Evidence map›Paper›PMID 38594278›Full record

ArticleNature communications2024

Teacher-student collaborated multiple instance learning for pan-cancer PDL1 expression prediction from histopathology slides.

Darui Jin, Shangying Liang, Artem Shmatko, Alexander Arnold, David Horst, Thomas G P Grünewald, Moritz Gerstung, Xiangzhi Bai

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 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
5.2field-weighted citation impact, top 4% 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

17 citing papers in PubMed, 15 citations in OpenAlex.

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  4. Dynamic reprogramming of the tumor immune network via multicycle checkpoint degradation for cancer immunotherapy.Proceedings of the National Academy of Sciences of the United States of America · 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

8 authors at 4 institutions in 2 countries.

Darui JinImage Processing Center, Beihang University, Beijing, 102206, China.ORCID http://orcid.org/0000-0003-1784-8844
Shangying LiangImage Processing Center, Beihang University, Beijing, 102206, China.
Artem ShmatkoDivision of AI in Oncology, German Cancer Research Center (DKFZ), Heidelberg, Germany.ORCID http://orcid.org/0000-0002-2184-0856
Alexander ArnoldCharité - Universitätsmedizin Berlin, Institute of Pathology, 10117, Berlin, Germany.
David HorstCharité - Universitätsmedizin Berlin, Institute of Pathology, 10117, Berlin, Germany.
Thomas G P GrünewaldInstitute of Pathology, Heidelberg University Hospital, Heidelberg, Germany. t.gruenewald@kitz-heidelberg.de.ORCID http://orcid.org/0000-0003-0920-7377
Moritz GerstungDivision of AI in Oncology, German Cancer Research Center (DKFZ), Heidelberg, Germany. moritz.gerstung@dkfz.de.ORCID http://orcid.org/0000-0001-6709-963X
Xiangzhi BaiImage Processing Center, Beihang University, Beijing, 102206, China. jackybxz@buaa.edu.cn.ORCID http://orcid.org/0000-0002-6115-8237
German Cancer Research Center · DEBeihang University · CNCharité - Universitätsmedizin Berlin · DEGerman Cancer Society · DE

Funding

China Scholarship Council (CSC) 202206020151National Natural Science Foundation of China (National Science Foundation of China) 62271016Natural Science Foundation of Beijing Municipality (Beijing Natural Science Foundation) 4222007
6 · The paper itself

Abstract

Programmed cell death ligand 1 (PDL1), as an important biomarker, is quantified by immunohistochemistry (IHC) with few established histopathological patterns. Deep learning aids in histopathological assessment, yet heterogeneity and lacking spatially resolved annotations challenge precise analysis. Here, we present a weakly supervised learning approach using bulk RNA sequencing for PDL1 expression prediction from hematoxylin and eosin (H&E) slides. Our method extends the multiple instance learning paradigm with the teacher-student framework, which assigns dynamic pseudo-labels for intra-slide heterogeneity and retrieves unlabeled instances using temporal ensemble model distillation. The approach, evaluated on 12,299 slides across 20 solid tumor types, achieves a weighted average area under the curve of 0.83 on fresh-frozen and 0.74 on formalin-fixed specimens for 9 tumors with PDL1 as an established biomarker. Our method predicts PDL1 expression patterns, validated by IHC on 20 slides, offering insights into histologies relevant to PDL1. This demonstrates the potential of deep learning in identifying diverse histological patterns for molecular changes from H&E images.

Indexed as

DistillationNeoplasmsB7-H1 AntigenBiomarkersEosine Yellowish-(YS)HematoxylinHumansStudentsB7-H1 AntigenBiomarkersCD274 protein, humanEosine Yellowish-(YS)Hematoxylin

Identifiers

PMID38594278
PMCPMC11004138
OpenAlexW4394621473

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.