Evidence map›Paper›PMID 38467600›Full record

ArticleNature communications2024

Enabling large-scale screening of Barrett's esophagus using weakly supervised deep learning in histopathology.

Kenza Bouzid, Harshita Sharma, Sarah Killcoyne, Daniel C Castro, Anton Schwaighofer, Max Ilse, Valentina Salvatelli, Ozan Oktay, Sumanth Murthy, Lucas Bordeaux and 6 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
12.0field-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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. AI in Medical Questionnaires: Scoping ReviewJournal of medical Internet research · 2025
    Pooled it
  2. Advances in the Diagnosis of Barrett's Esophagus.Diagnostics (Basel, Switzerland) · 2026
    Review
  3. Article
  4. Article
  5. Review
  6. The consensus molecular subtypes of esophageal squamous cell carcinoma.Signal transduction and targeted therapy · 2026
    Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
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  16. Article
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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

16 authors at 3 institutions in 2 countries.

Kenza Bouzid *Microsoft Health Futures, Cambridge, UK.ORCID 0000-0001-5864-2792
Harshita Sharma *Microsoft Health Futures, Cambridge, UK.ORCID 0000-0003-4683-2606
Sarah KillcoyneCyted Ltd, Cambridge, UK.ORCID 0000-0003-3686-6167
Daniel C CastroMicrosoft Health Futures, Cambridge, UK.ORCID 0000-0002-6829-7045
Anton SchwaighoferMicrosoft Health Futures, Cambridge, UK.ORCID 0000-0003-1557-0527
Max IlseMicrosoft Health Futures, Cambridge, UK.
Valentina SalvatelliMicrosoft Health Futures, Cambridge, UK.ORCID 0000-0002-3232-4101
Ozan OktayMicrosoft Health Futures, Cambridge, UK.ORCID 0000-0003-2976-0874
Sumanth MurthyCyted Ltd, Cambridge, UK.
Lucas BordeauxCyted Ltd, Cambridge, UK.
Luiza MooreDepartment of Histopathology, Addenbrookes Hospital, Cambridge University NHS Foundation Trust, Cambridge, UK.
Maria O'DonovanCyted Ltd, Cambridge, UK.
Anja ThiemeMicrosoft Health Futures, Cambridge, UK.ORCID 0000-0002-9639-5531
Aditya NoriMicrosoft Health Futures, Cambridge, UK.
Marcel GehrungCyted Ltd, Cambridge, UK. marcel.gehrung@cyted.ai.
Javier Alvarez-ValleMicrosoft Health Futures, Cambridge, UK. jaalvare@microsoft.com.ORCID 0000-0003-0906-4177
Microsoft Research (United Kingdom) · GBCambridge University Hospitals NHS Foundation Trust · GBCytel (United States) · US

Funding

Cancer Research UK C14478/A12088
6 · The paper itself

Abstract

Timely detection of Barrett's esophagus, the pre-malignant condition of esophageal adenocarcinoma, can improve patient survival rates. The Cytosponge-TFF3 test, a non-endoscopic minimally invasive procedure, has been used for diagnosing intestinal metaplasia in Barrett's. However, it depends on pathologist's assessment of two slides stained with H&E and the immunohistochemical biomarker TFF3. This resource-intensive clinical workflow limits large-scale screening in the at-risk population. To improve screening capacity, we propose a deep learning approach for detecting Barrett's from routinely stained H&E slides. The approach solely relies on diagnostic labels, eliminating the need for expensive localized expert annotations. We train and independently validate our approach on two clinical trial datasets, totaling 1866 patients. We achieve 91.4% and 87.3% AUROCs on discovery and external test datasets for the H&E model, comparable to the TFF3 model. Our proposed semi-automated clinical workflow can reduce pathologists' workload to 48% without sacrificing diagnostic performance, enabling pathologists to prioritize high risk cases.

Indexed as

AdenocarcinomaBarrett EsophagusDeep LearningEsophageal NeoplasmsHumansMetaplasia

Identifiers

PMID38467600
PMCPMC10928093
OpenAlexW4392657331

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.