Evidence map›Paper›PMID 37752266›Full record

ArticleNPJ precision oncology2023

Colorectal cancer risk stratification on histological slides based on survival curves predicted by deep learning.

Julia Höhn, Eva Krieghoff-Henning, Christoph Wies, Lennard Kiehl, Martin J Hetz, Tabea-Clara Bucher, Jitendra Jonnagaddala, Kurt Zatloukal, Heimo Müller, Markus Plass and 7 more

Open access · goldAbstract 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 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.5field-weighted citation impact, top 9% 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

9 citing papers in PubMed, 11 citations in OpenAlex.

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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

17 authors at 4 institutions in 3 countries.

Julia Höhn *Digital Biomarkers for Oncology Group, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Eva Krieghoff-Henning *Digital Biomarkers for Oncology Group, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Christoph WiesDigital Biomarkers for Oncology Group, German Cancer Research Center (DKFZ), Heidelberg, Germany.ORCID http://orcid.org/0000-0001-7136-298X
Lennard KiehlDigital Biomarkers for Oncology Group, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Martin J HetzDigital Biomarkers for Oncology Group, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Tabea-Clara BucherDigital Biomarkers for Oncology Group, German Cancer Research Center (DKFZ), Heidelberg, Germany.ORCID http://orcid.org/0000-0002-8157-5513
Jitendra JonnagaddalaSchool of Population Health, Faculty of Medicine and Health, UNSW Sydney, Kensington, NSW, Australia.ORCID http://orcid.org/0000-0002-9912-2344
Kurt ZatloukalDiagnostic and Research Center for Molecular BioMedicine, Diagnostic & Research Institute of Pathology, Medical University of Graz, Graz, Austria.
Heimo MüllerDiagnostic and Research Center for Molecular BioMedicine, Diagnostic & Research Institute of Pathology, Medical University of Graz, Graz, Austria.ORCID http://orcid.org/0000-0002-9691-4872
Markus PlassDiagnostic and Research Center for Molecular BioMedicine, Diagnostic & Research Institute of Pathology, Medical University of Graz, Graz, Austria.ORCID http://orcid.org/0000-0003-2718-7648
Emilian JungwirthDiagnostic and Research Center for Molecular BioMedicine, Diagnostic & Research Institute of Pathology, Medical University of Graz, Graz, Austria.ORCID http://orcid.org/0000-0002-8277-9630
Timo GaiserInstitute of Pathology, University Medical Center Mannheim, University of Heidelberg, Mannheim, Germany.
Matthias SteegInstitute of Pathology, University Medical Center Mannheim, University of Heidelberg, Mannheim, Germany.
Tim Holland-LetzDepartment of Biostatistics, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Hermann BrennerDivision of Clinical Epidemiology and Aging Research, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Michael Hoffmeister *Division of Clinical Epidemiology and Aging Research, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Titus J Brinker *Digital Biomarkers for Oncology Group, German Cancer Research Center (DKFZ), Heidelberg, Germany. titus.brinker@dkfz.de.ORCID http://orcid.org/0000-0002-3620-5919
German Cancer Research Center · DEMedical University of Graz · ATHeidelberg University · DEUNSW Sydney · AU

Funding

Bundesministerium für Gesundheit (Federal Ministry of Health, Germany) 2519DAT712
6 · The paper itself

Abstract

Studies have shown that colorectal cancer prognosis can be predicted by deep learning-based analysis of histological tissue sections of the primary tumor. So far, this has been achieved using a binary prediction. Survival curves might contain more detailed information and thus enable a more fine-grained risk prediction. Therefore, we established survival curve-based CRC survival predictors and benchmarked them against standard binary survival predictors, comparing their performance extensively on the clinical high and low risk subsets of one internal and three external cohorts. Survival curve-based risk prediction achieved a very similar risk stratification to binary risk prediction for this task. Exchanging other components of the pipeline, namely input tissue and feature extractor, had largely identical effects on model performance independently of the type of risk prediction. An ensemble of all survival curve-based models exhibited a more robust performance, as did a similar ensemble based on binary risk prediction. Patients could be further stratified within clinical risk groups. However, performance still varied across cohorts, indicating limited generalization of all investigated image analysis pipelines, whereas models using clinical data performed robustly on all cohorts.

Identifiers

PMID37752266
PMCPMC10522577
OpenAlexW4387052783

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.