Evidence map›Paper›PMID 34568719›Full record

ArticleJCO precision oncology2021

Integrating 31-Gene Expression Profiling With Clinicopathologic Features to Optimize Cutaneous Melanoma Sentinel Lymph Node Metastasis Prediction.

Eric D Whitman, Vadim P Koshenkov, Brian R Gastman, Deri Lewis, Eddy C Hsueh, Ho Pak, Thomas P Trezona, Robert S Davidson, Michael McPhee, J Michael Guenther and 17 more

Abstract read
In one paragraph

Article in JCO precision oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing 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.

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

32 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Cutaneous melanoma.Nature reviews. Disease primers · 2025
    Review
  11. Article
  12. Article
  13. Prognostic Biomarkers in Evolving Melanoma Immunotherapy.American journal of clinical dermatology · 2025
    Review
  14. Article
  15. Article
  16. Review
  17. Review
  18. Article
  19. Review
  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

27 authors.

Eric D WhitmanCarol G. Simon Cancer at Morristown Medical Center, Atlantic Health System, Morristown, NJ.ORCID 0000-0001-7529-067X
Vadim P KoshenkovRutgers Cancer Institute of New Jersey, New Brunswick, NJ.
Brian R GastmanCleveland Clinic Lerner Research Institute, Cleveland, OH.
Deri LewisMedical City Dallas Hospital, Dallas, TX.
Eddy C HsuehDepartment of Surgery, St Louis University, St Louis, MO.
Ho PakGeneral Surgery Abington Memorial Hospital, Abington, PA.
Thomas P TrezonaOregon Melanoma Center, Springfield, OR.
Robert S DavidsonMorton Plant Mease Healthcare, Safety Harbor, FL.
Michael McPheeAdvent Health Cancer Institute, Orlando, FL.ORCID 0000-0001-9185-5917
J Michael GuentherSt Elizabeth Physicians General & Vascular Surgery, Ft Mitchell, KY.
Paul ToomeyFlorida State University College of Medicine, Bradenton, FL.
Franz O SmithRWJ Barnabas Health, Livingston, NJ.
Peter D BeitschNorth Texas Melanoma Center, Dallas, TX.
James M LewisUniversity of Tennessee Graduate School of Medicine, Knoxville, TN.
Andrew WardUniversity of Tennessee Graduate School of Medicine, Knoxville, TN.
Shawn E YoungSCL Health, Denver, CO.
Parth K ShahSCL Health, Denver, CO.
Ann P QuickCastle Biosciences Inc, Friendswood, TX.ORCID 0000-0003-4223-6217
Brian J MartinCastle Biosciences Inc, Friendswood, TX.
Olga ZolochevskaCastle Biosciences Inc, Friendswood, TX.
Kyle R CovingtonCastle Biosciences Inc, Friendswood, TX.
Federico A MonzonCastle Biosciences Inc, Friendswood, TX.ORCID 0000-0002-6890-9793
Matthew S GoldbergCastle Biosciences Inc, Friendswood, TX.
Robert W CookCastle Biosciences Inc, Friendswood, TX.ORCID 0000-0003-1166-4796
Martin D FlemingDivision of Surgical Oncology, The University of Tennessee Health Science Center, Memphis, TN.
David M HyamsDesert Surgical Oncology, Rancho Mirage, CA.ORCID 0000-0002-5680-9488
John T VettoOregon Health & Science University, Portland, OR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

National guidelines recommend sentinel lymph node biopsy (SLNB) be offered to patients with > 10% likelihood of sentinel lymph node (SLN) positivity. On the other hand, guidelines do not recommend SLNB for patients with T1a tumors without high-risk features who have < 5% likelihood of a positive SLN. However, the decision to perform SLNB is less certain for patients with higher-risk T1 melanomas in which a positive node is expected 5%-10% of the time. We hypothesized that integrating clinicopathologic features with the 31-gene expression profile (31-GEP) score using advanced artificial intelligence techniques would provide more precise SLN risk prediction.

methodsAn integrated 31-GEP (i31-GEP) neural network algorithm incorporating clinicopathologic features with the continuous 31-GEP score was developed using a previously reported patient cohort (n = 1,398) and validated using an independent cohort (n = 1,674).

resultsCompared with other covariates in the i31-GEP, the continuous 31-GEP score had the largest likelihood ratio (G

conclusionThese data suggest the i31-GEP could reduce the number of SLNBs performed by identifying patients with likelihood under the 5% threshold for performance of SLNB and improve the yield of positive SLNBs by identifying patients more likely to have a positive SLNB.

Indexed as

Gene Expression ProfilingHumansLymphatic MetastasisMelanomaSentinel Lymph NodeSentinel Lymph Node Biopsy

Identifiers

PMID34568719
PMCPMC8457832

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.