Evidence map›Paper›PMID 36563747›Full record

ArticleThe American journal of pathology2023

Deep Learning-Based Objective and Reproducible Osteosarcoma Chemotherapy Response Assessment and Outcome Prediction.

David J Ho, Narasimhan P Agaram, Marc-Henri Jean, Stephanie D Suser, Cynthia Chu, Chad M Vanderbilt, Paul A Meyers, Leonard H Wexler, John H Healey, Thomas J Fuchs and 1 more

Abstract read
In one paragraph

Article in The American journal of pathology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Pediatric Leukemia Roadmaps Are a Guide for Positive Metastatic Bone Sarcoma Trials.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024
    Article
  10. Review
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

11 authors.

David J HoDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, New York.
Narasimhan P AgaramDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, New York.
Marc-Henri JeanDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, New York.
Stephanie D SuserDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, New York.
Cynthia ChuDataLine, Technology Division, Memorial Sloan Kettering Cancer Center, New York, New York.
Chad M VanderbiltDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, New York.
Paul A MeyersDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, New York.
Leonard H WexlerDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, New York.
John H HealeyDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York.
Thomas J FuchsHasso Plattner Institute for Digital Health, Icahn School of Medicine at Mount Sinai, New York, New York.
Meera R HameedDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, New York. Electronic address: hameedm@mskcc.org.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

Osteosarcoma is the most common primary bone cancer, whose standard treatment includes pre-operative chemotherapy followed by resection. Chemotherapy response is used for prognosis and management of patients. Necrosis is routinely assessed after chemotherapy from histology slides on resection specimens, where necrosis ratio is defined as the ratio of necrotic tumor/overall tumor. Patients with necrosis ratio ≥90% are known to have a better outcome. Manual microscopic review of necrosis ratio from multiple glass slides is semiquantitative and can have intraobserver and interobserver variability. In this study, an objective and reproducible deep learning-based approach was proposed to estimate necrosis ratio with outcome prediction from scanned hematoxylin and eosin whole slide images (WSIs). To conduct the study, 103 osteosarcoma cases with 3134 WSIs were collected. Deep Multi-Magnification Network was trained to segment multiple tissue subtypes, including viable tumor and necrotic tumor at a pixel level and to calculate case-level necrosis ratio from multiple WSIs. Necrosis ratio estimated by the segmentation model highly correlates with necrosis ratio from pathology reports manually assessed by experts. Furthermore, patients were successfully stratified to predict overall survival with P = 2.4 × 10

Indexed as

Bone NeoplasmsDeep LearningOsteosarcomaHumansNecrosisPrognosis

Identifiers

PMID36563747
PMCPMC10013034

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.