prediction Based on Graph Neural Network.Interdisciplinary sciences, computational life sciences · 2026
    Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Article

72 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

8 authors at 2 institutions in 1 country.

Nikhil NaikSalesforce Research, 575 High St, Palo Alto, CA, 94301, USA. nnaik@salesforce.com.ORCID 0000-0002-5191-2726
Ali MadaniSalesforce Research, 575 High St, Palo Alto, CA, 94301, USA.
Andre EstevaSalesforce Research, 575 High St, Palo Alto, CA, 94301, USA.
Nitish Shirish KeskarSalesforce Research, 575 High St, Palo Alto, CA, 94301, USA.
Michael F PressDepartment of Pathology, Keck School of Medicine, University of Southern California, 2011 Zonal Ave, Los Angeles, CA, 90033, USA.ORCID 0000-0003-3400-6614
Daniel RudermanLawrence J. Ellison Institute for Transformative Medicine, University of Southern California, 12414 Exposition Blvd, Los Angeles, CA, 90064, USA.ORCID 0000-0001-5787-5009
David B AgusLawrence J. Ellison Institute for Transformative Medicine, University of Southern California, 12414 Exposition Blvd, Los Angeles, CA, 90064, USA.
Richard SocherSalesforce Research, 575 High St, Palo Alto, CA, 94301, USA.
Salesforce (United States) · USUniversity of Southern California · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

For newly diagnosed breast cancer, estrogen receptor status (ERS) is a key molecular marker used for prognosis and treatment decisions. During clinical management, ERS is determined by pathologists from immunohistochemistry (IHC) staining of biopsied tissue for the targeted receptor, which highlights the presence of cellular surface antigens. This is an expensive, time-consuming process which introduces discordance in results due to variability in IHC preparation and pathologist subjectivity. In contrast, hematoxylin and eosin (H&E) staining-which highlights cellular morphology-is quick, less expensive, and less variable in preparation. Here we show that machine learning can determine molecular marker status, as assessed by hormone receptors, directly from cellular morphology. We develop a multiple instance learning-based deep neural network that determines ERS from H&E-stained whole slide images (WSI). Our algorithm-trained strictly with WSI-level annotations-is accurate on a varied, multi-country dataset of 3,474 patients, achieving an area under the curve (AUC) of 0.92 for sensitivity and specificity. Our approach has the potential to augment clinicians' capabilities in cancer prognosis and theragnosis by harnessing biological signals imperceptible to the human eye.

Indexed as

Deep LearningStaining and LabelingArea Under CurveBreast NeoplasmsFemaleHumansNeoplasm GradingReceptors, SteroidReceptors, Steroid

Identifiers

PMID33199723
PMCPMC7670411
OpenAlexW3099458507

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.