Evidence map›Paper›PMID 33649333›Full record

ArticleNPJ breast cancer2021

Unmasking the immune microecology of ductal carcinoma in situ with deep learning.

Priya Lakshmi Narayanan, Shan E Ahmed Raza, Allison H Hall, Jeffrey R Marks, Lorraine King, Robert B West, Lucia Hernandez, Naomi Guppy, Mitch Dowsett, Barry Gusterson and 3 more

Open access · goldAbstract read
In one paragraph

Article in NPJ breast cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
3.1field-weighted citation impact, top 7% 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

26 citing papers in PubMed, 32 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. The Microenvironment in DCIS and Its Role in Disease Progression.Advances in experimental medicine and biology · 2025
    Review
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  10. Article
  11. Article
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  13. Review
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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

13 authors at 5 institutions in 3 countries.

Priya Lakshmi NarayananCentre for Evolution and Cancer, Institute of Cancer Research, London, UK. priya.narayanan@icr.ac.uk.ORCID http://orcid.org/0000-0001-6784-9226
Shan E Ahmed RazaCentre for Evolution and Cancer, Institute of Cancer Research, London, UK.ORCID http://orcid.org/0000-0002-1097-1738
Allison H HallDepartment of Pathology, Duke University School of Medicine, Durham, NC, USA.
Jeffrey R MarksDepartment of Surgery, Duke University School of Medicine, Durham, NC, USA.
Lorraine KingDepartment of Surgery, Duke University School of Medicine, Durham, NC, USA.
Robert B WestDepartment of Pathology, Surgical Pathology, Stanford, CA, USA.
Lucia HernandezDepartment of Anatomic Pathology, Hospital Universitario, 12 de Octubre, Madrid, Spain.
Naomi GuppyBreast Cancer Now Histopathology Core, Institute of Cancer Research, London, UK.
Mitch DowsettThe Breast Cancer Now Toby Robins Research Centre, Institute of Cancer Research, London, UK.
Barry GustersonCentre for Evolution and Cancer, Institute of Cancer Research, London, UK.
Carlo MaleyBiodesign Center for Personalized Diagnostics and School of Life Sciences, Arizona State University, Tempe, AZ, USA.
E Shelley HwangDepartment of Surgery, Duke University School of Medicine, Durham, NC, USA.
Yinyin YuanCentre for Evolution and Cancer, Institute of Cancer Research, London, UK. yinyin.yuan@icr.ac.uk.
Institute of Cancer Research · GBDuke University · USArizona State University · USHospital Universitario 12 De Octubre · ESStanford Medicine · US

Funding

PHYLOGENIES of Barrett's Esophagus LineagesP01CA091955 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI GRADY, WILLIAM MALLORY · 2002 to 2019
$35.9M
Molecular, Cellular and Tissue Characterization UnitU2CCA233254 · NCI · DUKE UNIVERSITY · PI HWANG, E.SHELLEY · 2018 to 2023
$11.4M
The Role of the Microbiome in Cancer Suppression and Susceptibility Across SpeciesU54CA217376 · NCI · ARIZONA STATE UNIVERSITY-TEMPE CAMPUS · PI MALEY, CARLO · 2018 to 2022
$8.6M
Modeling Neoplastic Progression in Barrett's Esophagus - Renewal -2R01CA140657 · NCI · WISTAR INSTITUTE · PI Carlo Maley · 2009 to 2026
$5.0M
Breast Cancer Detection ConsortiumU01CA214183 · NCI · DUKE UNIVERSITY · PI MARKS, JEFFREY R., TANG, CHA-MEI · 2016 to 2021
$2.4M
Application of Evolutionary Principles to Maintain Cancer Control (PQ21)R01CA170595 · NCI · H. LEE MOFFITT CANCER CTR & RES INST · PI GATENBY, ROBERT A · 2012 to 2015
$2.1M
(PQC3) Genomic Diversity and Microenvironment as Drivers of Metastasis in DCISR01CA185138 · NCI · DUKE UNIVERSITY · PI HWANG, E.SHELLEY, MALEY, CARLO · 2014 to 2017
$2.0M
Breast Cancer Now 2015NovPR638NCI NIH HHS P01 CA091955NCI NIH HHS R01 CA140657NCI NIH HHS R01 CA170595NCI NIH HHS R01 CA185138NCI NIH HHS U01 CA214183NCI NIH HHS U2C CA233254NCI NIH HHS U54 CA217376Wellcome Trust
6 · The paper itself

Abstract

Despite increasing evidence supporting the clinical relevance of tumour infiltrating lymphocytes (TILs) in invasive breast cancer, TIL spatial variability within ductal carcinoma in situ (DCIS) samples and its association with progression are not well understood. To characterise tissue spatial architecture and the microenvironment of DCIS, we designed and validated a new deep learning pipeline, UNMaSk. Following automated detection of individual DCIS ducts using a new method IM-Net, we applied spatial tessellation to create virtual boundaries for each duct. To study local TIL infiltration for each duct, DRDIN was developed for mapping the distribution of TILs. In a dataset comprising grade 2-3 pure DCIS and DCIS adjacent to invasive cancer (adjacent DCIS), we found that pure DCIS cases had more TILs compared to adjacent DCIS. However, the colocalisation of TILs with DCIS ducts was significantly lower in pure DCIS compared to adjacent DCIS, which may suggest a more inflamed tissue ecology local to DCIS ducts in adjacent DCIS cases. Our study demonstrates that technological developments in deep convolutional neural networks and digital pathology can enable an automated morphological and microenvironmental analysis of DCIS, providing a new way to study differential immune ecology for individual ducts and identify new markers of progression.

Identifiers

PMID33649333
PMCPMC7921670
OpenAlexW3135068374

What OpenQuestion holds

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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.