Evidence map›Paper›PMID 33782535›Full record

ArticleScientific reports2021

Development and evaluation of a deep neural network for histologic classification of renal cell carcinoma on biopsy and surgical resection slides.

Mengdan Zhu, Bing Ren, Ryland Richards, Matthew Suriawinata, Naofumi Tomita, Saeed Hassanpour

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 2 pooled it
6.4field-weighted citation impact, top 3% 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

39 citing papers in PubMed, 2 syntheses or guidelines pooled it, 67 citations in OpenAlex.

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  15. LatentExplainer: Explaining Latent Representations in Deep Generative Models with Multimodal Large Language Models.Proceedings of the ... ACM International Conference on Information & Knowledge Management. ACM International Conference on Information and Knowledge Management · 2025
    Article
  16. Machine learning methods for histopathological image analysis: Updates in 2024.Computational and structural biotechnology journal · 2025
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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

6 authors at 2 institutions in 1 country.

Mengdan ZhuDepartment of Biomedical Data Science, Geisel School of Medicine at Dartmouth, Hanover, NH, 03755, USA.
Bing RenDepartment of Pathology and Laboratory Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, NH, 03756, USA.
Ryland RichardsDepartment of Pathology and Laboratory Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, NH, 03756, USA.
Matthew SuriawinataDepartment of Biomedical Data Science, Geisel School of Medicine at Dartmouth, Hanover, NH, 03755, USA.
Naofumi TomitaDepartment of Biomedical Data Science, Geisel School of Medicine at Dartmouth, Hanover, NH, 03755, USA.
Saeed HassanpourDepartment of Biomedical Data Science, Geisel School of Medicine at Dartmouth, Hanover, NH, 03755, USA. Saeed.Hassanpour@dartmouth.edu.
Dartmouth College · USDartmouth–Hitchcock Medical Center · US

Funding

Clinicopathologic and Genetic Profiling through Machine Learning and Natural Language Processing for Precision Lung Cancer ManagementR01CA249758 · NCI · DARTMOUTH COLLEGE · PI HASSANPOUR, SAEED · 2019 to 2022
$1.5M
Improving Colorectal Cancer Screening and Risk Assessment through Deep Learning on Medical Images and RecordsR01LM012837 · NLM · DARTMOUTH COLLEGE · PI HASSANPOUR, SAEED · 2019 to 2022
$1.4M
NCI NIH HHS R01 CA249758NLM NIH HHS R01 LM012837
6 · The paper itself

Abstract

Renal cell carcinoma (RCC) is the most common renal cancer in adults. The histopathologic classification of RCC is essential for diagnosis, prognosis, and management of patients. Reorganization and classification of complex histologic patterns of RCC on biopsy and surgical resection slides under a microscope remains a heavily specialized, error-prone, and time-consuming task for pathologists. In this study, we developed a deep neural network model that can accurately classify digitized surgical resection slides and biopsy slides into five related classes: clear cell RCC, papillary RCC, chromophobe RCC, renal oncocytoma, and normal. In addition to the whole-slide classification pipeline, we visualized the identified indicative regions and features on slides for classification by reprocessing patch-level classification results to ensure the explainability of our diagnostic model. We evaluated our model on independent test sets of 78 surgical resection whole slides and 79 biopsy slides from our tertiary medical institution, and 917 surgical resection slides from The Cancer Genome Atlas (TCGA) database. The average area under the curve (AUC) of our classifier on the internal resection slides, internal biopsy slides, and external TCGA slides is 0.98 (95% confidence interval (CI): 0.97-1.00), 0.98 (95% CI: 0.96-1.00) and 0.97 (95% CI: 0.96-0.98), respectively. Our results suggest that the high generalizability of our approach across different data sources and specimen types. More importantly, our model has the potential to assist pathologists by (1) automatically pre-screening slides to reduce false-negative cases, (2) highlighting regions of importance on digitized slides to accelerate diagnosis, and (3) providing objective and accurate diagnosis as the second opinion.

Indexed as

Neural Networks, ComputerBiopsyCarcinoma, Renal CellHumansKidney Neoplasms

Identifiers

PMID33782535
PMCPMC8007643
OpenAlexW3142933006

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.