Evidence map›Paper›PMID 38200244›Full record

ArticleNature cancer2024

The artificial intelligence-based model ANORAK improves histopathological grading of lung adenocarcinoma.

Xiaoxi Pan, Khalid AbdulJabbar, Jose Coelho-Lima, Anca-Ioana Grapa, Hanyun Zhang, Alvin Ho Kwan Cheung, Juvenal Baena, Takahiro Karasaki, Claire Rachel Wilson, Marco Sereno and 10 more

Abstract read
In one paragraph

Article in Nature cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

25 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  7. Current trends and future directions of artificial intelligence in lung cancer diagnosis.Chinese journal of cancer research = Chung-kuo yen cheng yen chiu · 2026
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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

20 authors.

Xiaoxi PanCentre for Evolution and Cancer, The Institute of Cancer Research, London, UK.
Khalid AbdulJabbar *Centre for Evolution and Cancer, The Institute of Cancer Research, London, UK.ORCID 0000-0002-4411-4435
Jose Coelho-Lima *Medical Research Council Toxicology Unit, University of Cambridge, Cambridge, UK.
Anca-Ioana GrapaCentre for Evolution and Cancer, The Institute of Cancer Research, London, UK.
Hanyun ZhangCentre for Evolution and Cancer, The Institute of Cancer Research, London, UK.
Alvin Ho Kwan CheungCancer Evolution and Genome Instability Laboratory, The Francis Crick Institute, London, UK.ORCID 0000-0002-3913-8117
Juvenal BaenaLeicester Cancer Research Centre, University of Leicester, Leicester, UK.ORCID 0000-0002-8027-9149
Takahiro KarasakiCancer Evolution and Genome Instability Laboratory, The Francis Crick Institute, London, UK.ORCID 0000-0001-6863-2360
Claire Rachel WilsonLeicester Cancer Research Centre, University of Leicester, Leicester, UK.ORCID 0000-0002-6401-2014
Marco SerenoInstitute for Lung Health, NIHR Leicester Biomedical Research Centre, Leicester, UK.ORCID 0000-0003-4573-9303
Selvaraju VeeriahCancer Evolution and Genome Instability Laboratory, The Francis Crick Institute, London, UK.
Sarah J AitkenMedical Research Council Toxicology Unit, University of Cambridge, Cambridge, UK.ORCID 0000-0002-1897-4140
Allan HackshawCancer Research UK & UCL Cancer Trials Centre, London, UK.ORCID 0000-0002-5570-5070
Andrew G NicholsonDepartment of Histopathology, Royal Brompton and Harefield Hospitals, Guy's and St Thomas' NHS Foundation Trust, London, UK.
Mariam Jamal-HanjaniCancer Research UK Lung Cancer Centre of Excellence, University College London Cancer Institute, London, UK.ORCID 0000-0003-1212-1259
TRACERx Consortium
Charles SwantonCancer Evolution and Genome Instability Laboratory, The Francis Crick Institute, London, UK.ORCID 0000-0002-4299-3018
Yinyin YuanCentre for Evolution and Cancer, The Institute of Cancer Research, London, UK. yyuan6@mdanderson.org.
John Le QuesneMolecular Pathology, School of Cancer Sciences, University of Glasgow, Glasgow, UK. john.lequesne@glasgow.ac.uk.ORCID 0000-0003-3552-7446
David A MooreCancer Evolution and Genome Instability Laboratory, The Francis Crick Institute, London, UK. d.moore@ucl.ac.uk.ORCID 0000-0002-6296-1312

Funding

The Role of the Microbiome in Cancer Suppression and Susceptibility Across SpeciesU54CA217376 · NCI · ARIZONA STATE UNIVERSITY-TEMPE CAMPUS · PI MALEY, CARLO · 2018 to 2022
$8.6M
(PQC3) Genomic Diversity and Microenvironment as Drivers of Metastasis in DCISR01CA185138 · NCI · DUKE UNIVERSITY · PI HWANG, E.SHELLEY, MALEY, CARLO · 2014 to 2017
$2.0M
Cancer Research UK 17786Cancer Research UK 21808Cancer Research UK 21999Cancer Research UK 29569Cancer Research UK 30025Cancer Research UK CTRNBC-2022/100001Cancer Research UK CTUQQR-DEC22/100009NCI NIH HHS R01 CA185138NCI NIH HHS U54 CA217376Wellcome Trust CC2041
6 · The paper itself

Abstract

The introduction of the International Association for the Study of Lung Cancer grading system has furthered interest in histopathological grading for risk stratification in lung adenocarcinoma. Complex morphology and high intratumoral heterogeneity present challenges to pathologists, prompting the development of artificial intelligence (AI) methods. Here we developed ANORAK (pyrAmid pooliNg crOss stReam Attention networK), encoding multiresolution inputs with an attention mechanism, to delineate growth patterns from hematoxylin and eosin-stained slides. In 1,372 lung adenocarcinomas across four independent cohorts, AI-based grading was prognostic of disease-free survival, and further assisted pathologists by consistently improving prognostication in stage I tumors. Tumors with discrepant patterns between AI and pathologists had notably higher intratumoral heterogeneity. Furthermore, ANORAK facilitates the morphological and spatial assessment of the acinar pattern, capturing acinus variations with pattern transition. Collectively, our AI method enabled the precision quantification and morphology investigation of growth patterns, reflecting intratumoral histological transitions in lung adenocarcinoma.

Indexed as

AdenocarcinomaAdenocarcinoma of LungLung NeoplasmsArtificial IntelligenceHumansNeoplasm Staging

Identifiers

PMID38200244
PMCPMC10899116

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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.