Evidence map›Paper›PMID 37293118›Full record

ArticleResearch square2023

A population-level computational histologic signature for invasive breast cancer prognosis.

Mohamed Amgad, James Hodge, Maha Elsebaie, Clara Bodelon, Samantha Puvanesarajah, David Gutman, Kalliopi Siziopikou, Jeffery Goldstein, Mia Gaudet, Lauren Teras and 1 more

Open access · greenAbstract readPreprint
In one paragraph

Article in Research square, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed, 7 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 2 countries.

Mohamed AmgadDepartment of Pathology, Northwestern University, Chicago, IL, USA.
James HodgeAmerican Cancer Society.
Maha ElsebaieDepartment of Medicine, Cook County Hospital, Chicago, IL, USA.
Clara BodelonDepartment of Population Science, American Cancer Society.ORCID 0000-0002-6578-2678
Samantha PuvanesarajahDepartment of Population Science, American Cancer Society.
David GutmanDepartment of Biomedical Informatics, Emory University School of Medicine, Atlanta, Georgia, USA.
Kalliopi SiziopikouDepartment of Pathology, Northwestern University Feinberg School of Medicine.
Jeffery GoldsteinNorthwestern University, Feinberg School of Medicine.ORCID 0000-0002-4086-057X
Mia GaudetDivision of Cancer Epidemiology and Genetics, National Cancer Institute.
Lauren TerasDepartment of Population Science, American Cancer Society.
Lee CooperNorthwestern University.ORCID 0000-0002-3504-4965
American Cancer Society · USNorthwestern University · USCancer Institute (WIA) · INEmory University · USJohn H. Stroger, Jr. Hospital of Cook County · US

Funding

Informatics Tools for Quantitative Digital Pathology Profiling and Integrated Prognostic ModelingU01CA220401 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI COOPER, LEE, FLOWERS, CHRISTOPHER R · 2018 to 2021
$1.3M
NCI NIH HHS U01 CA220401
6 · The paper itself

Abstract

Breast cancer is a heterogeneous disease with variable survival outcomes. Pathologists grade the microscopic appearance of breast tissue using the Nottingham criteria, which is qualitative and does not account for non-cancerous elements within the tumor microenvironment (TME). We present the Histomic Prognostic Signature (HiPS), a comprehensive, interpretable scoring of the survival risk incurred by breast TME morphology. HiPS uses deep learning to accurately map cellular and tissue structures in order to measure epithelial, stromal, immune, and spatial interaction features. It was developed using a population-level cohort from the Cancer Prevention Study (CPS)-II and validated using data from three independent cohorts, including the PLCO trial, CPS-3, and The Cancer Genome Atlas. HiPS consistently outperformed pathologists' performance in predicting survival outcomes, independent of TNM stage and pertinent variables. This was largely driven by stromal and immune features. In conclusion, HiPS is a robustly validated biomarker to support pathologists and improve prognosis.

Identifiers

PMID37293118
PMCPMC10246230
OpenAlexW4378373835

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.