Evidence map›Paper›PMID 37031509›Full record

ArticleComputers in biology and medicine2023

MHAttnSurv: Multi-head attention for survival prediction using whole-slide pathology images.

Shuai Jiang, Arief A Suriawinata, Saeed Hassanpour

Abstract read
In one paragraph

Article in Computers in biology and medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing 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

22 citing papers in PubMed.

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  18. Deep Learning for Grading Endometrial Cancer.The American journal of pathology · 2024
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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

3 authors.

Shuai JiangDepartment of Biomedical Data Science, Geisel School of Medicine at Dartmouth, Hanover, NH, 03755, USA.
Arief A SuriawinataDepartment of Pathology and Laboratory Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, NH, 03756, USA.
Saeed HassanpourDepartment of Biomedical Data Science, Geisel School of Medicine at Dartmouth, Hanover, NH, 03755, USA; Department of Computer Science, Dartmouth College, Hanover, NH, 03755, USA; Department of Epidemiology, Geisel School of Medicine at Dartmouth, Hanover, NH, 03755, USA. Electronic address: Saeed.Hassanpour@dartmouth.edu.

Funding

Advancing Digital Pathology through Novel Machine Learning MethodologiesR01LM013833 · NLM · DARTMOUTH COLLEGE · PI Saeed Hassanpour · 2022 to 2026
$3.0M
Clinicopathologic and Genetic Profiling through Machine Learning and Natural Language Processing for Precision Lung Cancer ManagementR01CA249758 · NCI · DARTMOUTH COLLEGE · PI HASSANPOUR, SAEED · 2019 to 2022
$1.5M
Improving Colorectal Cancer Screening and Risk Assessment through Deep Learning on Medical Images and RecordsR01LM012837 · NLM · DARTMOUTH COLLEGE · PI HASSANPOUR, SAEED · 2019 to 2022
$1.4M
NCI NIH HHS R01 CA249758NLM NIH HHS R01 LM012837NLM NIH HHS R01 LM013833
6 · The paper itself

Abstract

Whole slide images (WSI) based survival prediction has attracted increasing interest in pathology. Despite this, extracting prognostic information from WSIs remains a challenging task due to their enormous size and the scarcity of pathologist annotations. Previous studies have utilized multiple instance learning approach to combine information from several randomly sampled patches, but this approach may not be adequate as different visual patterns may contribute unequally to prognosis prediction. In this study, we introduce a multi-head attention mechanism that allows each attention head to independently explore the utility of various visual patterns on a tumor slide, thereby enabling more comprehensive information extraction from WSIs. We evaluated our approach on four cancer types from The Cancer Genome Atlas database. Our model achieved an average c-index of 0.640, outperforming three existing state-of-the-art approaches for WSI-based survival prediction on these datasets. Visualization of attention maps reveals that the attention heads synergistically focus on different morphological patterns, providing additional evidence for the effectiveness of multi-head attention in survival prediction.

Indexed as

Information Storage and RetrievalLearningCancer prognosisDigital pathologyMultiple instance learningNeural networks

Identifiers

PMID37031509
PMCPMC10148238

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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.