Evidence map›Paper›PMID 36347854›Full record

ArticleNature communications2022

Deep learning-based image analysis predicts PD-L1 status from H&E-stained histopathology images in breast cancer.

Gil Shamai, Amir Livne, António Polónia, Edmond Sabo, Alexandra Cretu, Gil Bar-Sela, Ron Kimmel

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 119 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
119citing papers in PubMed, 1 pooled it
23.3field-weighted citation impact, top 1% 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

119 citing papers in PubMed, 1 synthesis or guideline pooled it, 170 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Deep Learning-Based Tumor Cell Classification in Lung Adenocarcinoma With a Case-by-Case Human-in-the-Loop Approach.APMIS : acta pathologica, microbiologica, et immunologica Scandinavica · 2026
    Article
  15. Article
  16. Review
  17. Review
  18. Article
  19. Article
  20. Review

59 more citing papers are in PubMed but not listed here.

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

7 authors at 2 institutions in 1 country.

Gil Shamai *Department of Computer Science, Technion, Haifa, Israel. gil.shamai@gmail.com.ORCID 0000-0002-8099-3027
Amir Livne *Department of Computer Science, Technion, Haifa, Israel.
António PolóniaDepartment of Pathology, Ipatimup, Porto, Portugal.ORCID 0000-0001-8312-1681
Edmond SaboDepartment of Pathology, Carmel Medical Center, Haifa, Israel.
Alexandra CretuDepartment of Pathology, Carmel Medical Center, Haifa, Israel.
Gil Bar-SelaDepartment of Oncology, Haemek Medical Center, Afula, Israel.
Ron KimmelDepartment of Computer Science, Technion, Haifa, Israel.
Technion – Israel Institute of Technology · ILCarmel Medical Center · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Programmed death ligand-1 (PD-L1) has been recently adopted for breast cancer as a predictive biomarker for immunotherapies. The cost, time, and variability of PD-L1 quantification by immunohistochemistry (IHC) are a challenge. In contrast, hematoxylin and eosin (H&E) is a robust staining used routinely for cancer diagnosis. Here, we show that PD-L1 expression can be predicted from H&E-stained images by employing state-of-the-art deep learning techniques. With the help of two expert pathologists and a designed annotation software, we construct a dataset to assess the feasibility of PD-L1 prediction from H&E in breast cancer. In a cohort of 3,376 patients, our system predicts the PD-L1 status in a high area under the curve (AUC) of 0.91 - 0.93. Our system is validated on two external datasets, including an independent clinical trial cohort, showing consistent prediction performance. Furthermore, the proposed system predicts which cases are prone to pathologists miss-interpretation, showing it can serve as a decision support and quality assurance system in clinical practice.

Indexed as

Breast NeoplasmsDeep LearningLung NeoplasmsB7-H1 AntigenBiomarkers, TumorFemaleHematoxylinHumansStaining and LabelingB7-H1 AntigenBiomarkers, TumorCD274 protein, humanHematoxylin

Identifiers

PMID36347854
PMCPMC9643479
OpenAlexW4308573933

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.