Evidence map›Paper›PMID 34207414›Full record

ArticleCancers2021

Automated Quantification of sTIL Density with H&E-Based Digital Image Analysis Has Prognostic Potential in Triple-Negative Breast Cancers.

Jeppe Thagaard, Elisabeth Specht Stovgaard, Line Grove Vognsen, Søren Hauberg, Anders Dahl, Thomas Ebstrup, Johan Doré, Rikke Egede Vincentz, Rikke Karlin Jepsen, Anne Roslind and 3 more

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 5% 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

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 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

13 authors at 2 institutions in 1 country.

Jeppe ThagaardDepartment of Applied Mathematics and Computer Science, Technical University of Denmark, 2800 Kgs. Lyngby, Denmark.ORCID 0000-0003-0201-2243
Elisabeth Specht StovgaardDepartment of Pathology, Herlev and Gentofte Hospital, 2730 Herlev, Denmark.
Line Grove VognsenDepartment of Applied Mathematics and Computer Science, Technical University of Denmark, 2800 Kgs. Lyngby, Denmark.
Søren HaubergDepartment of Applied Mathematics and Computer Science, Technical University of Denmark, 2800 Kgs. Lyngby, Denmark.ORCID 0000-0001-7223-877X
Anders DahlDepartment of Applied Mathematics and Computer Science, Technical University of Denmark, 2800 Kgs. Lyngby, Denmark.ORCID 0000-0002-0068-8170
Thomas EbstrupVisiopharm A/S, 2970 Hørsholm, Denmark.
Johan DoréVisiopharm A/S, 2970 Hørsholm, Denmark.
Rikke Egede VincentzDepartment of Pathology, Herlev and Gentofte Hospital, 2730 Herlev, Denmark.
Rikke Karlin JepsenDepartment of Pathology, Herlev and Gentofte Hospital, 2730 Herlev, Denmark.
Anne RoslindDepartment of Pathology, Herlev and Gentofte Hospital, 2730 Herlev, Denmark.
Iben KümlerDepartment of Oncology, Herlev and Gentofte Hospital, 2730 Herlev, Denmark.
Dorte NielsenDepartment of Oncology, Herlev and Gentofte Hospital, 2730 Herlev, Denmark.
Eva BalslevDepartment of Pathology, Herlev and Gentofte Hospital, 2730 Herlev, Denmark.
Gentofte Hospital · DKTechnical University of Denmark · DK

Funding

Innovationsfonden 8053-00008B
6 · The paper itself

Abstract

Triple-negative breast cancer (TNBC) is an aggressive and difficult-to-treat cancer type that represents approximately 15% of all breast cancers. Recently, stromal tumor-infiltrating lymphocytes (sTIL) resurfaced as a strong prognostic biomarker for overall survival (OS) for TNBC patients. Manual assessment has innate limitations that hinder clinical adoption, and the International Immuno-Oncology Biomarker Working Group (TIL-WG) has therefore envisioned that computational assessment of sTIL could overcome these limitations and recommended that any algorithm should follow the manual guidelines where appropriate. However, no existing studies capture all the concepts of the guideline or have shown the same prognostic evidence as manual assessment. In this study, we present a fully automated digital image analysis pipeline and demonstrate that our hematoxylin and eosin (H&E)-based pipeline can provide a quantitative and interpretable score that correlates with the manual pathologist-derived sTIL status, and importantly, can stratify a retrospective cohort into two significant distinct prognostic groups. We found our score to be prognostic for OS (HR: 0.81 CI: 0.72-0.92

Indexed as

deep learningdigital pathologyimage analysisprognostic biomarkersurvival analysistriple-negative breast cancertumor-infiltrating lymphocytestumor microenvironment (TME)

Identifiers

PMID34207414
PMCPMC8235502
OpenAlexW3176612188

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.