Evidence map›Paper›PMID 37248379›Full record

ArticleNPJ precision oncology2023

Deep learning generates synthetic cancer histology for explainability and education.

James M Dolezal, Rachelle Wolk, Hanna M Hieromnimon, Frederick M Howard, Andrew Srisuwananukorn, Dmitry Karpeyev, Siddhi Ramesh, Sara Kochanny, Jung Woo Kwon, Meghana Agni and 13 more

Abstract read
In one paragraph

Article in NPJ precision oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing 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

36 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
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  5. Target identification and assessment in the era of AI.Nature reviews. Drug discovery · 2026
    Review
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  8. Redefining oropharyngeal cancer in the HPV era: integrating precision medicine and immunotherapeutic frontiers.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
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  12. Review
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  14. Review
  15. Systems Virology at Scale.Current opinion in systems biology · 2025
    Article
  16. Article
  17. Article
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  20. Article
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

23 authors.

James M DolezalSection of Hematology/Oncology, Department of Medicine, University of Chicago Medicine, Chicago, IL, USA.
Rachelle WolkDepartment of Pathology, University of Chicago Medicine, Chicago, IL, USA.
Hanna M HieromnimonSection of Hematology/Oncology, Department of Medicine, University of Chicago Medicine, Chicago, IL, USA.
Frederick M HowardSection of Hematology/Oncology, Department of Medicine, University of Chicago Medicine, 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
Dmitry KarpeyevGhost Autonomy, Inc., Mountain View, CA, USA.
Siddhi RameshSection of Hematology/Oncology, Department of Medicine, University of Chicago Medicine, Chicago, IL, USA.
Sara KochannySection of Hematology/Oncology, Department of Medicine, University of Chicago Medicine, Chicago, IL, USA.
Jung Woo KwonDepartment of Pathology, University of Chicago Medicine, Chicago, IL, USA.
Meghana AgniDepartment of Pathology, University of Chicago Medicine, Chicago, IL, USA.
Richard C SimonDepartment of Pathology, University of Chicago Medicine, Chicago, IL, USA.
Chandni DesaiDepartment of Pathology, University of Chicago Medicine, Chicago, IL, USA.
Raghad KherallahDepartment of Pathology, University of Chicago Medicine, Chicago, IL, USA.
Tung D NguyenDepartment of Pathology, University of Chicago Medicine, Chicago, IL, USA.
Jefree J SchulteDepartment of Pathology and Laboratory Medicine, University of Wisconsin at Madison, Madison, WN, USA.ORCID http://orcid.org/0000-0003-3920-0301
Kimberly ColeDepartment of Pathology, University of Chicago Medicine, Chicago, IL, USA.
Galina KhramtsovaDepartment of Pathology, University of Chicago Medicine, Chicago, IL, USA.ORCID http://orcid.org/0000-0001-9625-1549
Marina Chiara GarassinoSection of Hematology/Oncology, Department of Medicine, University of Chicago Medicine, Chicago, IL, USA.
Aliya N HusainDepartment of Pathology, University of Chicago Medicine, Chicago, IL, USA.
Huihua LiDepartment of Pathology, University of Chicago Medicine, Chicago, IL, USA.
Robert GrossmanUniversity of Chicago, Center for Translational Data Science, Chicago, IL, USA.ORCID http://orcid.org/0000-0003-3741-5739
Nicole A CiprianiDepartment of Pathology, University of Chicago Medicine, Chicago, IL, USA. nicole.cipriani@bsd.uchicago.edu.
Alexander T PearsonSection of Hematology/Oncology, Department of Medicine, University of Chicago Medicine, Chicago, IL, USA. alexander.pearson@bsd.uchicago.edu.ORCID http://orcid.org/0000-0003-2801-7456

Funding

BASIC RESEARCH TRAINING IN MEDICAL ONCOLOGYT32CA009566 · NCI · UNIVERSITY OF CHICAGO · PI OLUFUNMILAYO F. OLOPADE · 1987 to 2026
$10.5M
Graduate Program in Biophysical Sciences at the University of Chicago - Renewal 0T32EB009412 · NIBIB · UNIVERSITY OF CHICAGO · PI ENGEL, GREGORY S, SOSNICK, TOBIN R · 2009 to 2023
$4.9M
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
Deep learning for oral premalignancy evaluationR56DE030958 · NIDCR · UNIVERSITY OF CHICAGO · PI PEARSON, ALEXANDER THOMAS · 2021 to 2021
$331k
NCI NIH HHS T32 CA009566NCI NIH HHS U01 CA243075NIBIB NIH HHS T32 EB009412NIDCR NIH HHS R56 DE030958
6 · The paper itself

Abstract

Artificial intelligence methods including deep neural networks (DNN) can provide rapid molecular classification of tumors from routine histology with accuracy that matches or exceeds human pathologists. Discerning how neural networks make their predictions remains a significant challenge, but explainability tools help provide insights into what models have learned when corresponding histologic features are poorly defined. Here, we present a method for improving explainability of DNN models using synthetic histology generated by a conditional generative adversarial network (cGAN). We show that cGANs generate high-quality synthetic histology images that can be leveraged for explaining DNN models trained to classify molecularly-subtyped tumors, exposing histologic features associated with molecular state. Fine-tuning synthetic histology through class and layer blending illustrates nuanced morphologic differences between tumor subtypes. Finally, we demonstrate the use of synthetic histology for augmenting pathologist-in-training education, showing that these intuitive visualizations can reinforce and improve understanding of histologic manifestations of tumor biology.

Identifiers

PMID37248379
PMCPMC10227067

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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.