Evidence map›Paper›PMID 33767170›Full record

ArticleNature communications2021

Predicting treatment response from longitudinal images using multi-task deep learning.

Cheng Jin, Heng Yu, Jia Ke, Peirong Ding, Yongju Yi, Xiaofeng Jiang, Xin Duan, Jinghua Tang, Daniel T Chang, Xiaojian Wu and 2 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 108 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
108citing papers in PubMed, 9 pooled it
18.9field-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

108 citing papers in PubMed, 9 syntheses or guidelines pooled it, 211 citations in OpenAlex.

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  18. DUAL CROSS-ATTENTION SIAMESE TRANSFORMER FOR RECTAL TUMOR REGROWTH ASSESSMENT IN WATCH-AND-WAIT ENDOSCOPY.Proceedings. IEEE International Symposium on Biomedical Imaging · 2026
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48 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

12 authors at 3 institutions in 2 countries.

Cheng Jin *Department of Radiation Oncology, Stanford University School of Medicine, Stanford, CA, USA.ORCID 0000-0001-5269-5375
Heng Yu *Department of Radiation Oncology, Stanford University School of Medicine, Stanford, CA, USA.
Jia Ke *Department of Colorectal Surgery, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Peirong Ding *Department of Colorectal Surgery, Sun Yat-sen University Cancer Center, Guangzhou, China.ORCID 0000-0002-0796-8175
Yongju YiCenter for Network Information, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Xiaofeng JiangDepartment of Colorectal Surgery, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Xin DuanDepartment of Colorectal Surgery, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Jinghua TangDepartment of Colorectal Surgery, Sun Yat-sen University Cancer Center, Guangzhou, China.
Daniel T ChangDepartment of Radiation Oncology, Stanford University School of Medicine, Stanford, CA, USA.
Xiaojian WuDepartment of Colorectal Surgery, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, China. wuxjian@mail.sysu.edu.cn.
Feng GaoDepartment of Colorectal Surgery, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, China. gaof57@mail.sysu.edu.cn.
Ruijiang LiDepartment of Radiation Oncology, Stanford University School of Medicine, Stanford, CA, USA. rli2@stanford.edu.ORCID 0000-0002-0232-5998
Sun Yat-sen University · CNStanford University · USStanford Medicine · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Radiographic imaging is routinely used to evaluate treatment response in solid tumors. Current imaging response metrics do not reliably predict the underlying biological response. Here, we present a multi-task deep learning approach that allows simultaneous tumor segmentation and response prediction. We design two Siamese subnetworks that are joined at multiple layers, which enables integration of multi-scale feature representations and in-depth comparison of pre-treatment and post-treatment images. The network is trained using 2568 magnetic resonance imaging scans of 321 rectal cancer patients for predicting pathologic complete response after neoadjuvant chemoradiotherapy. In multi-institution validation, the imaging-based model achieves AUC of 0.95 (95% confidence interval: 0.91-0.98) and 0.92 (0.87-0.96) in two independent cohorts of 160 and 141 patients, respectively. When combined with blood-based tumor markers, the integrated model further improves prediction accuracy with AUC 0.97 (0.93-0.99). Our approach to capturing dynamic information in longitudinal images may be broadly used for screening, treatment response evaluation, disease monitoring, and surveillance.

Indexed as

Deep LearningBiomarkers, TumorChemoradiotherapy, AdjuvantFemaleHumansImage Processing, Computer-AssistedMagnetic Resonance ImagingMaleMiddle AgedNeoadjuvant TherapyRectal NeoplasmsRectumTreatment OutcomeBiomarkers, Tumor

Identifiers

PMID33767170
PMCPMC7994301
OpenAlexW3139349917

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.