Evidence map›Paper›PMID 36516847›Full record

ArticleCell reports. Medicine2022

Deep learning identifies morphological patterns of homologous recombination deficiency in luminal breast cancers from whole slide images.

Tristan Lazard, Guillaume Bataillon, Peter Naylor, Tatiana Popova, François-Clément Bidard, Dominique Stoppa-Lyonnet, Marc-Henri Stern, Etienne Decencière, Thomas Walter, Anne Vincent-Salomon

Open access · goldAbstract read
In one paragraph

Article in Cell reports. Medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed
7.0field-weighted citation impact, top 2% 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

49 citing papers in PubMed, 71 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Tristan LazardCenter for Computational Biology (CBIO), Mines Paris, PSL University, 60 Boulevard Saint Michel, 75006 Paris, France; Institut Curie, PSL University, 75005 Paris, France; INSERM U900, 75005 Paris, France.
Guillaume BataillonInstitut Curie, PSL University, 75005 Paris, France; INSERM U900, 75005 Paris, France; Diagnostic and Theranostic Medicine Division, Institut Curie, PSL University, Paris, France.
Peter NaylorCenter for Computational Biology (CBIO), Mines Paris, PSL University, 60 Boulevard Saint Michel, 75006 Paris, France; Institut Curie, PSL University, 75005 Paris, France; INSERM U900, 75005 Paris, France.
Tatiana PopovaINSERM U830, DNA Repair and Uveal Melanoma (DRUM), Equipe Labellisée par la Ligue Nationale Contre le Cancer, Institut Curie, PSL Research University, 75005 Paris, France.
François-Clément BidardDepartment of Medical Oncology, Institut Curie, Université de Versailles Saint-Quentin, Saint-Cloud, France; INSERM CIC-BT 1428, Institut Curie, Paris, France.
Dominique Stoppa-LyonnetINSERM U830, DNA Repair and Uveal Melanoma (DRUM), Equipe Labellisée par la Ligue Nationale Contre le Cancer, Institut Curie, PSL Research University, 75005 Paris, France; Université Paris Cité, 75006 Paris, France.
Marc-Henri SternDiagnostic and Theranostic Medicine Division, Institut Curie, PSL University, Paris, France; INSERM U830, DNA Repair and Uveal Melanoma (DRUM), Equipe Labellisée par la Ligue Nationale Contre le Cancer, Institut Curie, PSL Research University, 75005 Paris, France.
Etienne DecencièreCenter for Mathematical Morphology (CMM), Mines Paris, PSL University, 77300 Fontainebleau, France.
Thomas WalterCenter for Computational Biology (CBIO), Mines Paris, PSL University, 60 Boulevard Saint Michel, 75006 Paris, France; Institut Curie, PSL University, 75005 Paris, France; INSERM U900, 75005 Paris, France. Electronic address: thomas.walter@mines-paristech.fr.
Anne Vincent-SalomonDiagnostic and Theranostic Medicine Division, Institut Curie, PSL University, Paris, France; INSERM U934, CNRS UMR 3215, Paris, France. Electronic address: anne.salomon@curie.fr.
Inserm · FRCentre National de la Recherche Scientifique · FRUniversité Paris Sciences et Lettres · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Homologous recombination DNA-repair deficiency (HRD) is becoming a well-recognized marker of platinum salt and polyADP-ribose polymerase inhibitor chemotherapies in ovarian and breast cancers. While large-scale screening for HRD using genomic markers is logistically and economically challenging, stained tissue slides are routinely acquired in clinical practice. With the objectives of providing a robust deep-learning method for HRD prediction from tissue slides and identifying related morphological phenotypes, we first show that digital pathology workflows are sensitive to potential biases in the training set, then we propose a method to overcome the influence of these biases, and we develop an interpretation method capable of identifying complex phenotypes. Application to our carefully curated in-house dataset allows us to predict HRD with high accuracy (area under the receiver-operator characteristics curve 0.86) and to identify morphological phenotypes related to HRD. In particular, the presence of laminated fibrosis and clear tumor cells associated with HRD open new hypotheses regarding its phenotypic impact.

Indexed as

Deep LearningNeoplasmsBiomarkers, TumorHumansRecombinational DNA RepairBiomarkers, Tumorbiasbreast cancercomputational pathologydeep learninghomologous recombination deficiencyinterpretabilitymolecular subtypepredictionself-supervised learningwhole slide images

Identifiers

PMID36516847
PMCPMC9798078
OpenAlexW4311249083

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.