Evidence map›Paper›PMID 38180137›Full record

ReviewPathologica2023

Think "HER2" different: integrative diagnostic approaches for HER2-low breast cancer.

Caterina Marchiò, Carmen Criscitiello, Cristian Scatena, Alfredo Santinelli, Paolo Graziano, Umberto Malapelle, Giulia Cursano, Konstantinos Venetis, Giuseppe Nicolò Fanelli, Francesco Pepe and 5 more

Open access · diamondAbstract readReview
In one paragraph

Review in Pathologica, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.9field-weighted citation impact, top 6% 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

13 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Development and clinical evaluation of [European journal of nuclear medicine and molecular imaging · 2025
    Article
  6. Review
  7. Review
  8. Review
  9. In Silico Validation of AI-Assisted Drugs in Healthcare.Methods in molecular biology (Clifton, N.J.) · 2025
    Article
  10. Review
  11. HER2 Antibody-Drug Conjugates Are Active against Desmoplastic Small Round Cell Tumor.Clinical cancer research : an official journal of the American Association for Cancer Research · 2024
    Article
  12. Article
  13. Article
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

15 authors at 9 institutions in 1 country.

Caterina MarchiòDivision of Pathology, Candiolo Cancer Institute, FPO-IRCCS, Candiolo, Italy.
Carmen CriscitielloDivision of Early Drug Development for Innovative Therapy, IEO, European Institute of Oncology, IRCCS, Milan, Italy.
Cristian ScatenaDepartment of Laboratory Medicine, Pisa University Hospital, Anatomic Pathology 1 Universitaria, Pisa, Italy.
Alfredo SantinelliAnatomic Pathology, Azienda Sanitaria Territoriale di Pesaro-Urbino, Pesaro, Italy.
Paolo GrazianoPathology Unit, Fondazione IRCCS Ospedale 'Casa Sollievo della Sofferenza', San Giovanni Rotondo (FG), Italy.
Umberto MalapelleDepartment of Public Health, Federico II University of Naples, Naples, Italy.
Giulia CursanoDivision of Pathology, IEO, European Institute of Oncology, IRCCS, Milan, Italy.
Konstantinos VenetisDivision of Pathology, IEO, European Institute of Oncology, IRCCS, Milan, Italy.
Giuseppe Nicolò FanelliDepartment of Laboratory Medicine, Pisa University Hospital, Anatomic Pathology 1 Universitaria, Pisa, Italy.
Francesco PepeDepartment of Public Health, Federico II University of Naples, Naples, Italy.
Enrico BerrinoDivision of Pathology, Candiolo Cancer Institute, FPO-IRCCS, Candiolo, Italy.
Carmine De AngelisDepartment of Clinical Medicine and Surgery, Federico II University of Naples, Naples, Italy.
Giuseppe PerroneDepartment of Medicine and Surgery, Research Unit of Anatomical Pathology, Università Campus Bio-Medico di Roma, Roma, Italy.
Giuseppe CuriglianoDivision of Early Drug Development for Innovative Therapy, IEO, European Institute of Oncology, IRCCS, Milan, Italy.
Nicola FuscoDepartment of Oncology and Hemato-Oncology, University of Milan, Milan, Italy.
European Institute of Oncology · ITIstituti di Ricovero e Cura a Carattere Scientifico · ITUniversity of Milan · ITUniversity of Pisa · ITAzienda Socio Sanitaria Territoriale Lariana · ITCampus Bio Medico University Hospital · ITCandiolo Cancer Institute · ITUniversity of Naples Federico II · ITUniversity of Turin · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This work explores the complex field of HER2 testing in the HER2-low breast cancer era, with a focus on methodological aspects. We aim to propose clear positions to scientific societies, institutions, pathologists, and oncologists to guide and shape the appropriate diagnostic strategies for HER2-low breast cancer. The fundamental question at hand is whether the necessary tools to effectively translate our knowledge about HER2 into practical diagnostic schemes for the lower spectrum of expression are available. Our investigation is centered on the significance of distinguishing between an immunohistochemistry (IHC) score 0 and score 1+ in light of the clinical implications now apparent, as patients with HER2-low breast cancer become eligible for trastuzumab-deruxtecan treatment. Furthermore, we discuss the definition of HER2-low beyond its conventional boundaries and assess the reliability of established diagnostic procedures designed at a time when therapeutic perspectives were non-existent for these cases. In this regard, we examine potential complementary technologies, such as gene expression analysis and liquid biopsy. Ultimately, we consider the potential role of artificial intelligence (AI) in the field of digital pathology and its integration into HER2 testing, with a particular emphasis on its application in the context of HER2-low breast cancer.

Indexed as

Artificial IntelligenceBreast NeoplasmsFemaleHumansPathologistsReproducibility of ResultsArtificial Intelligencebreast cancerHER2-lowliquid biopsypathologytesting methods

Identifiers

PMID38180137
PMCPMC10767801
OpenAlexW4390620831

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.