Evidence map›Paper›PMID 38201383›Full record

ArticleDiagnostics (Basel, Switzerland)2023

Predicting Neoadjuvant Treatment Response in Triple-Negative Breast Cancer Using Machine Learning.

Shristi Bhattarai, Geetanjali Saini, Hongxiao Li, Gaurav Seth, Timothy B Fisher, Emiel A M Janssen, Umay Kiraz, Jun Kong, Ritu Aneja

Abstract read
In one paragraph

Article in Diagnostics (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Shristi BhattaraiDepartment of Clinical and Diagnostic Sciences, School of Health Professions, University of Alabama at Birmingham, Birmingham, AL 35294, USA.
Geetanjali SainiDepartment of Clinical and Diagnostic Sciences, School of Health Professions, University of Alabama at Birmingham, Birmingham, AL 35294, USA.
Hongxiao LiDepartment of Mathematics and Statistics, Georgia State University, Atlanta, GA 30302, USA.ORCID 0000-0002-6114-8215
Gaurav SethDepartment of Clinical and Diagnostic Sciences, School of Health Professions, University of Alabama at Birmingham, Birmingham, AL 35294, USA.
Timothy B FisherDepartment of Biology, Georgia State University, Atlanta, GA 30302, USA.
Emiel A M JanssenDepartment of Pathology, Stavanger University Hospital, 4011 Stavanger, Norway.ORCID 0000-0002-7760-5396
Umay KirazDepartment of Pathology, Stavanger University Hospital, 4011 Stavanger, Norway.ORCID 0000-0002-6721-4877
Jun KongDepartment of Mathematics and Statistics, Georgia State University, Atlanta, GA 30302, USA.
Ritu AnejaDepartment of Clinical and Diagnostic Sciences, School of Health Professions, University of Alabama at Birmingham, Birmingham, AL 35294, USA.

Funding

HSET as a racial disparity biomarker for TNBC patientsR01CA239120 · NCI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI ANEJA, RITU · 2019 to 2024
$3.0M
Computational pathology software for integrative cancer research with three-dimensional digital slidesU01CA242936 · NCI · GEORGIA STATE UNIVERSITY · PI KONG, JUN, WANG, FUSHENG · 2019 to 2021
$1.1M
NCI NIH HHS R01 CA239120NCI NIH HHS U01 CA242936
6 · The paper itself

Abstract

backgroundNeoadjuvant chemotherapy (NAC) is the standard treatment for early-stage triple negative breast cancer (TNBC). The primary endpoint of NAC is a pathological complete response (pCR). NAC results in pCR in only 30-40% of TNBC patients. Tumor-infiltrating lymphocytes (TILs), Ki67 and phosphohistone H3 (pH3) are a few known biomarkers to predict NAC response. Currently, systematic evaluation of the combined value of these biomarkers in predicting NAC response is lacking. In this study, the predictive value of markers derived from H&E and IHC stained biopsy tissue was comprehensively evaluated using a supervised machine learning (ML)-based approach. Identifying predictive biomarkers could help guide therapeutic decisions by enabling precise stratification of TNBC patients into responders and partial or non-responders.

methodsSerial sections from core needle biopsies (

resultsHighest prediction accuracy was achieved when hotspot regions were identified by tTIL counts and each hotspot was represented by measures of tTILs, sTILs, tumor cells, Ki67

conclusionsOverall, our results emphasize that prediction models for NAC response should be based on biomarkers in combination rather than in isolation. Our study provides compelling evidence to support the use of ML-based models to predict NAC response in patients with TNBC.

Indexed as

machine learningneoadjuvant chemotherapyprediction modeltriple-negative breast cancer

Identifiers

PMID38201383
PMCPMC10871101

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.