Evidence map›Paper›PMID 37059742›Full record

ArticleNPJ breast cancer2023

Integration of clinical features and deep learning on pathology for the prediction of breast cancer recurrence assays and risk of recurrence.

Frederick M Howard, James Dolezal, Sara Kochanny, Galina Khramtsova, Jasmine Vickery, Andrew Srisuwananukorn, Anna Woodard, Nan Chen, Rita Nanda, Charles M Perou and 3 more

Abstract read
In one paragraph

Article in NPJ breast cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers.

0numbers the graph read from it
0cells of the map it votes in
44citing 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

44 citing papers in PubMed.

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  11. Impact of anthracyclines in genomic high-risk, node-negative, HR-positive/HER2-negative breast cancer.Annals of oncology : official journal of the European Society for Medical Oncology · 2025
    Article
  12. Review
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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

13 authors.

Frederick M HowardDepartment of Medicine, University of Chicago, Chicago, IL, USA.ORCID http://orcid.org/0000-0002-6039-1141
James DolezalDepartment of Medicine, University of Chicago, Chicago, IL, USA.ORCID http://orcid.org/0000-0002-6788-7203
Sara KochannyDepartment of Medicine, University of Chicago, Chicago, IL, USA.
Galina KhramtsovaDepartment of Medicine, University of Chicago, Chicago, IL, USA.ORCID http://orcid.org/0000-0001-9625-1549
Jasmine VickeryDepartment of Pathology, University of Chicago, Chicago, IL, USA.
Andrew SrisuwananukornTisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA.ORCID http://orcid.org/0000-0002-8736-8726
Anna WoodardDepartment of Medicine, University of Chicago, Chicago, IL, USA.
Nan ChenDepartment of Medicine, University of Chicago, Chicago, IL, USA.
Rita NandaDepartment of Medicine, University of Chicago, Chicago, IL, USA.ORCID http://orcid.org/0000-0001-5248-0876
Charles M PerouDepartment of Genetics, Lineberger Comprehensive Cancer Center, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.ORCID http://orcid.org/0000-0001-9827-2247
Olufunmilayo I OlopadeDepartment of Medicine, University of Chicago, Chicago, IL, USA.ORCID http://orcid.org/0000-0002-9936-1599
Dezheng HuoDepartment of Public Health Sciences, University of Chicago, Chicago, IL, USA.ORCID http://orcid.org/0000-0002-4041-1678
Alexander T PearsonDepartment of Medicine, University of Chicago, Chicago, IL, USA. alexander.pearson@bsd.uchicago.edu.ORCID http://orcid.org/0000-0003-2801-7456

Funding

Tissue Procurement & PathologyP50CA058223 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BENJAMIN CARLISLE CALHOUN · 1992 to 2026
$59.3M
UNC-CH CENTER FOR ENVIRONMENTAL HEALTH &SUSCEPTIBILITYP30ES010126 · NIEHS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Hazel B Nichols · 2001 to 2026
$36.3M
BASIC RESEARCH TRAINING IN MEDICAL ONCOLOGYT32CA009566 · NCI · UNIVERSITY OF CHICAGO · PI OLUFUNMILAYO F. OLOPADE · 1987 to 2026
$10.5M
UChicago Interdisciplinary Cancer Health Disparities SPOREP20CA233307 · NCI · UNIVERSITY OF CHICAGO · PI OLOPADE, OLUFUNMILAYO F. · 2018 to 2020
$3.4M
Multiscale Computational Models Guided By Emerging Cellular Dynamics Quantification For Predicting Optimum Immune Checkpoint And Targeted Therapy SchedulesU01CA243075 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI JACKSON, TRACHETTE · 2020 to 2024
$2.6M
A reasoned approach to combination therapy development in head and neck cancerK08DE026500 · NIDCR · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI PEARSON, ALEXANDER THOMAS · 2016 to 2020
$800k
Developing Digital Pathology Biomarkers for Response to Neoadjuvant and Adjuvant Chemotherapy in Breast CancerF32CA265232 · NCI · UNIVERSITY OF CHICAGO · PI HOWARD, FREDERICK MATTHEW · 2021 to 2021
$76k
NCI NIH HHS F32 CA265232NCI NIH HHS P20 CA233307NCI NIH HHS P50 CA058223NCI NIH HHS T32 CA009566NCI NIH HHS U01 CA243075NIDCR NIH HHS K08 DE026500NIEHS NIH HHS P30 ES010126
6 · The paper itself

Abstract

Gene expression-based recurrence assays are strongly recommended to guide the use of chemotherapy in hormone receptor-positive, HER2-negative breast cancer, but such testing is expensive, can contribute to delays in care, and may not be available in low-resource settings. Here, we describe the training and independent validation of a deep learning model that predicts recurrence assay result and risk of recurrence using both digital histology and clinical risk factors. We demonstrate that this approach outperforms an established clinical nomogram (area under the receiver operating characteristic curve of 0.83 versus 0.76 in an external validation cohort, p = 0.0005) and can identify a subset of patients with excellent prognoses who may not need further genomic testing.

Identifiers

PMID37059742
PMCPMC10104799

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.