Evidence map›Paper›PMID 36316482›Full record

ArticleNPJ precision oncology2022

Prediction of early-stage melanoma recurrence using clinical and histopathologic features.

Guihong Wan, Nga Nguyen, Feng Liu, Mia S DeSimone, Bonnie W Leung, Ahmad Rajeh, Michael R Collier, Min Seok Choi, Munachimso Amadife, Kimberly Tang and 18 more

Abstract read
In one paragraph

Article in NPJ precision oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing 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

30 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

28 authors.

Guihong Wan *Department of Dermatology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0003-1100-4018
Nga Nguyen *Department of Dermatology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Feng Liu *School of Systems and Enterprises, Stevens Institute of Technology, Hoboken, NJ, USA.ORCID http://orcid.org/0000-0002-5225-8199
Mia S DeSimoneDepartment of Pathology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0002-0042-6269
Bonnie W LeungDepartment of Dermatology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0002-6627-1570
Ahmad RajehDepartment of Dermatology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Michael R CollierDepartment of Dermatology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Min Seok ChoiDepartment of Dermatology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Munachimso AmadifeDepartment of Dermatology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Kimberly TangDepartment of Dermatology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Shijia ZhangDepartment of Dermatology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Jordan S PhillippsDepartment of Dermatology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0002-9156-3567
Ruple JairathDepartment of Dermatology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Nora A AlexanderDepartment of Dermatology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0003-3011-1353
Yining HuaDepartment of Dermatology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Meng JiaoSchool of Systems and Enterprises, Stevens Institute of Technology, Hoboken, NJ, USA.
Wenxin ChenDepartment of Dermatology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Diane HoDepartment of Dermatology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Stacey DueyDepartment of Dermatology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
István Balázs NémethDepartment of Dermatology and Allergology, University of Szeged, Szeged, Hungary.
Gyorgy Marko-VargaDepartment of Translational Medicine, Lund University, Lund, Sweden.
Jeovanis Gil ValdésDepartment of Translational Medicine, Lund University, Lund, Sweden.ORCID http://orcid.org/0000-0003-3601-3893
David LiuDepartment of Medicine, Dana-Farber Cancer Institute, Boston, MA, USA.ORCID http://orcid.org/0000-0003-0346-5033
Genevieve M BolandDepartment of Dermatology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0002-7522-6173
Alexander GusevDepartment of Medicine, Dana-Farber Cancer Institute, Boston, MA, USA.
Peter K SorgerDepartment of Systems Biology, Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0002-3364-1838
Kun-Hsing YuDepartment of Biomedical Informatics, Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0001-9892-8218
Yevgeniy R SemenovDepartment of Dermatology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA. ysemenov@mgh.harvard.edu.ORCID http://orcid.org/0000-0002-7387-3094

Funding

Robust, Generalizable, and Fair Machine Learning Models for BiomedicineR35GM142879 · NIGMS · HARVARD MEDICAL SCHOOL · PI YU, KUN-HSING · 2021 to 2025
$2.4M
Explainable Artificial Intelligence for Melanoma Recurrence Prediction via Integrative Modeling of Multiplexed Imaging with Transcriptomics and HistopathologyK99CA286966 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI WAN, GUIHONG · 2024 to 2025
$352k
Dermatology Foundation (DF) Medical Dermatology Career Development AwardNCI NIH HHS K99 CA286966NIGMS NIH HHS R35 GM142879U.S. Department of Defense (United States Department of Defense) W81XWH2110819
6 · The paper itself

Abstract

Prognostic analysis for early-stage (stage I/II) melanomas is of paramount importance for customized surveillance and treatment plans. Since immune checkpoint inhibitors have recently been approved for stage IIB and IIC melanomas, prognostic tools to identify patients at high risk of recurrence have become even more critical. This study aims to assess the effectiveness of machine-learning algorithms in predicting melanoma recurrence using clinical and histopathologic features from Electronic Health Records (EHRs). We collected 1720 early-stage melanomas: 1172 from the Mass General Brigham healthcare system (MGB) and 548 from the Dana-Farber Cancer Institute (DFCI). We extracted 36 clinicopathologic features and used them to predict the recurrence risk with supervised machine-learning algorithms. Models were evaluated internally and externally: (1) five-fold cross-validation of the MGB cohort; (2) the MGB cohort for training and the DFCI cohort for testing independently. In the internal and external validations, respectively, we achieved a recurrence classification performance of AUC: 0.845 and 0.812, and a time-to-event prediction performance of time-dependent AUC: 0.853 and 0.820. Breslow tumor thickness and mitotic rate were identified as the most predictive features. Our results suggest that machine-learning algorithms can extract predictive signals from clinicopathologic features for early-stage melanoma recurrence prediction, which will enable the identification of patients that may benefit from adjuvant immunotherapy.

Identifiers

PMID36316482
PMCPMC9622809

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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.