Evidence map›Paper›PMID 36817766›Full record

ArticleFrontiers in medicine2023

Analyzing breast cancer invasive disease event classification through explainable artificial intelligence.

Raffaella Massafra, Annarita Fanizzi, Nicola Amoroso, Samantha Bove, Maria Colomba Comes, Domenico Pomarico, Vittorio Didonna, Sergio Diotaiuti, Luisa Galati, Francesco Giotta and 12 more

Abstract read
In one paragraph

Article in Frontiers in medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

22 authors.

Raffaella MassafraIRCCS Istituto Tumori "Giovanni Paolo II", Bari, Italy.
Annarita FanizziIRCCS Istituto Tumori "Giovanni Paolo II", Bari, Italy.
Nicola AmorosoINFN, Sezione di Bari, Bari, Italy.
Samantha BoveIRCCS Istituto Tumori "Giovanni Paolo II", Bari, Italy.
Maria Colomba ComesIRCCS Istituto Tumori "Giovanni Paolo II", Bari, Italy.
Domenico PomaricoINFN, Sezione di Bari, Bari, Italy.
Vittorio DidonnaIRCCS Istituto Tumori "Giovanni Paolo II", Bari, Italy.
Sergio DiotaiutiIRCCS Istituto Tumori "Giovanni Paolo II", Bari, Italy.
Luisa GalatiInternational Agency for Research on Cancer, Lyon, France.
Francesco GiottaIRCCS Istituto Tumori "Giovanni Paolo II", Bari, Italy.
Daniele La ForgiaIRCCS Istituto Tumori "Giovanni Paolo II", Bari, Italy.
Agnese LatorreIRCCS Istituto Tumori "Giovanni Paolo II", Bari, Italy.
Angela LombardiDipartimento di Ingegneria Elettrica e dell'Informazione, Politecnico di Bari, Bari, Italy.
Annalisa NardoneIRCCS Istituto Tumori "Giovanni Paolo II", Bari, Italy.
Maria Irene PastenaIRCCS Istituto Tumori "Giovanni Paolo II", Bari, Italy.
Cosmo Maurizio RessaIRCCS Istituto Tumori "Giovanni Paolo II", Bari, Italy.
Lucia RinaldiIRCCS Istituto Tumori "Giovanni Paolo II", Bari, Italy.
Pasquale TamborraIRCCS Istituto Tumori "Giovanni Paolo II", Bari, Italy.
Alfredo ZitoIRCCS Istituto Tumori "Giovanni Paolo II", Bari, Italy.
Angelo Virgilio ParadisoIRCCS Istituto Tumori "Giovanni Paolo II", Bari, Italy.
Roberto BellottiINFN, Sezione di Bari, Bari, Italy.
Vito LorussoIRCCS Istituto Tumori "Giovanni Paolo II", Bari, Italy.

Funding

World Health Organization 001
6 · The paper itself

Abstract

Introduction: Recently, accurate machine learning and deep learning approaches have been dedicated to the investigation of breast cancer invasive disease events (IDEs), such as recurrence, contralateral and second cancers. However, such approaches are poorly interpretable. Methods: Thus, we designed an Explainable Artificial Intelligence (XAI) framework to investigate IDEs within a cohort of 486 breast cancer patients enrolled at IRCCS Istituto Tumori "Giovanni Paolo II" in Bari, Italy. Using Shapley values, we determined the IDE driving features according to two periods, often adopted in clinical practice, of 5 and 10 years from the first tumor diagnosis. Results: Age, tumor diameter, surgery type, and multiplicity are predominant within the 5-year frame, while therapy-related features, including hormone, chemotherapy schemes and lymphovascular invasion, dominate the 10-year IDE prediction. Estrogen Receptor (ER), proliferation marker Ki67 and metastatic lymph nodes affect both frames. Discussion: Thus, our framework aims at shortening the distance between AI and clinical practice.

Indexed as

10-year follow up5-year follow upbreast cancerexplainable AIinvasive disease events

Identifiers

PMID36817766
PMCPMC9932275

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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.