Evidence map›Paper›PMID 36268064›Full record

ArticleJournal of pathology informatics2022

Spatial heterogeneity and organization of tumor mutation burden with immune infiltrates within tumors based on whole slide images correlated with patient survival in bladder cancer.

Hongming Xu, Jean René Clemenceau, Sunho Park, Jinhwan Choi, Sung Hak Lee, Tae Hyun Hwang

Open access · goldAbstract read
In one paragraph

Article in Journal of pathology informatics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
6.3field-weighted citation impact, top 3% of its field
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

15 citing papers in PubMed, 32 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
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

6 authors at 3 institutions in 3 countries.

Hongming XuSchool of Biomedical Engineering, Faculty of Electronic Information and Electrical Engineering, Dalian University of Technology, Dalian 116024, China.
Jean René ClemenceauDepartment of Artificial Intelligence and Informatics, Mayo Clinic, Jacksonville, FL 32224, USA.
Sunho ParkDepartment of Artificial Intelligence and Informatics, Mayo Clinic, Jacksonville, FL 32224, USA.
Jinhwan ChoiDepartment of Artificial Intelligence and Informatics, Mayo Clinic, Jacksonville, FL 32224, USA.
Sung Hak LeeDepartment of Hospital Pathology, Seoul St.Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul 06591, South Korea.
Tae Hyun HwangDepartment of Artificial Intelligence and Informatics, Mayo Clinic, Jacksonville, FL 32224, USA.
Mayo Clinic in Florida · USDalian University of Technology · CNSeoul St. Mary's Hospital · KR

Funding

Sox9 signaling in lung adenocarcinomaR01CA190578 · NCI · RBHS -CANCER INSTITUTE OF NEW JERSEY · PI PINE, SHARON R. · 2014 to 2018
$1.7M
NCI NIH HHS R01 CA190578
6 · The paper itself

Abstract

Background: High tumor mutation burden (TMB-H) could result in an increased number of neoepitopes from somatic mutations expressed by a patient's own tumor cell which can be recognized and targeted by neighboring tumor-infiltrating lymphocytes (TILs). Deeper understanding of spatial heterogeneity and organization of tumor cells and their neighboring immune infiltrates within tumors could provide new insights into tumor progression and treatment response. Methods: Here we first developed computational approaches using whole slide images (WSIs) to predict bladder cancer patients' TMB status and TILs across tumor regions, and then investigate spatial heterogeneity and organization of regions harboring TMB-H tumor cells and TILs within tumors, as well as their prognostic utility. Results: In experiments using WSIs from The Cancer Genome Atlas (TCGA) bladder cancer (BLCA), our findings show that computational pathology can reliably predict patient-level TMB status and delineate spatial TMB heterogeneity and co-organization with TILs. TMB-H patients with low spatial heterogeneity enriched with high TILs show improved overall survival. Conclusions: Computational approaches using WSIs have the potential to provide rapid and cost-effective TMB testing and TILs detection. Survival analysis illuminates potential clinical utility of spatial heterogeneity and co-organization of TMB and TILs as a prognostic biomarker in BLCA which warrants further validation in future studies.

Indexed as

Bladder cancerBLCA, Urothelial Bladder CarcinomaComputational pathologySpatial HeterogeneitySurvival prognosisTCGA, The Cancer Genome Atlas ProjectTIL, Tumor-Infiltrating LymphocyteTMB, Tumor Mutation BurdenTumor Immune MicroenvironmentTumor mutation burden predictionWSI, Whole Slide Image

Identifiers

PMID36268064
PMCPMC9577053
OpenAlexW4281259269

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.