Evidence map›Paper›PMID 38824132›Full record

ArticleNature communications2024

Development and deployment of a histopathology-based deep learning algorithm for patient prescreening in a clinical trial.

Albert Juan Ramon, Chaitanya Parmar, Oscar M Carrasco-Zevallos, Carlos Csiszer, Stephen S F Yip, Patricia Raciti, Nicole L Stone, Spyros Triantos, Michelle M Quiroz, Patrick Crowley and 4 more

Abstract 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 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–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

13 citing papers in PubMed.

  1. Review
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  3. Article
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  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Machine learning methods for histopathological image analysis: Updates in 2024.Computational and structural biotechnology journal · 2025
    Review
  11. Article
  12. Review
  13. Review
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

14 authors.

Albert Juan RamonJanssen R&D, LLC, a Johnson & Johnson Company. Data Science and Digital Health, San Diego, CA, USA. ajuanram@its.jnj.com.ORCID http://orcid.org/0000-0002-8443-2841
Chaitanya ParmarJanssen R&D, LLC, a Johnson & Johnson Company. Data Science and Digital Health, San Diego, CA, USA.
Oscar M Carrasco-ZevallosJanssen R&D, LLC, a Johnson & Johnson Company. Data Science and Digital Health, Cambridge, MA, USA.
Carlos CsiszerJanssen R&D, LLC, a Johnson & Johnson Company. Data Science and Digital Health, Titusville, NJ, USA.
Stephen S F YipJanssen R&D, LLC, a Johnson & Johnson Company. Data Science and Digital Health, Cambridge, MA, USA.
Patricia RacitiJanssen R&D, LLC, a Johnson & Johnson Company. Oncology, Spring House, PA, USA.ORCID http://orcid.org/0000-0001-5136-1955
Nicole L StoneJanssen R&D, LLC, a Johnson & Johnson Company. Oncology, Spring House, PA, USA.
Spyros TriantosJanssen R&D, LLC, a Johnson & Johnson Company. Oncology, Spring House, PA, USA.
Michelle M QuirozJanssen R&D, LLC, a Johnson & Johnson Company. Oncology, Spring House, PA, USA.
Patrick CrowleyJanssen R&D, LLC, a Johnson & Johnson Company. Global Development, High Wycombe, UK.
Ashita S BataviaJanssen R&D, LLC, a Johnson & Johnson Company. Data Science and Digital Health, Titusville, NJ, USA.
Joel GreshockJanssen R&D, LLC, a Johnson & Johnson Company. Data Science and Digital Health, Spring House, PA, USA.
Tommaso MansiJanssen R&D, LLC, a Johnson & Johnson Company. Data Science and Digital Health, Titusville, NJ, USA.
Kristopher A StandishJanssen R&D, LLC, a Johnson & Johnson Company. Data Science and Digital Health, San Diego, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Accurate identification of genetic alterations in tumors, such as Fibroblast Growth Factor Receptor, is crucial for treating with targeted therapies; however, molecular testing can delay patient care due to the time and tissue required. Successful development, validation, and deployment of an AI-based, biomarker-detection algorithm could reduce screening cost and accelerate patient recruitment. Here, we develop a deep-learning algorithm using >3000 H&E-stained whole slide images from patients with advanced urothelial cancers, optimized for high sensitivity to avoid ruling out trial-eligible patients. The algorithm is validated on a dataset of 350 patients, achieving an area under the curve of 0.75, specificity of 31.8% at 88.7% sensitivity, and projected 28.7% reduction in molecular testing. We successfully deploy the system in a non-interventional study comprising 89 global study clinical sites and demonstrate its potential to prioritize/deprioritize molecular testing resources and provide substantial cost savings in the drug development and clinical settings.

Indexed as

AlgorithmsDeep LearningBiomarkers, TumorClinical Trials as TopicFemaleHumansMalePatient SelectionUrinary Bladder NeoplasmsUrologic NeoplasmsBiomarkers, Tumor

Identifiers

PMID38824132
PMCPMC11144215

What OpenQuestion holds

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LicenceCC BY
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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.