Evidence map›Paper›PMID 37932267›Full record

ArticleNature communications2023

Validation of MSIntuit as an AI-based pre-screening tool for MSI detection from colorectal cancer histology slides.

Charlie Saillard, Rémy Dubois, Oussama Tchita, Nicolas Loiseau, Thierry Garcia, Aurélie Adriansen, Séverine Carpentier, Joelle Reyre, Diana Enea, Katharina von Loga and 9 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 75 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
75citing papers in PubMed, 1 pooled it
23.5field-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

75 citing papers in PubMed, 1 synthesis or guideline pooled it, 92 citations in OpenAlex.

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  18. Artificial Intelligence for Diagnostic Pathology in Nephrology.Journal of the American Society of Nephrology : JASN · 2026
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15 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

19 authors at 3 institutions in 2 countries.

Charlie SaillardOwkin France, Paris, France. charlie.saillard@owkin.com.ORCID 0000-0003-3061-839X
Rémy DuboisOwkin France, Paris, France.
Oussama TchitaOwkin France, Paris, France.ORCID 0009-0008-0583-1723
Nicolas LoiseauOwkin France, Paris, France.
Thierry GarciaMedipath, Fréjus, France.
Aurélie AdriansenMedipath, Fréjus, France.
Séverine CarpentierMedipath, Fréjus, France.
Joelle ReyreMedipath, Fréjus, France.
Diana EneaDepartment of Pathology, Saint-Antoine Hospital - Sorbonne Université, AP-HP, Paris, France.ORCID 0000-0001-9369-933X
Katharina von LogaOwkin France, Paris, France.
Aurélie KamounOwkin France, Paris, France.
Stéphane RossatMedipath, Fréjus, France.
Corentin WiscartOwkin France, Paris, France.
Meriem SeftaOwkin France, Paris, France.
Michaël AuffretOwkin France, Paris, France.
Lionel GuillouOwkin France, Paris, France.ORCID 0009-0007-6266-432X
Arnaud FouilletOwkin France, Paris, France.
Jakob Nikolas KatherElse Kroener Fresenius Center for Digital Health, Technical University Dresden, Dresden, Germany.ORCID 0000-0002-3730-5348
Magali SvrcekDepartment of Pathology, Saint-Antoine Hospital - Sorbonne Université, AP-HP, Paris, France.
Sorbonne Université · FRFresenius (Germany) · DEInternational Office for Water · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mismatch Repair Deficiency (dMMR)/Microsatellite Instability (MSI) is a key biomarker in colorectal cancer (CRC). Universal screening of CRC patients for MSI status is now recommended, but contributes to increased workload for pathologists and delayed therapeutic decisions. Deep learning has the potential to ease dMMR/MSI testing and accelerate oncologist decision making in clinical practice, yet no comprehensive validation of a clinically approved tool has been conducted. We developed MSIntuit, a clinically approved artificial intelligence (AI) based pre-screening tool for MSI detection from haematoxylin-eosin (H&E) stained slides. After training on samples from The Cancer Genome Atlas (TCGA), a blind validation is performed on an independent dataset of 600 consecutive CRC patients. Inter-scanner reliability is studied by digitising each slide using two different scanners. MSIntuit yields a sensitivity of 0.96-0.98, a specificity of 0.47-0.46, and an excellent inter-scanner agreement (Cohen's κ: 0.82). By reaching high sensitivity comparable to gold standard methods while ruling out almost half of the non-MSI population, we show that MSIntuit can effectively serve as a pre-screening tool to alleviate MSI testing burden in clinical practice.

Indexed as

Colorectal NeoplasmsMicrosatellite InstabilityArtificial IntelligenceBrain NeoplasmsDNA Mismatch RepairEarly Detection of CancerHumansNeoplastic Syndromes, HereditaryReproducibility of Results

Identifiers

PMID37932267
PMCPMC10628260
OpenAlexW4388413642

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.