Evidence map›Paper›PMID 34224056›Full record

ArticleBreast cancer research and treatment2021

Prediction of pathologic complete response to neoadjuvant chemotherapy using machine learning models in patients with breast cancer.

Ji-Yeon Kim, Eunjoo Jeon, Soonhwan Kwon, Hyungsik Jung, Sunghoon Joo, Youngmin Park, Se Kyung Lee, Jeong Eon Lee, Seok Jin Nam, Eun Yoon Cho and 3 more

Registry-linked trialAbstract read
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In one paragraph

Article in Breast cancer research and treatment, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07426653 (Clinicopathology-based Machine Learning Model for Prediction of Pathologic Complete Response to Neoadjuvant Chemotherapy in Breast Cancer), which is not on this map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing 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.

NCT07426653 completednot on this map

Clinicopathology-based Machine Learning Model for Prediction of Pathologic Complete Response to Neoadjuvant Chemotherapy in Breast Cancer

TypeobservationalSponsorFlorence Nightingale Hospital, IstanbulRan2010 to 2025Enrolled298ConditionsBreast Cancer
3 · Its place in the literature

Who cites it

17 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

13 authors.

Ji-Yeon Kim *Division of Hematology-Oncology, Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, Seoul, 06351, South Korea.
Eunjoo Jeon *Digital Health Business Team, Samsung SDS, Seoul, 05510, South Korea.
Soonhwan KwonDigital Health Business Team, Samsung SDS, Seoul, 05510, South Korea.
Hyungsik JungDigital Health Business Team, Samsung SDS, Seoul, 05510, South Korea.
Sunghoon JooDigital Health Business Team, Samsung SDS, Seoul, 05510, South Korea.
Youngmin ParkDigital Health Business Team, Samsung SDS, Seoul, 05510, South Korea.
Se Kyung LeeDepartment of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, Seoul, 06351, South Korea.
Jeong Eon LeeDepartment of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, Seoul, 06351, South Korea.
Seok Jin NamDepartment of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, Seoul, 06351, South Korea.
Eun Yoon ChoDepartment of Pathology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, Seoul, 06351, South Korea.
Yeon Hee ParkDivision of Hematology-Oncology, Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, Seoul, 06351, South Korea.
Jin Seok AhnDivision of Hematology-Oncology, Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, Seoul, 06351, South Korea.
Young-Hyuck ImDivision of Hematology-Oncology, Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, Seoul, 06351, South Korea. imyh00@skku.edu.ORCID http://orcid.org/0000-0001-6459-8118

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study was to develop a machine learning (ML) based model to accurately predict pathologic complete response (pCR) to neoadjuvant chemotherapy (NAC) using pretreatment clinical and pathological characteristics of electronic medical record (EMR) data in breast cancer (BC).

methodsThe EMR data from patients diagnosed with early and locally advanced BC and who received NAC followed by curative surgery were reviewed. A total of 16 clinical and pathological characteristics was selected to develop ML model. We practiced six ML models using default settings for multivariate analysis with extracted variables.

resultsIn total, 2065 patients were included in this analysis. Overall, 30.6% (n = 632) of patients achieved pCR. Among six ML models, the LightGBM had the highest area under the curve (AUC) for pCR prediction. After hyper-parameter tuning with Bayesian optimization, AUC was 0.810. Performance of pCR prediction models in different histology-based subtypes was compared. The AUC was highest in HR+HER2- subgroup and lowest in HR-/HER2- subgroup (HR+/HER2- 0.841, HR+/HER2+ 0.716, HR-/HER2 0.753, HR-/HER2- 0.653).

conclusionsA ML based pCR prediction model using pre-treatment clinical and pathological characteristics provided useful information to predict pCR during NAC. This prediction model would help to determine treatment strategy in patients with BC planned NAC.

Indexed as

Breast NeoplasmsNeoadjuvant TherapyAntineoplastic Combined Chemotherapy ProtocolsArea Under CurveBayes TheoremChemotherapy, AdjuvantErb-b2 Receptor Tyrosine KinasesFemaleHumansMachine LearningTreatment OutcomeErb-b2 Receptor Tyrosine KinasesBreast cancerMachine learningNeoadjuvant chemotherapyPathologic complete response

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Registered trials

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.