Evidence map›Paper›PMID 36232628›Full record

ArticleInternational journal of molecular sciences2022

Deep-Learning to Predict BRCA Mutation and Survival from Digital H&E Slides of Epithelial Ovarian Cancer.

Camilla Nero, Luca Boldrini, Jacopo Lenkowicz, Maria Teresa Giudice, Alessia Piermattei, Frediano Inzani, Tina Pasciuto, Angelo Minucci, Anna Fagotti, Gianfranco Zannoni and 2 more

Abstract read
In one paragraph

Article in International journal of molecular sciences, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Role of artificial intelligence in digital pathology for gynecological cancers.Computational and structural biotechnology journal · 2024
    Review
  9. Article
  10. PredictingAnnals of medicine · 2024
    Article
  11. Stratified analysis identifies HIF-2bioRxiv : the preprint server for biology · 2024
    Article
  12. Review
  13. Article
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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

12 authors.

Camilla NeroFondazione Policlinico Agostino Gemelli, IRCCS, Gynecology and Obstetrics, 00168 Rome, Italy.ORCID 0000-0002-4442-4046
Luca BoldriniFondazione Policlinico Agostino Gemelli, IRCCS, Radiomics Core Facility, 00168 Rome, Italy.ORCID 0000-0002-5631-1575
Jacopo LenkowiczFondazione Policlinico Agostino Gemelli, IRCCS, Radiomics Core Facility, 00168 Rome, Italy.
Maria Teresa GiudiceFondazione Policlinico Agostino Gemelli, IRCCS, Gynecology and Obstetrics, 00168 Rome, Italy.
Alessia PiermatteiFondazione Policlinico Agostino Gemelli, IRCCS, Pathology, 00168 Rome, Italy.
Frediano InzaniFondazione Policlinico Agostino Gemelli, IRCCS, Pathology, 00168 Rome, Italy.ORCID 0000-0002-9061-6989
Tina PasciutoFondazione Policlinico Agostino Gemelli, IRCCS, Data Collection Core Facility, 00168 Rome, Italy.ORCID 0000-0003-2959-8571
Angelo MinucciFondazione Policlinico Agostino Gemelli, IRCCS, Genomics Core Facility, 00168 Rome, Italy.ORCID 0000-0002-0833-4334
Anna FagottiFondazione Policlinico Agostino Gemelli, IRCCS, Gynecology and Obstetrics, 00168 Rome, Italy.
Gianfranco ZannoniFondazione Policlinico Agostino Gemelli, IRCCS, Pathology, 00168 Rome, Italy.
Vincenzo ValentiniFondazione Policlinico Agostino Gemelli, IRCCS, Radiation Oncology, 00168 Rome, Italy.
Giovanni ScambiaFondazione Policlinico Agostino Gemelli, IRCCS, Gynecology and Obstetrics, 00168 Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BRCA 1/2 genes mutation status can already determine the therapeutic algorithm of high grade serous ovarian cancer patients. Nevertheless, its assessment is not sufficient to identify all patients with genomic instability, since BRCA 1/2 mutations are only the most well-known mechanisms of homologous recombination deficiency (HR-d) pathway, and patients displaying HR-d behave similarly to BRCA mutated patients. HRd assessment can be challenging and is progressively overcoming BRCA testing not only for prognostic information but more importantly for drugs prescriptions. However, HR testing is not already integrated in clinical practice, it is quite expensive and it is not refundable in many countries. Selecting patients who are more likely to benefit from this assessment (BRCA 1/2 WT patients) at an early stage of the diagnostic process, would allow an optimization of genomic profiling resources. In this study, we sought to explore whether somatic BRCA1/2 genes status can be predicted using computational pathology from standard hematoxylin and eosin histology. In detail, we adopted a publicly available, deep-learning-based weakly supervised method that uses attention-based learning to automatically identify sub regions of high diagnostic value to accurately classify the whole slide (CLAM). The same model was also tested for progression free survival (PFS) prediction. The model was tested on a cohort of 664 (training set:

Indexed as

Deep LearningOvarian NeoplasmsBRCA1 ProteinCarcinoma, Ovarian EpithelialEosine Yellowish-(YS)FemaleGerm-Line MutationHematoxylinHumansMutationBRCA1 ProteinEosine Yellowish-(YS)Hematoxylinartificial intelligencedigital pathologymachine learningovarian cancersomatic BRCA mutational status

Identifiers

PMID36232628
PMCPMC9570450

What OpenQuestion holds

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Registered trials

None linked

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.