Evidence map›Paper›PMID 35982331›Full record

ArticleNature biomedical engineering2022

Derivation of prognostic contextual histopathological features from whole-slide images of tumours via graph deep learning.

Yongju Lee, Jeong Hwan Park, Sohee Oh, Kyoungseob Shin, Jiyu Sun, Minsun Jung, Cheol Lee, Hyojin Kim, Jin-Haeng Chung, Kyung Chul Moon and 1 more

Abstract read
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In one paragraph

Article in Nature biomedical engineering, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing 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

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

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Yongju Lee *Department of Electrical and Computer Engineering, Seoul National University, Seoul, Republic of Korea.
Jeong Hwan Park *Department of Pathology, Seoul National University College of Medicine, Seoul, Republic of Korea.
Sohee Oh *Medical Research Collaborating Center, SMG-SNU Boramae Medical Center, Seoul, Republic of Korea.
Kyoungseob Shin *Department of Electrical and Computer Engineering, Seoul National University, Seoul, Republic of Korea.
Jiyu SunMedical Research Collaborating Center, SMG-SNU Boramae Medical Center, Seoul, Republic of Korea.ORCID http://orcid.org/0000-0002-4010-2023
Minsun JungDepartment of Pathology, Seoul National University College of Medicine, Seoul, Republic of Korea.
Cheol LeeDepartment of Pathology, Seoul National University College of Medicine, Seoul, Republic of Korea.
Hyojin KimDepartment of Pathology, Seoul National University College of Medicine, Seoul, Republic of Korea.
Jin-Haeng ChungDepartment of Pathology, Seoul National University College of Medicine, Seoul, Republic of Korea.
Kyung Chul MoonDepartment of Pathology, Seoul National University College of Medicine, Seoul, Republic of Korea. blue7270@snu.ac.kr.
Sunghoon KwonDepartment of Electrical and Computer Engineering, Seoul National University, Seoul, Republic of Korea. skwon@snu.ac.kr.ORCID http://orcid.org/0000-0003-3514-1738

Funding

National Research Foundation of Korea (NRF) 2020R1A3B3079653
6 · The paper itself

Abstract

Methods of computational pathology applied to the analysis of whole-slide images (WSIs) do not typically consider histopathological features from the tumour microenvironment. Here, we show that a graph deep neural network that considers such contextual features in gigapixel-sized WSIs in a semi-supervised manner can provide interpretable prognostic biomarkers. We designed a neural-network model that leverages attention techniques to learn features of the heterogeneous tumour microenvironment from memory-efficient representations of aggregates of highly correlated image patches. We trained the model with WSIs of kidney, breast, lung and uterine cancers and validated it by predicting the prognosis of 3,950 patients with these four different types of cancer. We also show that the model provides interpretable contextual features of clear cell renal cell carcinoma that allowed for the risk-based retrospective stratification of 1,333 patients. Deep graph neural networks that derive contextual histopathological features from WSIs may aid diagnostic and prognostic tasks.

Identifiers

PMID35982331

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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.