Evidence map›Paper›PMID 36192400›Full record

ArticleNPJ breast cancer2022

Deep learning models for histologic grading of breast cancer and association with disease prognosis.

Ronnachai Jaroensri, Ellery Wulczyn, Narayan Hegde, Trissia Brown, Isabelle Flament-Auvigne, Fraser Tan, Yuannan Cai, Kunal Nagpal, Emad A Rakha, David J Dabbs and 13 more

Abstract read
In one paragraph

Article in NPJ breast cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing 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

28 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

23 authors.

Ronnachai JaroensriGoogle Health, Palo Alto, CA, USA.
Ellery WulczynGoogle Health, Palo Alto, CA, USA.
Narayan HegdeGoogle Health, Palo Alto, CA, USA.
Trissia BrownWork done at Google Health via Vituity, Emeryville, CA, USA.
Isabelle Flament-AuvigneWork done at Google Health via Vituity, Emeryville, CA, USA.
Fraser TanGoogle Health, Palo Alto, CA, USA.
Yuannan CaiGoogle Health, Palo Alto, CA, USA.
Kunal NagpalWork done at Google Health, current affiliation Tempus Labs Inc, Chicago, IL, USA.
Emad A RakhaDepartment of Pathology, School of Medicine, University of Nottingham, Nottingham, UK.
David J DabbsJohn A. Burns University of Hawaii Cancer Center, Honolulu, HI, USA.
Niels OlsonDefense Innovation Unit, Mountain View, CA, USA.ORCID http://orcid.org/0000-0003-2079-9641
James H WrenHenry M. Jackson Foundation, Bethesda, MD, USA.
Elaine E ThompsonHenry M. Jackson Foundation, Bethesda, MD, USA.ORCID http://orcid.org/0000-0001-8633-2417
Erik SeetaoHenry M. Jackson Foundation, Bethesda, MD, USA.
Carrie RobinsonLaboratory Department, Naval Medical Center San Diego, San Diego, CA, USA.
Melissa MiaoVerily Life Sciences, South San Francisco, CA, USA.
Fabien BeckersVerily Life Sciences, South San Francisco, CA, USA.
Greg S CorradoGoogle Health, Palo Alto, CA, USA.
Lily H PengGoogle Health, Palo Alto, CA, USA.
Craig H MermelGoogle Health, Palo Alto, CA, USA.
Yun LiuGoogle Health, Palo Alto, CA, USA.ORCID http://orcid.org/0000-0003-4079-8275
David F Steiner *Google Health, Palo Alto, CA, USA. davesteiner@google.com.ORCID http://orcid.org/0000-0003-1297-0023
Po-Hsuan Cameron Chen *Google Health, Palo Alto, CA, USA. cameronchen@google.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Histologic grading of breast cancer involves review and scoring of three well-established morphologic features: mitotic count, nuclear pleomorphism, and tubule formation. Taken together, these features form the basis of the Nottingham Grading System which is used to inform breast cancer characterization and prognosis. In this study, we develop deep learning models to perform histologic scoring of all three components using digitized hematoxylin and eosin-stained slides containing invasive breast carcinoma. We first evaluate model performance using pathologist-based reference standards for each component. To complement this typical approach to evaluation, we further evaluate the deep learning models via prognostic analyses. The individual component models perform at or above published benchmarks for algorithm-based grading approaches, achieving high concordance rates with pathologist grading. Further, prognostic performance using deep learning-based grading is on par with that of pathologists performing review of matched slides. By providing scores for each component feature, the deep-learning based approach also provides the potential to identify the grading components contributing most to prognostic value. This may enable optimized prognostic models, opportunities to improve access to consistent grading, and approaches to better understand the links between histologic features and clinical outcomes in breast cancer.

Identifiers

PMID36192400
PMCPMC9530224

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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.