Evidence map›Paper›PMID 33763651›Full record

ArticleNature cancer2020

Pan-cancer image-based detection of clinically actionable genetic alterations.

Jakob Nikolas Kather, Lara R Heij, Heike I Grabsch, Chiara Loeffler, Amelie Echle, Hannah Sophie Muti, Jeremias Krause, Jan M Niehues, Kai A J Sommer, Peter Bankhead and 18 more

Erratum issuedAbstract read
In one paragraph

Article in Nature cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 331 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
331citing papers in PubMed, 5 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

331 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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271 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

28 authors.

Jakob Nikolas KatherDepartment of Medicine III, University Hospital RWTH Aachen, Aa-chen, Germany.
Lara R HeijDepartment of Surgery and Transplantation, University Hospital RWTH Aachen, Aachen, Germany.
Heike I GrabschDepartment of Pathology, GROW School for Oncology and Develop-mental Biology, Maastricht University Medical Center+, Maastricht, The Netherlands.
Chiara LoefflerDepartment of Medicine III, University Hospital RWTH Aachen, Aa-chen, Germany.
Amelie EchleDepartment of Medicine III, University Hospital RWTH Aachen, Aa-chen, Germany.
Hannah Sophie MutiDepartment of Medicine III, University Hospital RWTH Aachen, Aa-chen, Germany.
Jeremias KrauseDepartment of Medicine III, University Hospital RWTH Aachen, Aa-chen, Germany.
Jan M NiehuesDepartment of Medicine III, University Hospital RWTH Aachen, Aa-chen, Germany.
Kai A J SommerDepartment of Medicine III, University Hospital RWTH Aachen, Aa-chen, Germany.
Peter BankheadMRC Institute of Genetics and Molecular Medicine, University of Ed-inburgh, Edinburgh, UK.
Loes F S KooremanDepartment of Pathology, GROW School for Oncology and Develop-mental Biology, Maastricht University Medical Center+, Maastricht, The Netherlands.
Jefree J SchulteDepartment of Pathology, University of Chicago Medicine, Chicago, IL, USA.
Nicole A CiprianiDepartment of Pathology, University of Chicago Medicine, Chicago, IL, USA.
Roman D BuelowInstitute of Pathology, University Hospital RWTH Aachen, Aachen, Germany.
Peter BoorInstitute of Pathology, University Hospital RWTH Aachen, Aachen, Germany.
Nadi-Na Ortiz-BrüchleInstitute of Pathology, University Hospital RWTH Aachen, Aachen, Germany.
Andrew M HanbyPathology & Data Analytics, Leeds Institute of Medical Research at St James's, University of Leeds, Leeds, UK.
Valerie SpeirsInstitute of Medical Sciences, School of Medicine, Medical Sciences and Nutrition, University of Aberdeen, Aberdeen, UK.
Sara KochannyDepartment of Medicine, University of Chicago Medicine, Chicago, IL, USA.
Akash PatnaikDepartment of Medicine, University of Chicago Medicine, Chicago, IL, USA.
Andrew SrisuwananukornDepartment of Medicine, University of Illinois - Chicago, Chicago, IL, USA.
Hermann BrennerGerman Cancer Consortium (DKTK), Heidelberg, Germany.
Michael HoffmeisterDivision of Clinical Epidemiology and Aging Research, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Piet A van den BrandtDepartment of Epidemiology, GROW School for Oncology and De-velopmental Biology, Maastricht University Medical Center+, Maastricht, The Netherlands.
Dirk JägerGerman Cancer Consortium (DKTK), Heidelberg, Germany.
Christian TrautweinDepartment of Medicine III, University Hospital RWTH Aachen, Aa-chen, Germany.
Alexander T Pearson *Department of Medicine, University of Chicago Medicine, Chicago, IL, USA.
Tom Luedde *Division of Gastroenterology, Hepatology and Gastrointestinal On-cology, University Hospital RWTH Aachen, Aachen, Germany.

Funding

VIRAL ONCOLOGY CORE FACILITYP30CA014599 · NCI · UNIVERSITY OF CHICAGO · PI CHIEN-MIN KAO · 1985 to 2026
$122.1M
Multiscale Computational Models Guided By Emerging Cellular Dynamics Quantification For Predicting Optimum Immune Checkpoint And Targeted Therapy SchedulesU01CA243075 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI JACKSON, TRACHETTE · 2020 to 2024
$2.6M
A reasoned approach to combination therapy development in head and neck cancerK08DE026500 · NIDCR · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI PEARSON, ALEXANDER THOMAS · 2016 to 2020
$800k
European Research Council 208237NCI NIH HHS P30 CA014599NCI NIH HHS U01 CA243075NIDCR NIH HHS K08 DE026500
6 · The paper itself

Abstract

Molecular alterations in cancer can cause phenotypic changes in tumor cells and their micro-environment. Routine histopathology tissue slides - which are ubiquitously available - can reflect such morphological changes. Here, we show that deep learning can consistently infer a wide range of genetic mutations, molecular tumor subtypes, gene expression signatures and standard pathology biomarkers directly from routine histology. We developed, optimized, validated and publicly released a one-stop-shop workflow and applied it to tissue slides of more than 5000 patients across multiple solid tumors. Our findings show that a single deep learning algorithm can be trained to predict a wide range of molecular alterations from routine, paraffin-embedded histology slides stained with hematoxylin and eosin. These predictions generalize to other populations and are spatially resolved. Our method can be implemented on mobile hardware, potentially enabling point-of-care diagnostics for personalized cancer treatment. More generally, this approach could elucidate and quantify genotype-phenotype links in cancer.

Indexed as

Deep LearningNeoplasmsEosine Yellowish-(YS)HematoxylinHumansMutationEosine Yellowish-(YS)Hematoxylin

Identifiers

PMID33763651
PMCPMC7610412

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.