Evidence map›Paper›PMID 36418332›Full record

ArticleNPJ breast cancer2022

Predicting neoadjuvant chemotherapy benefit using deep learning from stromal histology in breast cancer.

Fengling Li, Yongquan Yang, Yani Wei, Yuanyuan Zhao, Jing Fu, Xiuli Xiao, Zhongxi Zheng, Hong Bu

Open access · goldAbstract read
In one paragraph

Article in NPJ breast cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 6% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
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  9. Resistance to neoadjuvant chemotherapy in breast cancers: a metabolic perspective.Journal of experimental & clinical cancer research : CR · 2025
    Review
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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

8 authors at 3 institutions in 1 country.

Fengling Li *Department of Pathology, West China Hospital, Sichuan University, Chengdu, China.ORCID http://orcid.org/0000-0003-1911-7818
Yongquan Yang *Institute of Clinical Pathology, West China Hospital, Sichuan University, Chengdu, China.ORCID http://orcid.org/0000-0002-3965-4816
Yani WeiDepartment of Pathology, West China Hospital, Sichuan University, Chengdu, China.
Yuanyuan ZhaoDepartment of Pathology, Shanxi Province Cancer Hospital/Shanxi Hospital Affiliated to Cancer Hospital, Chinese Academy of Medical Sciences/Cancer Hospital Affiliated to Shanxi Medical University, Taiyuan, China.
Jing FuDepartment of Pathology, Sichuan Provincial People's Hospital, Chengdu, China.
Xiuli XiaoDepartment of Pathology, The Affiliated Hospital of Southwest Medical University, Luzhou, China.
Zhongxi ZhengInstitute of Clinical Pathology, West China Hospital, Sichuan University, Chengdu, China. digitalpathology@scu.edu.cn.ORCID http://orcid.org/0000-0002-7046-8480
Hong BuDepartment of Pathology, West China Hospital, Sichuan University, Chengdu, China. hongbu@scu.edu.cn.ORCID http://orcid.org/0000-0001-7472-6443
Sichuan University · CNAffiliated Hospital of Southwest Medical University · CNShanxi Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Neoadjuvant chemotherapy (NAC) is a standard treatment option for locally advanced breast cancer. However, not all patients benefit from NAC; some even obtain worse outcomes after therapy. Hence, predictors of treatment benefit are crucial for guiding clinical decision-making. Here, we investigated the predictive potential of breast cancer stromal histology via a deep learning (DL)-based approach and proposed the tumor-associated stroma score (TS-score) for predicting pathological complete response (pCR) to NAC with a multicenter dataset. The TS-score was demonstrated to be an independent predictor of pCR, and it not only outperformed the baseline variables and stromal tumor-infiltrating lymphocytes (sTILs) but also significantly improved the prediction performance of the baseline variable-based model. Furthermore, we discovered that unlike lymphocytes, collagen and fibroblasts in the stroma were likely associated with a poor response to NAC. The TS-score has the potential to better stratify breast cancer patients in NAC settings.

Identifiers

PMID36418332
PMCPMC9684483
OpenAlexW4309700511

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.