Evidence map›Paper›PMID 35705792›Full record

ArticleNPJ precision oncology2022

Usability of deep learning and H&E images predict disease outcome-emerging tool to optimize clinical trials.

Talha Qaiser, Ching-Yi Lee, Michel Vandenberghe, Joe Yeh, Marios A Gavrielides, Jason Hipp, Marietta Scott, Joachim Reischl

Abstract read
In one paragraph

Article in NPJ precision oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing 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

29 citing papers in PubMed.

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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

8 authors.

Talha QaiserPrecision Medicine and Biosamples, Oncology R&D, AstraZeneca, Cambridge, UK. Talha.Qaiser1@astrazeneca.com.ORCID http://orcid.org/0000-0001-9266-5074
Ching-Yi LeeAetherAI, Taipei City, Taiwan.
Michel VandenberghePrecision Medicine and Biosamples, Oncology R&D, AstraZeneca, Cambridge, UK.
Joe YehAetherAI, Taipei City, Taiwan.
Marios A GavrielidesPrecision Medicine and Biosamples, Oncology R&D, AstraZeneca, Cambridge, UK.
Jason HippEarly Oncology, Oncology R&D, AstraZeneca, Cambridge, UK.
Marietta ScottPrecision Medicine and Biosamples, Oncology R&D, AstraZeneca, Cambridge, UK.
Joachim ReischlPrecision Medicine and Biosamples, Oncology R&D, AstraZeneca, Cambridge, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Understanding factors that impact prognosis for cancer patients have high clinical relevance for treatment decisions and monitoring of the disease outcome. Advances in artificial intelligence (AI) and digital pathology offer an exciting opportunity to capitalize on the use of whole slide images (WSIs) of hematoxylin and eosin (H&E) stained tumor tissue for objective prognosis and prediction of response to targeted therapies. AI models often require hand-delineated annotations for effective training which may not be readily available for larger data sets. In this study, we investigated whether AI models can be trained without region-level annotations and solely on patient-level survival data. We present a weakly supervised survival convolutional neural network (WSS-CNN) approach equipped with a visual attention mechanism for predicting overall survival. The inclusion of visual attention provides insights into regions of the tumor microenvironment with the pathological interpretation which may improve our understanding of the disease pathomechanism. We performed this analysis on two independent, multi-center patient data sets of lung (which is publicly available data) and bladder urothelial carcinoma. We perform univariable and multivariable analysis and show that WSS-CNN features are prognostic of overall survival in both tumor indications. The presented results highlight the significance of computational pathology algorithms for predicting prognosis using H&E stained images alone and underpin the use of computational methods to improve the efficiency of clinical trial studies.

Identifiers

PMID35705792
PMCPMC9200764

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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.