Evidence map›Paper›PMID 35121948›Full record

ArticleNature cancer2021

An artificial intelligence framework integrating longitudinal electronic health records with real-world data enables continuous pan-cancer prognostication.

Olivier Morin, Martin Vallières, Steve Braunstein, Jorge Barrios Ginart, Taman Upadhaya, Henry C Woodruff, Alex Zwanenburg, Avishek Chatterjee, Javier E Villanueva-Meyer, Gilmer Valdes and 8 more

Abstract read
PubMed Publisher
In one paragraph

Article in Nature cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed
9.8field-weighted citation impact, top 2% 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

46 citing papers in PubMed, 101 citations in OpenAlex.

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  10. Self-Normalizing Multi-Omics Neural Network for Pan-Cancer Prognostication.International journal of molecular sciences · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 6 institutions in 4 countries.

Olivier MorinDepartment of Radiation Oncology, University of California San Francisco, San Francisco, CA, USA. olivier.morin@ucsf.edu.ORCID 0000-0002-9240-5704
Martin VallièresDepartment of Radiation Oncology, University of California San Francisco, San Francisco, CA, USA.ORCID 0000-0001-7639-8172
Steve BraunsteinDepartment of Radiation Oncology, University of California San Francisco, San Francisco, CA, USA.
Jorge Barrios GinartDepartment of Radiation Oncology, University of California San Francisco, San Francisco, CA, USA.
Taman UpadhayaDepartment of Radiation Oncology, University of California San Francisco, San Francisco, CA, USA.
Henry C WoodruffThe D-Lab, Department of Precision Medicine, GROW - School for Oncology and Developmental Biology, Maastricht University, Maastricht, the Netherlands.ORCID 0000-0001-7911-5123
Alex ZwanenburgOncoRay - National Center for Radiation Research in Oncology, Faculty of Medicine and University Hospital Carl Gustav Carus, Technische Universität Dresden, Helmholtz-Zentrum Dresden - Rossendorf, Dresden, Germany.ORCID 0000-0002-0342-9545
Avishek ChatterjeeMedical Physics Unit, McGill University, Montréal, Quebec, Canada.
Javier E Villanueva-MeyerDepartment of Radiology and Biomedical Imaging, University of California San Francisco, San Francisco, CA, USA.
Gilmer ValdesDepartment of Radiation Oncology, University of California San Francisco, San Francisco, CA, USA.
William ChenDepartment of Radiation Oncology, University of California San Francisco, San Francisco, CA, USA.
Julian C HongDepartment of Radiation Oncology, University of California San Francisco, San Francisco, CA, USA.ORCID 0000-0001-5172-6889
Sue S YomDepartment of Radiation Oncology, University of California San Francisco, San Francisco, CA, USA.ORCID 0000-0002-0779-7476
Timothy D SolbergDepartment of Radiation Oncology, University of California San Francisco, San Francisco, CA, USA.
Steffen LöckOncoRay - National Center for Radiation Research in Oncology, Faculty of Medicine and University Hospital Carl Gustav Carus, Technische Universität Dresden, Helmholtz-Zentrum Dresden - Rossendorf, Dresden, Germany.ORCID 0000-0002-7017-3738
Jan SeuntjensMedical Physics Unit, McGill University, Montréal, Quebec, Canada.
Catherine ParkDepartment of Radiation Oncology, University of California San Francisco, San Francisco, CA, USA.
Philippe LambinThe D-Lab, Department of Precision Medicine, GROW - School for Oncology and Developmental Biology, Maastricht University, Maastricht, the Netherlands.ORCID 0000-0001-7961-0191
University of California, San Francisco · USMaastricht University Medical Centre · NLGerman Cancer Research Center · DEHelmholtz-Zentrum Dresden-Rossendorf · DEMcGill University · CAUniversité de Sherbrooke · CA

Funding

CIHR FDN-143257
6 · The paper itself

Abstract

Despite widespread adoption of electronic health records (EHRs), most hospitals are not ready to implement data science research in the clinical pipelines. Here, we develop MEDomics, a continuously learning infrastructure through which multimodal health data are systematically organized and data quality is assessed with the goal of applying artificial intelligence for individual prognosis. Using this framework, currently composed of thousands of individuals with cancer and millions of data points over a decade of data recording, we demonstrate prognostic utility of this framework in oncology. As proof of concept, we report an analysis using this infrastructure, which identified the Framingham risk score to be robustly associated with mortality among individuals with early-stage and advanced-stage cancer, a potentially actionable finding from a real-world cohort of individuals with cancer. Finally, we show how natural language processing (NLP) of medical notes could be used to continuously update estimates of prognosis as a given individual's disease course unfolds.

Indexed as

Electronic Health RecordsNeoplasmsArtificial IntelligenceData AccuracyHumansNatural Language Processing

Identifiers

PMID35121948
OpenAlexW3184056280

What OpenQuestion holds

Textmetadata
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.