Evidence map›Paper›PMID 37557177›Full record

ArticleCell reports. Medicine2023

Non-invasive tumor microenvironment evaluation and treatment response prediction in gastric cancer using deep learning radiomics.

Yuming Jiang, Kangneng Zhou, Zepang Sun, Hongyu Wang, Jingjing Xie, Taojun Zhang, Shengtian Sang, Md Tauhidul Islam, Jen-Yeu Wang, Chuanli Chen and 8 more

Open access · goldAbstract read
In one paragraph

Article in Cell reports. Medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 99 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
99citing papers in PubMed, 3 pooled it
23.2field-weighted citation impact, top 1% of its field
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

99 citing papers in PubMed, 3 syntheses or guidelines pooled it, 101 citations in OpenAlex.

  1. Pooled it
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  7. Observational
  8. Multimodal features and prognostic risk assessment in locally advanced gastric cancer patients following neoadjuvant therapy based on machine learning algorithms: a multicenter study.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2026
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  18. [Bottlenecks and breakthroughs in gastric cancer diagnosis and treatment: Towards a new era of precision and intelligent integration].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2026
    Review
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39 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

18 authors at 7 institutions in 2 countries.

Yuming JiangDepartment of General Surgery & Guangdong Provincial Key Laboratory of Precision Medicine for Gastrointestinal Tumor, Nanfang Hospital, Southern Medical University, Guangzhou, China; Department of Radiation Oncology, Stanford University School of Medicine, Stanford, CA, USA.
Kangneng ZhouSchool of Computer and Communication Engineering, University of Science and Technology Beijing, Beijing 100083, China.
Zepang SunDepartment of General Surgery & Guangdong Provincial Key Laboratory of Precision Medicine for Gastrointestinal Tumor, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Hongyu WangDepartment of Radiation Oncology, Stanford University School of Medicine, Stanford, CA, USA.
Jingjing XieGraduate Group of Epidemiology, University of California Davis, Davis, CA, USA.
Taojun ZhangDepartment of General Surgery & Guangdong Provincial Key Laboratory of Precision Medicine for Gastrointestinal Tumor, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Shengtian SangDepartment of Radiation Oncology, Stanford University School of Medicine, Stanford, CA, USA.
Md Tauhidul IslamDepartment of Radiation Oncology, Stanford University School of Medicine, Stanford, CA, USA.
Jen-Yeu WangDepartment of Radiation Oncology, Stanford University School of Medicine, Stanford, CA, USA.
Chuanli ChenDepartment of Medical Imaging Center, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Qingyu YuanDepartment of Medical Imaging Center, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Sujuan XiThe Reproductive Medical Center, The Seventh Affiliated Hospital of Sun Yat-sen University, Shenzhen, China.
Tuanjie LiDepartment of General Surgery & Guangdong Provincial Key Laboratory of Precision Medicine for Gastrointestinal Tumor, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Yikai XuDepartment of Medical Imaging Center, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Wenjun XiongDepartment of Gastrointestinal Surgery, Guangdong Provincial Hospital of Chinese Medicine, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.
Wei WangDepartment of Gastric Surgery, and State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat-sen University Cancer Center, Guangzhou, China. Electronic address: wangwei@sysucc.org.cn.
Guoxin LiDepartment of General Surgery & Guangdong Provincial Key Laboratory of Precision Medicine for Gastrointestinal Tumor, Nanfang Hospital, Southern Medical University, Guangzhou, China. Electronic address: gzliguoxin@163.com.
Ruijiang LiDepartment of Radiation Oncology, Stanford University School of Medicine, Stanford, CA, USA. Electronic address: rli2@stanford.edu.
Nanfang Hospital · CNStanford University · USSun Yat-sen University · CNGuangzhou University of Chinese Medicine · CNStanford Medicine · USUniversity of California, Davis · USUniversity of Science and Technology Beijing · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The tumor microenvironment (TME) plays a critical role in disease progression and is a key determinant of therapeutic response in cancer patients. Here, we propose a noninvasive approach to predict the TME status from radiological images by combining radiomics and deep learning analyses. Using multi-institution cohorts of 2,686 patients with gastric cancer, we show that the radiological model accurately predicted the TME status and is an independent prognostic factor beyond clinicopathologic variables. The model further predicts the benefit from adjuvant chemotherapy for patients with localized disease. In patients treated with checkpoint blockade immunotherapy, the model predicts clinical response and further improves predictive accuracy when combined with existing biomarkers. Our approach enables noninvasive assessment of the TME, which opens the door for longitudinal monitoring and tracking response to cancer therapy. Given the routine use of radiologic imaging in oncology, our approach can be extended to many other solid tumor types.

Indexed as

Deep LearningStomach NeoplasmsChemotherapy, AdjuvantHumansImmunotherapyTumor MicroenvironmentCT imagedeep learninggastric cancerimmunotherapyradiomicstreatment responsetumor microenvironment

Identifiers

PMID37557177
PMCPMC10439253
OpenAlexW4385666904

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.