Evidence map›Paper›PMID 36497289›Full record

ArticleCancers2022

Accurate Diagnosis and Survival Prediction of Bladder Cancer Using Deep Learning on Histological Slides.

Qingyuan Zheng, Rui Yang, Xinmiao Ni, Song Yang, Lin Xiong, Dandan Yan, Lingli Xia, Jingping Yuan, Jingsong Wang, Panpan Jiao and 8 more

Abstract read
In one paragraph

Article in Cancers, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing 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

26 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. SurvGRN: a multi-feature fusion framework for bladder cancer survival prediction.International journal of surgery (London, England) · 2026
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  8. LncRNANon-coding RNA research · 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

18 authors.

Qingyuan ZhengDepartment of Urology, Renmin Hospital of Wuhan University, Wuhan 430060, China.ORCID 0000-0003-4682-3857
Rui YangDepartment of Urology, Renmin Hospital of Wuhan University, Wuhan 430060, China.
Xinmiao NiDepartment of Urology, Renmin Hospital of Wuhan University, Wuhan 430060, China.
Song YangDepartment of Urology, Renmin Hospital of Wuhan University, Wuhan 430060, China.
Lin XiongDepartment of Pathology, Renmin Hospital of Wuhan University, Wuhan 430060, China.
Dandan YanDepartment of Pathology, Renmin Hospital of Wuhan University, Wuhan 430060, China.
Lingli XiaDepartment of Pathology, Renmin Hospital of Wuhan University, Wuhan 430060, China.
Jingping YuanDepartment of Pathology, Renmin Hospital of Wuhan University, Wuhan 430060, China.
Jingsong WangDepartment of Urology, Renmin Hospital of Wuhan University, Wuhan 430060, China.
Panpan JiaoDepartment of Urology, Renmin Hospital of Wuhan University, Wuhan 430060, China.
Jiejun WuDepartment of Urology, Renmin Hospital of Wuhan University, Wuhan 430060, China.
Yiqun HaoDivision of Nephrology, Renmin Hospital of Wuhan University, Wuhan 430060, China.
Jianguo WangDepartment of Hepatic-Biliary-Pancreatic Surgery, Renmin Hospital of Wuhan University, Wuhan 430060, China.
Liantao GuoDepartment of Breast and Thyroid Surgery, Renmin Hospital of Wuhan University, Wuhan 430060, China.
Zhengyu JiangDepartment of Urology, Renmin Hospital of Wuhan University, Wuhan 430060, China.
Lei WangDepartment of Urology, Renmin Hospital of Wuhan University, Wuhan 430060, China.
Zhiyuan ChenDepartment of Urology, Renmin Hospital of Wuhan University, Wuhan 430060, China.
Xiuheng LiuDepartment of Urology, Renmin Hospital of Wuhan University, Wuhan 430060, China.

Funding

Hubei Province Key Research and Development Project 2020BCB051The Central Guiding Local Science and Technology Development Project ZYYD2022000181
6 · The paper itself

Abstract

(1) Background: Early diagnosis and treatment are essential to reduce the mortality rate of bladder cancer (BLCA). We aimed to develop deep learning (DL)-based weakly supervised models for the diagnosis of BLCA and prediction of overall survival (OS) in muscle-invasive bladder cancer (MIBC) patients using whole slide digitized histological images (WSIs). (2) Methods: Diagnostic and prognostic models were developed using 926 WSIs of 412 BLCA patients from The Cancer Genome Atlas cohort. We collected 250 WSIs of 150 BLCA patients from the Renmin Hospital of Wuhan University cohort for external validation of the models. Two DL models were developed: a BLCA diagnostic model (named BlcaMIL) and an MIBC prognostic model (named MibcMLP). (3) Results: The BlcaMIL model identified BLCA with accuracy 0.987 in the external validation set, comparable to that of expert uropathologists and outperforming a junior pathologist. The C-index values for the MibcMLP model on the internal and external validation sets were 0.631 and 0.622, respectively. The risk score predicted by MibcMLP was a strong predictor independent of existing clinical or histopathologic indicators, as demonstrated by univariate Cox (HR = 2.390, p < 0.0001) and multivariate Cox (HR = 2.414, p < 0.0001) analyses. The interpretability of DL models can help in the analysis of critical regions associated with tumors to enrich the information obtained from WSIs. Furthermore, the expression of six genes (ANAPC7, MAPKAPK5, COX19, LINC01106, AL161431.1 and MYO16-AS1) was significantly associated with MibcMLP-predicted risk scores, revealing possible potential biological correlations. (4) Conclusions: Our study developed DL models for accurately diagnosing BLCA and predicting OS in MIBC patients, which will help promote the precise pathological diagnosis of BLCA and risk stratification of MIBC to improve clinical treatment decisions.

Indexed as

bladder cancerdeep learningdiagnosisoverall survivalprognostic predictionwhole slide imaging

Identifiers

PMID36497289
PMCPMC9737237

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.