Evidence map›Paper›PMID 34131308›Full record

ArticleBritish journal of cancer2021

Cancer Grade Model: a multi-gene machine learning-based risk classification for improving prognosis in breast cancer.

E Amiri Souri, A Chenoweth, A Cheung, S N Karagiannis, S Tsoka

Open access · hybridAbstract read
In one paragraph

Article in British journal of cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
1.9field-weighted citation impact, top 14% 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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 35 citations in OpenAlex.

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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

5 authors at 2 institutions in 2 countries.

E Amiri SouriDepartment of Informatics, Faculty of Natural and Mathematical Sciences, King's College London, London, UK.
A ChenowethSt. John's Institute of Dermatology, School of Basic and Medical Biosciences, King's College London, London, UK.
A CheungSt. John's Institute of Dermatology, School of Basic and Medical Biosciences, King's College London, London, UK.
S N KaragiannisSt. John's Institute of Dermatology, School of Basic and Medical Biosciences, King's College London, London, UK.
S TsokaDepartment of Informatics, Faculty of Natural and Mathematical Sciences, King's College London, London, UK. sophia.tsoka@kcl.ac.uk.ORCID http://orcid.org/0000-0001-8403-1282
St Thomas' Hospital · GBKing's College London · GB

Funding

Medical Research Council MR/L023091/1
6 · The paper itself

Abstract

backgroundPrognostic stratification of breast cancers remains a challenge to improve clinical decision making. We employ machine learning on breast cancer transcriptomics from multiple studies to link the expression of specific genes to histological grade and classify tumours into a more or less aggressive prognostic type. MATERIALS AND

methodsMicroarray data of 5031 untreated breast tumours spanning 33 published datasets and corresponding clinical data were integrated. A machine learning model based on gradient boosted trees was trained on histological grade-1 and grade-3 samples. The resulting predictive model (Cancer Grade Model, CGM) was applied on samples of grade-2 and unknown-grade (3029) for prognostic risk classification.

resultsA 70-gene signature for assessing clinical risk was identified and was shown to be 90% accurate when tested on known histological-grade samples. The predictive framework was validated through survival analysis and showed robust prognostic performance. CGM was cross-referenced with existing genomic tests and demonstrated the competitive predictive power of tumour risk.

conclusionsCGM is able to classify tumours into better-defined prognostic categories without employing information on tumour size, stage, or subgroups. The model offers means to improve prognosis and support the clinical decision and precision treatments, thereby potentially contributing to preventing underdiagnosis of high-risk tumours and minimising over-treatment of low-risk disease.

Indexed as

Biomarkers, TumorBreast NeoplasmsDatabases, GeneticDecision Support Systems, ClinicalFemaleGene Expression ProfilingHumansMachine LearningNeoplasm GradingOligonucleotide Array Sequence AnalysisPrognosisSurvival AnalysisBiomarkers, Tumor

Identifiers

PMID34131308
PMCPMC8405688
OpenAlexW3170783756

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.