Evidence map›Paper›PMID 36376239›Full record

ArticleThe journal of pathology. Clinical research2023

Optimization of deep learning models for the prediction of gene mutations using unsupervised clustering.

Zihan Chen, Xingyu Li, Miaomiao Yang, Hong Zhang, Xu Steven Xu

Abstract read
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Article in The journal of pathology. Clinical research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

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0cells of the map it votes in
16citing papers in PubMed
–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

16 citing papers in PubMed.

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  6. Decoding pathology: the role of computational pathology in research and diagnostics.Pflugers Archiv : European journal of physiology · 2025
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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

5 authors.

Zihan ChenSchool of Data Science, University of Science and Technology of China, Hefei, PR China.
Xingyu LiDepartment of Statistics and Finance, School of Management, University of Science and Technology of China, Hefei, PR China.
Miaomiao YangClinical Pathology Center, The Fourth Affiliated Hospital of Anhui Medical University, Hefei, PR China.
Hong ZhangDepartment of Statistics and Finance, School of Management, University of Science and Technology of China, Hefei, PR China.
Xu Steven XuClinical Pharmacology and Quantitative Science, Genmab Inc., Princeton, NJ, USA.ORCID 0000-0001-6997-5533

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Deep learning models are increasingly being used to interpret whole-slide images (WSIs) in digital pathology and to predict genetic mutations. Currently, it is commonly assumed that tumor regions have most of the predictive power. However, it is reasonable to assume that other tissues from the tumor microenvironment may also provide important predictive information. In this paper, we propose an unsupervised clustering-based multiple-instance deep learning model for the prediction of genetic mutations using WSIs of three cancer types obtained from The Cancer Genome Atlas. Our proposed model facilitates the identification of spatial regions related to specific gene mutations and exclusion of patches that lack predictive information through the use of unsupervised clustering. This results in a more accurate prediction of gene mutations when compared with models using all image patches on WSIs and two recently published algorithms for all three different cancer types evaluated in this study. In addition, our study validates the hypothesis that the prediction of gene mutations solely based on tumor regions on WSI slides may not always provide the best performance. Other tissue types in the tumor microenvironment could provide a better prediction ability than tumor tissues alone. These results highlight the heterogeneity in the tumor microenvironment and the importance of identification of predictive image patches in digital pathology prediction tasks.

Indexed as

Deep LearningAlgorithmsCluster AnalysisHumansMutationTumor Microenvironmentdeep learninggene mutationH&E imageunsupervised clusteringwhole-slide images

Identifiers

PMID36376239
PMCPMC9732687

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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.