Evidence map›Paper›PMID 37156936›Full record

ArticleNature medicine2023

A deep learning algorithm to predict risk of pancreatic cancer from disease trajectories.

Davide Placido, Bo Yuan, Jessica X Hjaltelin, Chunlei Zheng, Amalie D Haue, Piotr J Chmura, Chen Yuan, Jihye Kim, Renato Umeton, Gregory Antell and 15 more

Abstract read
In one paragraph

Article in Nature medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 165 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
165citing papers in PubMed, 7 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

165 citing papers in PubMed, 7 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Diagnostic Risk Prediction Models for Upper Gastrointestinal Cancers: A Systematic Review.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025
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  18. Prediagnostic prescription patterns in pancreatic cancer: a retrospective primary care cohort study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026
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105 more citing papers are in PubMed but not listed here.

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

25 authors.

Davide Placido *Novo Nordisk Foundation Center for Protein Research, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.ORCID http://orcid.org/0000-0002-8327-8838
Bo Yuan *Harvard Medical School, Boston, MA, USA.
Jessica X Hjaltelin *Novo Nordisk Foundation Center for Protein Research, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
Chunlei Zheng *VA Boston Healthcare System, Boston, MA, USA.ORCID http://orcid.org/0000-0002-9737-461X
Amalie D HaueNovo Nordisk Foundation Center for Protein Research, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.ORCID http://orcid.org/0000-0001-7656-7976
Piotr J ChmuraNovo Nordisk Foundation Center for Protein Research, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.ORCID http://orcid.org/0000-0002-9371-6918
Chen YuanHarvard Medical School, Boston, MA, USA.
Jihye KimHarvard T.H. Chan School of Public Health, Boston, MA, USA.
Renato UmetonDana-Farber Cancer Institute, Boston, MA, USA.ORCID http://orcid.org/0000-0002-5561-6932
Gregory AntellDana-Farber Cancer Institute, Boston, MA, USA.
Alexander ChowdhuryDana-Farber Cancer Institute, Boston, MA, USA.
Alexandra FranzHarvard Medical School, Boston, MA, USA.
Lauren BraisDana-Farber Cancer Institute, Boston, MA, USA.
Elizabeth AndrewsDana-Farber Cancer Institute, Boston, MA, USA.
Debora S MarksHarvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0001-9388-2281
Aviv RegevBroad Institute of MIT and Harvard, Boston, MA, USA.ORCID http://orcid.org/0000-0003-3293-3158
Siamack AyandehVA Boston Healthcare System, Boston, MA, USA.
Mary T BrophyVA Boston Healthcare System, Boston, MA, USA.
Nhan V DoVA Boston Healthcare System, Boston, MA, USA.ORCID http://orcid.org/0000-0001-6868-7011
Peter KraftHarvard T.H. Chan School of Public Health, Boston, MA, USA.ORCID http://orcid.org/0000-0002-4472-8103
Brian M WolpinHarvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0002-0455-1032
Michael H RosenthalHarvard Medical School, Boston, MA, USA.
Nathanael R FillmoreHarvard Medical School, Boston, MA, USA.
Søren BrunakNovo Nordisk Foundation Center for Protein Research, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark. soren.brunak@cpr.ku.dk.ORCID http://orcid.org/0000-0003-0316-5866
Chris SanderHarvard Medical School, Boston, MA, USA. chris@sanderlab.org.ORCID http://orcid.org/0000-0001-6059-6270

Funding

Tissue and Pathology ResourcesP50CA127003 · NCI · DANA-FARBER CANCER INST · PI SHIVDASANI, RAMESH A · 2007 to 2023
$33.2M
Circulating Biomarker Consortium for Pancreatic Cancer Early DetectionU01CA210171 · NCI · DANA-FARBER CANCER INST · PI Michael H. Rosenthal, Brian Matthew Wolpin · 2016 to 2026
$8.7M
NCI NIH HHS P50 CA127003NCI NIH HHS U01 CA210171
6 · The paper itself

Abstract

Pancreatic cancer is an aggressive disease that typically presents late with poor outcomes, indicating a pronounced need for early detection. In this study, we applied artificial intelligence methods to clinical data from 6 million patients (24,000 pancreatic cancer cases) in Denmark (Danish National Patient Registry (DNPR)) and from 3 million patients (3,900 cases) in the United States (US Veterans Affairs (US-VA)). We trained machine learning models on the sequence of disease codes in clinical histories and tested prediction of cancer occurrence within incremental time windows (CancerRiskNet). For cancer occurrence within 36 months, the performance of the best DNPR model has area under the receiver operating characteristic (AUROC) curve = 0.88 and decreases to AUROC (3m) = 0.83 when disease events within 3 months before cancer diagnosis are excluded from training, with an estimated relative risk of 59 for 1,000 highest-risk patients older than age 50 years. Cross-application of the Danish model to US-VA data had lower performance (AUROC = 0.71), and retraining was needed to improve performance (AUROC = 0.78, AUROC (3m) = 0.76). These results improve the ability to design realistic surveillance programs for patients at elevated risk, potentially benefiting lifespan and quality of life by early detection of this aggressive cancer.

Indexed as

Deep LearningPancreatic NeoplasmsAlgorithmsArtificial IntelligenceHumansMiddle AgedQuality of Life

Identifiers

PMID37156936
PMCPMC10202814

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.