Evidence map›Paper›PMID 36264524›Full record

ArticleGastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association2023

Direct prediction of genetic aberrations from pathology images in gastric cancer with swarm learning.

Oliver Lester Saldanha, Hannah Sophie Muti, Heike I Grabsch, Rupert Langer, Bastian Dislich, Meike Kohlruss, Gisela Keller, Marko van Treeck, Katherine Jane Hewitt, Fiona R Kolbinger and 5 more

Registry-linked trialAbstract read
In one paragraph

Article in Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05698056 (A Retrospective Analysis of Magnetic Resonance Imaging Data for Breast Cancer Screening in the Open Consortium for Decentralized Medical Artificial Intelligence), which is not on this map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing 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.

NCT05698056 active not recruitingnot on this map

A Retrospective Analysis of Magnetic Resonance Imaging Data for Breast Cancer Screening in the Open Consortium for Decentralized Medical Artificial Intelligence

TypeobservationalSponsorTechnische Universität DresdenRan2023 to 2027Enrolled25,000ConditionsBreast CancerArmsNo intervention.
3 · Its place in the literature

Who cites it

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

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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

15 authors.

Oliver Lester SaldanhaDepartment of Medicine III, University Hospital RWTH Aachen, Aachen, Germany.
Hannah Sophie MutiDepartment of Medicine III, University Hospital RWTH Aachen, Aachen, Germany.
Heike I GrabschPathology and GROW School for Oncology and Developmental Biology, Maastricht University Medical Center+, Maastricht, The Netherlands.
Rupert LangerInstitute of Pathology, Inselspital, University of Bern, Bern, Switzerland.
Bastian DislichInstitute of Pathology, Inselspital, University of Bern, Bern, Switzerland.
Meike KohlrussInstitute of Pathology, TUM School of Medicine, Technical University of Munich, Munich, Germany.
Gisela KellerInstitute of Pathology, TUM School of Medicine, Technical University of Munich, Munich, Germany.
Marko van TreeckDepartment of Medicine III, University Hospital RWTH Aachen, Aachen, Germany.
Katherine Jane HewittDepartment of Medicine III, University Hospital RWTH Aachen, Aachen, Germany.
Fiona R KolbingerElse Kroener Fresenius Center for Digital Health, Medical Faculty Carl Gustav Carus, Technical University Dresden, Fetscherstrasse 74, 01307, Dresden, Germany.
Gregory Patrick VeldhuizenDepartment of Medicine III, University Hospital RWTH Aachen, Aachen, Germany.
Peter BoorInstitute of Pathology, University Hospital RWTH Aachen, 52074, Aachen, Germany.
Sebastian FoerschInstitute of Pathology, University Medical Center Mainz, Mainz, Germany.
Daniel TruhnDepartment of Diagnostic and Interventional Radiology, University Hospital RWTH Aachen, Aachen, Germany.
Jakob Nikolas KatherDepartment of Medicine III, University Hospital RWTH Aachen, Aachen, Germany. jakob-nikolas.kather@alumni.dkfz.de.ORCID 0000-0002-3730-5348

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundComputational pathology uses deep learning (DL) to extract biomarkers from routine pathology slides. Large multicentric datasets improve performance, but such datasets are scarce for gastric cancer. This limitation could be overcome by Swarm Learning (SL).

methodsHere, we report the results of a multicentric retrospective study of SL for prediction of molecular biomarkers in gastric cancer. We collected tissue samples with known microsatellite instability (MSI) and Epstein-Barr Virus (EBV) status from four patient cohorts from Switzerland, Germany, the UK and the USA, storing each dataset on a physically separate computer.

resultsOn an external validation cohort, the SL-based classifier reached an area under the receiver operating curve (AUROC) of 0.8092 (± 0.0132) for MSI prediction and 0.8372 (± 0.0179) for EBV prediction. The centralized model, which was trained on all datasets on a single computer, reached a similar performance.

conclusionsOur findings demonstrate the feasibility of SL-based molecular biomarkers in gastric cancer. In the future, SL could be used for collaborative training and, thus, improve the performance of these biomarkers. This may ultimately result in clinical-grade performance and generalizability.

Indexed as

Epstein-Barr Virus InfectionsStomach NeoplasmsBiomarkers, TumorHerpesvirus 4, HumanHumansMicrosatellite InstabilityRetrospective StudiesBiomarkers, TumorArtificial intelligenceBiomarkerBlockchainGastric cancerPathologySwarm learning

Identifiers

PMID36264524
PMCPMC9950158

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Registered trials

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.