Evidence map›Paper›PMID 37173635›Full record

ArticleBMC cancer2023

Development and validation of a radiopathomic model for predicting pathologic complete response to neoadjuvant chemotherapy in breast cancer patients.

Jieqiu Zhang, Qi Wu, Wei Yin, Lu Yang, Bo Xiao, Jianmei Wang, Xiaopeng Yao

Abstract read
In one paragraph

Article in BMC cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing 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

38 citing papers in PubMed, 1 synthesis or guideline 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

7 authors.

Jieqiu Zhang *School of Public Health, Southwest Medical University, Luzhou, China.
Qi Wu *Department of Pathology, The Affiliated Hospital of Southwest Medical University, Luzhou, China.
Wei Yin *Department of Radiology, The Affiliated Hospital of Southwest Medical University, Luzhou, China.
Lu YangDepartment of Radiology, The Affiliated Hospital of Southwest Medical University, Luzhou, China.
Bo XiaoSchool of Medical Information and Engineering, Southwest Medical University, Luzhou, China.
Jianmei WangDepartment of Pathology, The Affiliated Hospital of Southwest Medical University, Luzhou, China. 971171080@qq.com.
Xiaopeng YaoSchool of Medical Information and Engineering, Southwest Medical University, Luzhou, China. xp_yao@swmu.edu.cn.

Funding

Sichuan Science and Technology 2022YFS0616, 2021YFQ0002
6 · The paper itself

Abstract

backgroundNeoadjuvant chemotherapy (NAC) has become the standard therapeutic option for early high-risk and locally advanced breast cancer. However, response rates to NAC vary between patients, causing delays in treatment and affecting the prognosis for patients who do not sensitive to NAC. MATERIALS AND

methodsIn total, 211 breast cancer patients who completed NAC (training set: 155, validation set: 56) were retrospectively enrolled. we developed a deep learning radiopathomics model(DLRPM) by Support Vector Machine (SVM) method based on clinicopathological features, radiomics features, and pathomics features. Furthermore, we comprehensively validated the DLRPM and compared it with three single-scale signatures.

resultsDLRPM had favourable performance for the prediction of pathological complete response (pCR) in the training set (AUC 0.933[95% CI 0.895-0.971]), and in the validation set (AUC 0.927 [95% CI 0.858-0.996]). In the validation set, DLRPM also significantly outperformed the radiomics signature (AUC 0.821[0.700-0.942]), pathomics signature (AUC 0.766[0.629-0.903]), and deep learning pathomics signature (AUC 0.804[0.683-0.925]) (all p < 0.05). The calibration curves and decision curve analysis also indicated the clinical effectiveness of the DLRPM.

conclusionsDLRPM can help clinicians accurately predict the efficacy of NAC before treatment, highlighting the potential of artificial intelligence to improve the personalized treatment of breast cancer patients.

Indexed as

Breast NeoplasmsArtificial IntelligenceFemaleHumansNeoadjuvant TherapyPrognosisRetrospective StudiesBreast cancerCECTPathomicsRadiomicsRadiopathomics

Identifiers

PMID37173635
PMCPMC10176880

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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.