Evidence map›Paper›PMID 38012314›Full record

ArticleNature medicine2024

A population-level digital histologic biomarker for enhanced prognosis of invasive breast cancer.

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

Abstract read
PubMed Publisher
In one paragraph

Article in Nature medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 71 papers.

0numbers the graph read from it
0cells of the map it votes in
71citing papers in PubMed
21.9field-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

71 citing papers in PubMed, 110 citations in OpenAlex.

  1. Personalised graded psychological intervention on negative emotion and quality of life in patients with breast cancer.Technology and health care : official journal of the European Society for Engineering and Medicine · 2024
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11 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 1 country.

Mohamed AmgadDepartment of Pathology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.ORCID 0000-0001-7599-6162
James M HodgeDepartment of Population Science, American Cancer Society, Atlanta, GA, USA.ORCID 0000-0002-6253-7394
Maha A T ElsebaieDepartment of Medicine, John H. Stroger, Jr. Hospital of Cook County, Chicago, IL, USA.
Clara BodelonDepartment of Population Science, American Cancer Society, Atlanta, GA, USA.ORCID 0000-0002-6578-2678
Samantha PuvanesarajahDepartment of Population Science, American Cancer Society, Atlanta, GA, USA.
David A GutmanDepartment of Pathology, Emory University School of Medicine, Atlanta, GA, USA.
Kalliopi P SiziopikouDepartment of Pathology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Jeffery A GoldsteinDepartment of Pathology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.ORCID 0000-0002-4086-057X
Mia M GaudetDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD, USA.
Lauren R TerasDepartment of Population Science, American Cancer Society, Atlanta, GA, USA.
Lee A D CooperDepartment of Pathology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA. lee.cooper@northwestern.edu.ORCID 0000-0002-3504-4965
American Cancer Society · USNorthwestern University · USEmory University · USJohn H. Stroger, Jr. Hospital of Cook County · USNational Cancer Institute · 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
U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) U01CA220401U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) U24CA19436201
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 are qualitative and do not account for noncancerous elements within the tumor microenvironment. Here we present the Histomic Prognostic Signature (HiPS), a comprehensive, interpretable scoring of the survival risk incurred by breast tumor microenvironment morphology. HiPS uses deep learning to accurately map cellular and tissue structures to measure epithelial, stromal, immune, and spatial interaction features. It was developed using a population-level cohort from the Cancer Prevention Study-II and validated using data from three independent cohorts, including the Prostate, Lung, Colorectal, and Ovarian Cancer trial, Cancer Prevention Study-3, and The Cancer Genome Atlas. HiPS consistently outperformed pathologists in predicting survival outcomes, independent of tumor-node-metastasis 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 patient prognosis.

Indexed as

Breast NeoplasmsClinical Trials as TopicDeep LearningFemaleHumansImage Processing, Computer-AssistedTumor Microenvironment

Identifiers

PMID38012314
OpenAlexW4389058230

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.