Evidence map›Paper›PMID 34439230›Full record

ArticleCancers2021

Deep Learning Analysis of CT Images Reveals High-Grade Pathological Features to Predict Survival in Lung Adenocarcinoma.

Yeonu Choi, Jaehong Aum, Se-Hoon Lee, Hong-Kwan Kim, Jhingook Kim, Seunghwan Shin, Ji Yun Jeong, Chan-Young Ock, Ho Yun Lee

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 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.4field-weighted citation impact, top 11% 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

11 citing papers in PubMed, 23 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Artificial intelligence in lung cancer: Application and future thinking.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2022
    Article
  11. 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

9 authors at 2 institutions in 1 country.

Yeonu ChoiDepartment of Radiology, Sungkyunkwan University School of Medicine (SKKU-SOM), Samsung Medical Center, Seoul 06351, Korea.
Jaehong AumLunit Inc., Seoul 06241, Korea.
Se-Hoon LeeDivision of Hemato-Oncology, Department of Medicine, Sungkyunkwan University School of Medicine (SKKU-SOM), Samsung Medical Center, Seoul 06351, Korea.
Hong-Kwan KimDepartment of Thoracic Surgery, Sungkyunkwan University School of Medicine (SKKU-SOM), Samsung Medical Center, Seoul 06351, Korea.
Jhingook KimDepartment of Thoracic Surgery, Sungkyunkwan University School of Medicine (SKKU-SOM), Samsung Medical Center, Seoul 06351, Korea.
Seunghwan ShinLunit Inc., Seoul 06241, Korea.
Ji Yun JeongDepartment of Pathology, Kyungpook National University School of Medicine, Kyungpook National University Chilgok Hospital, Daegu 41404, Korea.
Chan-Young OckLunit Inc., Seoul 06241, Korea.ORCID 0000-0002-6755-9728
Ho Yun LeeDepartment of Radiology, Sungkyunkwan University School of Medicine (SKKU-SOM), Samsung Medical Center, Seoul 06351, Korea.ORCID 0000-0001-9960-5648
Samsung Medical Center · KRKyungpook National University Hospital · KR

Funding

Future Medicine 20*30 Project of the Samsung Medical Center #SMX1210781National Research Foundation of Korea NRF-2020R1F1A1068226
6 · The paper itself

Abstract

We aimed to develop a deep learning (DL) model for predicting high-grade patterns in lung adenocarcinomas (ADC) and to assess the prognostic performance of model in advanced lung cancer patients who underwent neoadjuvant or definitive concurrent chemoradiation therapy (CCRT). We included 275 patients with 290 early lung ADCs from an ongoing prospective clinical trial in the training dataset, which we split into internal-training and internal-validation datasets. We constructed a diagnostic DL model of high-grade patterns of lung ADC considering both morphologic view of the tumor and context view of the area surrounding the tumor (MC3DN; morphologic-view context-view 3D network). Validation was performed on an independent dataset of 417 patients with advanced non-small cell lung cancer who underwent neoadjuvant or definitive CCRT. The area under the curve value of the DL model was 0.8 for the prediction of high-grade histologic patterns such as micropapillary and solid patterns (MPSol). When our model was applied to the validation set, a high probability of MPSol was associated with worse overall survival (probability of MPSol >0.5 vs. <0.5; 5-year OS rate 56.1% vs. 70.7%), indicating that our model could predict the clinical outcomes of advanced lung cancer patients. The subgroup with a high probability of MPSol estimated by the DL model showed a 1.76-fold higher risk of death (HR 1.76, 95% CI 1.16-2.68). Our DL model can be useful in estimating high-grade histologic patterns in lung ADCs and predicting clinical outcomes of patients with advanced lung cancer who underwent neoadjuvant or definitive CCRT.

Indexed as

heterogeneityhigh-grade patternhistologylung adenocarcinoma (ADC)prognosisrecurrence

Identifiers

PMID34439230
PMCPMC8391458
OpenAlexW3196178711

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.