Evidence map›Paper›PMID 35602201›Full record

ArticleCommunications medicine2021

Predicting prostate cancer specific-mortality with artificial intelligence-based Gleason grading.

Ellery Wulczyn, Kunal Nagpal, Matthew Symonds, Melissa Moran, Markus Plass, Robert Reihs, Farah Nader, Fraser Tan, Yuannan Cai, Trissia Brown and 13 more

Open access · goldAbstract read
In one paragraph

Article in Communications medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
4.8field-weighted citation impact, top 4% 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

22 citing papers in PubMed, 47 citations in OpenAlex.

  1. Article
  2. Immune Spatial Organization Predicts Distant Metastasis Risk in Aggressive Localized Prostate Cancer.Clinical cancer research : an official journal of the American Association for Cancer Research · 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 at 3 institutions in 2 countries.

Ellery Wulczyn *Google Health, Palo Alto, CA USA.
Kunal Nagpal *Google Health, Palo Alto, CA USA.
Matthew SymondsGoogle Health, Palo Alto, CA USA.
Melissa MoranGoogle Health, Palo Alto, CA USA.
Markus PlassMedical University of Graz, Graz, Austria.ORCID 0000-0003-2718-7648
Robert ReihsMedical University of Graz, Graz, Austria.ORCID 0000-0001-8439-3689
Farah NaderMedical University of Graz, Graz, Austria.
Fraser TanGoogle Health, Palo Alto, CA USA.
Yuannan CaiGoogle Health, Palo Alto, CA USA.
Trissia BrownGoogle Health via Advanced Clinical, Deerfield, IL USA.
Isabelle Flament-AuvigneGoogle Health via Advanced Clinical, Deerfield, IL USA.
Mahul B AminDepartment of Pathology and Laboratory Medicine, University of Tennessee Health Science Center, Memphis, TN USA.
Martin C StumpeGoogle Health, Palo Alto, CA USA.ORCID 0000-0003-1402-6749
Heimo MüllerMedical University of Graz, Graz, Austria.ORCID 0000-0002-9691-4872
Peter RegitnigMedical University of Graz, Graz, Austria.ORCID 0000-0002-1371-1595
Andreas HolzingerMedical University of Graz, Graz, Austria.ORCID 0000-0002-6786-5194
Greg S CorradoGoogle Health, Palo Alto, CA USA.
Lily H PengGoogle Health, Palo Alto, CA USA.
Po-Hsuan Cameron ChenGoogle Health, Palo Alto, CA USA.ORCID 0000-0002-0083-4991
David F SteinerGoogle Health, Palo Alto, CA USA.
Kurt ZatloukalMedical University of Graz, Graz, Austria.ORCID 0000-0001-5299-7218
Yun LiuGoogle Health, Palo Alto, CA USA.ORCID 0000-0003-4079-8275
Craig H MermelGoogle Health, Palo Alto, CA USA.ORCID 0000-0002-0816-3395
Google (United States) · USMedical University of Graz · ATUniversity of Tennessee Health Science Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Gleason grading of prostate cancer is an important prognostic factor, but suffers from poor reproducibility, particularly among non-subspecialist pathologists. Although artificial intelligence (A.I.) tools have demonstrated Gleason grading on-par with expert pathologists, it remains an open question whether and to what extent A.I. grading translates to better prognostication. Methods: In this study, we developed a system to predict prostate cancer-specific mortality via A.I.-based Gleason grading and subsequently evaluated its ability to risk-stratify patients on an independent retrospective cohort of 2807 prostatectomy cases from a single European center with 5-25 years of follow-up (median: 13, interquartile range 9-17). Results: Here, we show that the A.I.'s risk scores produced a Conclusions: Our results suggest that A.I.-based Gleason grading can lead to effective risk stratification, and warrants further evaluation for improving disease management.

Indexed as

Prognostic markersProstate cancer

Identifiers

PMID35602201
PMCPMC9053226
OpenAlexW3111148299

What OpenQuestion holds

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LicenceCC BY
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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.