Evidence map›Paper›PMID 36323712›Full record

ArticleScientific reports2022

Deep learning model to predict Epstein-Barr virus associated gastric cancer in histology.

Yeojin Jeong, Cristina Eunbee Cho, Ji-Eon Kim, Jonghyun Lee, Namkug Kim, Woon Yong Jung, Joohon Sung, Ju Han Kim, Yoo Jin Lee, Jiyoon Jung and 5 more

Abstract read
In one paragraph

Article in Scientific reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

15 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.

Yeojin Jeong *Genome & Health Data Lab, School of Public Health, Seoul National University, Seoul, Republic of Korea.
Cristina Eunbee Cho *Department of Convergence Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
Ji-Eon Kim *Wonkwang University Medical Research Convergence Center, Wonkwang University Hospital, Iksan, Republic of Korea.
Jonghyun LeeDepartment of Medical and Digital Engineering, Hanyang University College of Engineering, Seoul, Republic of Korea.
Namkug KimDepartment of Convergence Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
Woon Yong JungDepartment of Pathology, Hanyang University Guri Hospital, Hanyang University College of Medicine, Guri, Republic of Korea.
Joohon SungGenome & Health Data Lab, School of Public Health, Seoul National University, Seoul, Republic of Korea.
Ju Han KimDivision of Biomedical Informatics, Seoul National University College of Medicine, Seoul National University Biomedical Informatics (SNUBI), Seoul, Republic of Korea.
Yoo Jin LeeDepartment of Pathology, Korea University Anam Hospital, Korea University College of Medicine, 73 Goryeodae-ro, Seongbuk-gu, Seoul, 02841, Republic of Korea.
Jiyoon JungDepartment of Pathology, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University, Seoul, Republic of Korea.
Juyeon PyoDepartment of Pathology, International St. Mary's Hospital, Catholic Kwandong University College of Medicine, Incheon, Republic of Korea.
Jisun SongDepartment of Pathology, Ewha Womans University Seoul Hospital, Ewha Womans University College of Medicine, Seoul, Republic of Korea.
Jihwan ParkSchool of Software Convergence, College of Software Convergence, Dankook University, Yongin-si, Republic of Korea.
Kyoung Min MoonDepartment of Pulmonary, Allergy, and Critical Care Medicine, Gangneung Asan Hospital, College of Medicine, University of Ulsan, 38, Bangdong-gil, Sacheon-myeon, Gangneung-si, 25440, Gangwon-do, Republic of Korea. pulmogicu@ulsan.ac.kr.
Sangjeong AhnDivision of Biomedical Informatics, Seoul National University College of Medicine, Seoul National University Biomedical Informatics (SNUBI), Seoul, Republic of Korea. vanitasahn@gmail.com.

Funding

Korea University Grant K2225541The Korea Health Technology R&D Project through the Korea Health Industry Development Institute (KHIDI) HI21C0940The Medical Research Promotion Program through the Gangneung Asan Hospital 2021 B002
6 · The paper itself

Abstract

The detection of Epstein-Barr virus (EBV) in gastric cancer patients is crucial for clinical decision making, as it is related with specific treatment responses and prognoses. Despite its importance, the limited medical resources preclude universal EBV testing. Herein, we propose a deep learning-based EBV prediction method from H&E-stained whole-slide images (WSI). Our model was developed using 319 H&E stained WSI (26 EBV positive; TCGA dataset) from the Cancer Genome Atlas, and 108 WSI (8 EBV positive; ISH dataset) from an independent institution. Our deep learning model, EBVNet consists of two sequential components: a tumor classifier and an EBV classifier. We visualized the learned representation by the classifiers using UMAP. We externally validated the model using 60 additional WSI (7 being EBV positive; HGH dataset). We compared the model's performance with those of four pathologists. EBVNet achieved an AUPRC of 0.65, whereas the four pathologists yielded a mean AUPRC of 0.41. Moreover, EBVNet achieved an negative predictive value, sensitivity, specificity, precision, and F1-score of 0.98, 0.86, 0.92, 0.60, and 0.71, respectively. Our proposed model is expected to contribute to prescreen patients for confirmatory testing, potentially to save test-related cost and labor.

Indexed as

Deep LearningEpstein-Barr Virus InfectionsStomach NeoplasmsHerpesvirus 4, HumanHumansPrognosis

Identifiers

PMID36323712
PMCPMC9630260

What OpenQuestion holds

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Registered trials

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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.