Evidence map›Paper›PMID 37968376›Full record

ArticleNPJ precision oncology2023

AI-enabled routine H&E image based prognostic marker for early-stage luminal breast cancer.

Noorul Wahab, Michael Toss, Islam M Miligy, Mostafa Jahanifar, Nehal M Atallah, Wenqi Lu, Simon Graham, Mohsin Bilal, Abhir Bhalerao, Ayat G Lashen 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 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.8field-weighted citation impact, top 8% 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

12 citing papers in PubMed, 16 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 2 countries.

Noorul WahabTissue Image Analytics Centre, Department of Computer Science, University of Warwick, Coventry, UK.
Michael TossAcademic Unit for Translational Medical Sciences, School of Medicine, University of Nottingham, Nottingham, UK.
Islam M MiligyAcademic Unit for Translational Medical Sciences, School of Medicine, University of Nottingham, Nottingham, UK.
Mostafa JahanifarTissue Image Analytics Centre, Department of Computer Science, University of Warwick, Coventry, UK.
Nehal M AtallahAcademic Unit for Translational Medical Sciences, School of Medicine, University of Nottingham, Nottingham, UK.
Wenqi LuTissue Image Analytics Centre, Department of Computer Science, University of Warwick, Coventry, UK.
Simon GrahamTissue Image Analytics Centre, Department of Computer Science, University of Warwick, Coventry, UK.
Mohsin BilalTissue Image Analytics Centre, Department of Computer Science, University of Warwick, Coventry, UK.
Abhir BhaleraoTissue Image Analytics Centre, Department of Computer Science, University of Warwick, Coventry, UK.
Ayat G LashenAcademic Unit for Translational Medical Sciences, School of Medicine, University of Nottingham, Nottingham, UK.ORCID http://orcid.org/0000-0001-9494-7382
Shorouk MakhloufAcademic Unit for Translational Medical Sciences, School of Medicine, University of Nottingham, Nottingham, UK.ORCID http://orcid.org/0000-0003-3889-9659
Asmaa Y IbrahimAcademic Unit for Translational Medical Sciences, School of Medicine, University of Nottingham, Nottingham, UK.
David SneadHistofy Ltd, Birmingham, UK.
Fayyaz MinhasTissue Image Analytics Centre, Department of Computer Science, University of Warwick, Coventry, UK.ORCID http://orcid.org/0000-0001-9129-1189
Shan E Ahmed RazaTissue Image Analytics Centre, Department of Computer Science, University of Warwick, Coventry, UK.ORCID http://orcid.org/0000-0002-1097-1738
Emad RakhaAcademic Unit for Translational Medical Sciences, School of Medicine, University of Nottingham, Nottingham, UK.
Nasir RajpootTissue Image Analytics Centre, Department of Computer Science, University of Warwick, Coventry, UK. n.m.rajpoot@warwick.ac.uk.ORCID http://orcid.org/0000-0002-4706-1308
University of Warwick · GBUniversity of Nottingham · GBThe Alan Turing Institute · GBWarwickshire Hospital · GB

Funding

Innovate UK 104689
6 · The paper itself

Abstract

Breast cancer (BC) grade is a well-established subjective prognostic indicator of tumour aggressiveness. Tumour heterogeneity and subjective assessment result in high degree of variability among observers in BC grading. Here we propose an objective Haematoxylin & Eosin (H&E) image-based prognostic marker for early-stage luminal/Her2-negative BReAst CancEr that we term as the BRACE marker. The proposed BRACE marker is derived from AI based assessment of heterogeneity in BC at a detailed level using the power of deep learning. The prognostic ability of the marker is validated in two well-annotated cohorts (Cohort-A/Nottingham: n = 2122 and Cohort-B/Coventry: n = 311) on early-stage luminal/HER2-negative BC patients treated with endocrine therapy and with long-term follow-up. The BRACE marker is able to stratify patients for both distant metastasis free survival (p = 0.001, C-index: 0.73) and BC specific survival (p < 0.0001, C-index: 0.84) showing comparable prediction accuracy to Nottingham Prognostic Index and Magee scores, which are both derived from manual histopathological assessment, to identify luminal BC patients that may be likely to benefit from adjuvant chemotherapy.

Identifiers

PMID37968376
PMCPMC10651910
OpenAlexW4388691800

What OpenQuestion holds

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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.