Evidence map›Paper›PMID 34282757›Full record

ArticleCancers2021

DeepRePath: Identifying the Prognostic Features of Early-Stage Lung Adenocarcinoma Using Multi-Scale Pathology Images and Deep Convolutional Neural Networks.

Won Sang Shim, Kwangil Yim, Tae-Jung Kim, Yeoun Eun Sung, Gyeongyun Lee, Ji Hyung Hong, Sang Hoon Chun, Seoree Kim, Ho Jung An, Sae Jung Na and 6 more

Abstract 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 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
–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

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. Review
  16. Review
  17. Review
  18. Article
  19. Article
  20. Article
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

16 authors.

Won Sang ShimDeargen Inc., Daejeon 34051, Korea.
Kwangil YimDepartment of Hospital Pathology, College of Medicine, The Catholic University of Korea, Seoul 06591, Korea.ORCID 0000-0001-8767-9033
Tae-Jung KimDepartment of Hospital Pathology, College of Medicine, The Catholic University of Korea, Seoul 06591, Korea.ORCID 0000-0003-3140-3681
Yeoun Eun SungDepartment of Hospital Pathology, College of Medicine, The Catholic University of Korea, Seoul 06591, Korea.ORCID 0000-0002-9408-0085
Gyeongyun LeeDepartment of Pathology, College of Medicine, Chung-Ang University, Seoul 06974, Korea.
Ji Hyung HongDivision of Oncology, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul 06591, Korea.ORCID 0000-0002-0492-3959
Sang Hoon ChunDivision of Oncology, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul 06591, Korea.ORCID 0000-0002-5847-7317
Seoree KimDivision of Oncology, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul 06591, Korea.
Ho Jung AnDivision of Oncology, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul 06591, Korea.
Sae Jung NaDepartment of Radiology, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul 06591, Korea.
Jae Jun KimDepartment of Thoracic and Cardiovascular Surgery, College of Medicine, The Catholic University of Korea, Seoul 06591, Korea.
Mi Hyoung MoonDepartment of Thoracic and Cardiovascular Surgery, College of Medicine, The Catholic University of Korea, Seoul 06591, Korea.ORCID 0000-0003-2799-4570
Seok Whan MoonDepartment of Thoracic and Cardiovascular Surgery, College of Medicine, The Catholic University of Korea, Seoul 06591, Korea.
Sungsoo ParkDeargen Inc., Daejeon 34051, Korea.
Soon Auck HongDepartment of Pathology, College of Medicine, Chung-Ang University, Seoul 06974, Korea.ORCID 0000-0002-7902-4608
Yoon Ho KoDivision of Oncology, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul 06591, Korea.ORCID 0000-0002-2506-3740

Funding

National R&D Program for Cancer Control, Ministry of Health & Welfare, Republic of Korea 1720100
6 · The paper itself

Abstract

The prognosis of patients with lung adenocarcinoma (LUAD), especially early-stage LUAD, is dependent on clinicopathological features. However, its predictive utility is limited. In this study, we developed and trained a DeepRePath model based on a deep convolutional neural network (CNN) using multi-scale pathology images to predict the prognosis of patients with early-stage LUAD. DeepRePath was pre-trained with 1067 hematoxylin and eosin-stained whole-slide images of LUAD from the Cancer Genome Atlas. DeepRePath was further trained and validated using two separate CNNs and multi-scale pathology images of 393 resected lung cancer specimens from patients with stage I and II LUAD. Of the 393 patients, 95 patients developed recurrence after surgical resection. The DeepRePath model showed average area under the curve (AUC) scores of 0.77 and 0.76 in cohort I and cohort II (external validation set), respectively. Owing to low performance, DeepRePath cannot be used as an automated tool in a clinical setting. When gradient-weighted class activation mapping was used, DeepRePath indicated the association between atypical nuclei, discohesive tumor cells, and tumor necrosis in pathology images showing recurrence. Despite the limitations associated with a relatively small number of patients, the DeepRePath model based on CNNs with transfer learning could predict recurrence after the curative resection of early-stage LUAD using multi-scale pathology images.

Indexed as

deep learninglung adenocarcinomapathology imageprognosis

Identifiers

PMID34282757
PMCPMC8268823

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.