Evidence map›Paper›PMID 35589792›Full record

ArticleNature communications2022

A deep learning model and human-machine fusion for prediction of EBV-associated gastric cancer from histopathology.

Xueyi Zheng, Ruixuan Wang, Xinke Zhang, Yan Sun, Haohuan Zhang, Zihan Zhao, Yuanhang Zheng, Jing Luo, Jiangyu Zhang, Hongmei Wu and 13 more

Abstract read
In one paragraph

Article in Nature communications, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing 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

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

  1. Pooled it
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  3. Research progress of machine learning applications in gastric cancer diagnosis and therapy.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
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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

23 authors.

Xueyi Zheng *Department of Pathology, Collaborative Innovation Center for Cancer Medicine, State Key Laboratory of Oncology in South China, Sun Yat-sen University Cancer Center, 510060, Guangzhou, China.ORCID 0000-0003-1386-7052
Ruixuan Wang *School of Computer Science and Engineering, Sun Yat-sen University, 510006, Guangzhou, China.ORCID 0000-0002-8714-0369
Xinke Zhang *Department of Pathology, Collaborative Innovation Center for Cancer Medicine, State Key Laboratory of Oncology in South China, Sun Yat-sen University Cancer Center, 510060, Guangzhou, China.
Yan Sun *Department of Pathology, Tianjin Medical University Cancer Institute and Hospital, 300000, Tianjin, China.
Haohuan ZhangSchool of Computer Science and Engineering, Sun Yat-sen University, 510006, Guangzhou, China.
Zihan ZhaoDepartment of Pathology, Collaborative Innovation Center for Cancer Medicine, State Key Laboratory of Oncology in South China, Sun Yat-sen University Cancer Center, 510060, Guangzhou, China.
Yuanhang ZhengSchool of Computer Science and Engineering, Sun Yat-sen University, 510006, Guangzhou, China.
Jing LuoSchool of Computer Science and Engineering, Sun Yat-sen University, 510006, Guangzhou, China.
Jiangyu ZhangDepartment of Pathology, Affiliated Cancer Hospital & Institute of Guangzhou Medical University, 510095, Guangzhou, China.
Hongmei WuDepartment of Pathology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, 510080, Guangzhou, China.
Dan HuangDepartment of Pathology, Fudan University Shanghai Cancer Center, 200032, Shanghai, China.
Wenbiao ZhuDepartment of Pathology, Meizhou People's Hospital, 514011, Meizhou, China.
Jianning ChenDepartment of Pathology, The Third Affiliated Hospital, Sun Yat-sen University, 510635, Guangzhou, China.
Qinghua CaoDepartment of Pathology, The First Affiliated Hospital, Sun Yat-sen University, 510080, Guangzhou, China.
Hong ZengDepartment of Pathology, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, 510120, Guangzhou, China.
Rongzhen LuoDepartment of Pathology, Collaborative Innovation Center for Cancer Medicine, State Key Laboratory of Oncology in South China, Sun Yat-sen University Cancer Center, 510060, Guangzhou, China.
Peng LiDepartment of Pathology, Collaborative Innovation Center for Cancer Medicine, State Key Laboratory of Oncology in South China, Sun Yat-sen University Cancer Center, 510060, Guangzhou, China.
Lilong LanDepartment of Pathology, Collaborative Innovation Center for Cancer Medicine, State Key Laboratory of Oncology in South China, Sun Yat-sen University Cancer Center, 510060, Guangzhou, China.
Jingping YunDepartment of Pathology, Collaborative Innovation Center for Cancer Medicine, State Key Laboratory of Oncology in South China, Sun Yat-sen University Cancer Center, 510060, Guangzhou, China.ORCID 0000-0002-1001-0769
Dan XieDepartment of Pathology, Collaborative Innovation Center for Cancer Medicine, State Key Laboratory of Oncology in South China, Sun Yat-sen University Cancer Center, 510060, Guangzhou, China.ORCID 0000-0003-2242-3138
Wei-Shi ZhengSchool of Computer Science and Engineering, Sun Yat-sen University, 510006, Guangzhou, China. wszheng@ieee.org.ORCID 0000-0001-8327-0003
Junhang LuoDepartment of Urology, The First Affiliated Hospital, Sun Yat-Sen University, 510080, Guangzhou, China. luojunh@mail.sysu.edu.cn.ORCID 0000-0002-5706-0990
Muyan CaiDepartment of Pathology, Collaborative Innovation Center for Cancer Medicine, State Key Laboratory of Oncology in South China, Sun Yat-sen University Cancer Center, 510060, Guangzhou, China. caimy@sysucc.org.cn.ORCID 0000-0002-4646-4391

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Epstein-Barr virus-associated gastric cancer (EBVaGC) shows a robust response to immune checkpoint inhibitors. Therefore, a cost-efficient and accessible tool is needed for discriminating EBV status in patients with gastric cancer. Here we introduce a deep convolutional neural network called EBVNet and its fusion with pathologists for predicting EBVaGC from histopathology. The EBVNet yields an averaged area under the receiver operating curve (AUROC) of 0.969 from the internal cross validation, an AUROC of 0.941 on an external dataset from multiple institutes and an AUROC of 0.895 on The Cancer Genome Atlas dataset. The human-machine fusion significantly improves the diagnostic performance of both the EBVNet and the pathologist. This finding suggests that our EBVNet could provide an innovative approach for the identification of EBVaGC and may help effectively select patients with gastric cancer for immunotherapy.

Indexed as

Deep LearningEpstein-Barr Virus InfectionsStomach NeoplasmsHerpesvirus 4, HumanHumansImmune Checkpoint InhibitorsImmune Checkpoint Inhibitors

Identifiers

PMID35589792
PMCPMC9120175

What OpenQuestion holds

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Registered trials

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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.