Evidence map›Paper›PMID 36707660›Full record

ArticleNPJ precision oncology2023

Artificial intelligence reveals features associated with breast cancer neoadjuvant chemotherapy responses from multi-stain histopathologic images.

Zhi Huang, Wei Shao, Zhi Han, Ahmad Mahmoud Alkashash, Carlo De la Sancha, Anil V Parwani, Hiroaki Nitta, Yanjun Hou, Tongxin Wang, Paul Salama and 4 more

Abstract read
In one paragraph

Article in NPJ precision oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing 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

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

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  13. [Artificial intelligence in predicting pathological complete response to neoadjuvant chemotherapy for breast cancer: current advances and challenges].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 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

14 authors.

Zhi Huang *School of Electrical and Computer Engineering, Purdue University, West Lafayette, IN, 47907, USA.ORCID http://orcid.org/0000-0001-6982-8285
Wei Shao *Department of Medicine, Indiana University School of Medicine, Indianapolis, IN, 46202, USA.
Zhi Han *Department of Medicine, Indiana University School of Medicine, Indianapolis, IN, 46202, USA.
Ahmad Mahmoud AlkashashDepartment of Pathology, Indiana University School of Medicine, Indianapolis, IN, 46202, USA.
Carlo De la SanchaDepartment of Pathology, Indiana University School of Medicine, Indianapolis, IN, 46202, USA.ORCID http://orcid.org/0000-0002-4134-5377
Anil V ParwaniDepartment of Pathology, The Ohio State University Wexner Medical Center, Columbus, OH, 43210, USA.
Hiroaki NittaRoche Tissue Diagnostics, 1910 E. Innovation Park Drive, Tucson, AZ, 85755, USA.
Yanjun HouUniversity Hospitals Cleveland Medical Center, Case Western Reserve University, 11100 Euclid Avenue, Cleveland, OH, 44106, USA.
Tongxin WangDepartment of Computer Science, Indiana University Bloomington, Bloomington, IN, 47408, USA.
Paul SalamaDepartment of Electrical and Computer Engineering, Indiana University - Purdue University Indianapolis, Indianapolis, IN, 46202, USA.
Maher RizkallaDepartment of Electrical and Computer Engineering, Indiana University - Purdue University Indianapolis, Indianapolis, IN, 46202, USA.
Jie ZhangDepartment of Medical and Molecular Genetics, Indiana University School of Medicine, Indianapolis, IN, 46202, USA.
Kun HuangDepartment of Medicine, Indiana University School of Medicine, Indianapolis, IN, 46202, USA. kunhuang@iu.edu.
Zaibo LiDepartment of Pathology, The Ohio State University Wexner Medical Center, Columbus, OH, 43210, USA. Zaibo.Li@osumc.edu.ORCID http://orcid.org/0000-0003-1325-1696

Funding

Unfolded Protein Response and Autophagy in T Helper Cell Effector FunctionP20GM121176 · NIGMS · UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR · PI Monica Rosas Lemus · 2017 to 2026
$24.9M
NIGMS NIH HHS P20 GM121176
6 · The paper itself

Abstract

Advances in computational algorithms and tools have made the prediction of cancer patient outcomes using computational pathology feasible. However, predicting clinical outcomes from pre-treatment histopathologic images remains a challenging task, limited by the poor understanding of tumor immune micro-environments. In this study, an automatic, accurate, comprehensive, interpretable, and reproducible whole slide image (WSI) feature extraction pipeline known as, IMage-based Pathological REgistration and Segmentation Statistics (IMPRESS), is described. We used both H&E and multiplex IHC (PD-L1, CD8+, and CD163+) images, investigated whether artificial intelligence (AI)-based algorithms using automatic feature extraction methods can predict neoadjuvant chemotherapy (NAC) outcomes in HER2-positive (HER2+) and triple-negative breast cancer (TNBC) patients. Features are derived from tumor immune micro-environment and clinical data and used to train machine learning models to accurately predict the response to NAC in breast cancer patients (HER2+ AUC = 0.8975; TNBC AUC = 0.7674). The results demonstrate that this method outperforms the results trained from features that were manually generated by pathologists. The developed image features and algorithms were further externally validated by independent cohorts, yielding encouraging results, especially for the HER2+ subtype.

Identifiers

PMID36707660
PMCPMC9883475

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.