Evidence map›Paper›PMID 34112957›Full record

ArticleModern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc2021

Deep-learning based classification distinguishes sarcomatoid malignant mesotheliomas from benign spindle cell mesothelial proliferations.

Julia R Naso, Adrian B Levine, Hossein Farahani, Lucian R Chirieac, Sanja Dacic, Joanne L Wright, Chi Lai, Hui-Min Yang, Steven J M Jones, Ali Bashashati and 2 more

Abstract read
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In one paragraph

Article in Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–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

11 citing papers in PubMed.

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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

12 authors.

Julia R Naso *Department of Pathology and Laboratory Medicine, University of British Columbia, Vancouver, BC, Canada.ORCID 0000-0002-7799-7860
Adrian B Levine *Department of Pathology and Laboratory Medicine, University of British Columbia, Vancouver, BC, Canada.
Hossein FarahaniSchool of Biomedical Engineering, University of British Columbia, 2222 Health Sciences Mall Biomedical Research Centre (BRC), Vancouver, BC, Canada.
Lucian R ChirieacDepartment of Pathology, Brigham and Women's Hospital, Boston, MA, USA.
Sanja DacicDepartment of Pathology, University of Pittsburgh, Medical Center PUH C608, Pittsburgh, PA, USA.
Joanne L WrightDepartment of Pathology and Laboratory Medicine, University of British Columbia, Vancouver, BC, Canada.
Chi LaiDepartment of Pathology, St Paul's Hospital, Vancouver, BC, Canada.
Hui-Min YangDepartment of Pathology and Laboratory Medicine, University of British Columbia, Vancouver, BC, Canada.
Steven J M JonesMichael Smith Genome Sciences Centre, BC Cancer, Vancouver, BC, Canada.ORCID 0000-0003-3394-2208
Ali BashashatiDepartment of Pathology and Laboratory Medicine, University of British Columbia, Vancouver, BC, Canada.ORCID 0000-0002-4212-7224
Stephen YipDepartment of Pathology and Laboratory Medicine, University of British Columbia, Vancouver, BC, Canada.ORCID 0000-0002-8514-9861
Andrew ChurgDepartment of Pathology and Laboratory Medicine, University of British Columbia, Vancouver, BC, Canada. achurg@mail.ubc.ca.ORCID 0000-0002-4851-8517

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sarcomatoid mesothelioma is an aggressive malignancy that can be challenging to distinguish from benign spindle cell mesothelial proliferations based on biopsy, and this distinction is crucial to patient treatment and prognosis. A novel deep learning based classifier may be able to aid pathologists in making this critical diagnostic distinction. SpindleMesoNET was trained on cases of malignant sarcomatoid mesothelioma and benign spindle cell mesothelial proliferations. Performance was assessed through cross-validation on the training set, on an independent set of challenging cases referred for expert opinion ('referral' test set), and on an externally stained set from outside institutions ('externally stained' test set). SpindleMesoNET predicted the benign or malignant status of cases with AUC's of 0.932, 0.925, and 0.989 on the cross-validation, referral and external test sets, respectively. The accuracy of SpindleMesoNET on the referral set cases (92.5%) was comparable to the average accuracy of 3 experienced pathologists on the same slide set (91.7%). We conclude that SpindleMesoNET can accurately distinguish sarcomatoid mesothelioma from benign spindle cell mesothelial proliferations. A deep learning system of this type holds potential for future use as an ancillary test in diagnostic pathology.

Indexed as

Area Under CurveCell ProliferationDeep LearningDiagnosis, DifferentialHumansImage Processing, Computer-AssistedMesotheliomaMesothelioma, MalignantNeural Networks, ComputerPleural NeoplasmsPrognosisROC CurveSensitivity and Specificity

Identifiers

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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.