Evidence map›Paper›PMID 38898127›Full record

ArticleNPJ precision oncology2024

AI powered quantification of nuclear morphology in cancers enables prediction of genome instability and prognosis.

John Abel, Suyog Jain, Deepta Rajan, Harshith Padigela, Kenneth Leidal, Aaditya Prakash, Jake Conway, Michael Nercessian, Christian Kirkup, Syed Ashar Javed and 17 more

Abstract read
In one paragraph

Article in NPJ precision oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing 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

19 citing papers in PubMed.

  1. Review
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  14. Nuclear destabilisation - a possible genesis of cancer?Biological reviews of the Cambridge Philosophical Society · 2025
    Review
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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

27 authors.

John AbelPathAI, Boston, MA, USA. john.abel@pathai.com.ORCID http://orcid.org/0000-0002-8654-9226
Suyog JainPathAI, Boston, MA, USA.
Deepta RajanPathAI, Boston, MA, USA.
Harshith PadigelaPathAI, Boston, MA, USA.
Kenneth LeidalPathAI, Boston, MA, USA.
Aaditya PrakashPathAI, Boston, MA, USA.
Jake ConwayPathAI, Boston, MA, USA.
Michael NercessianPathAI, Boston, MA, USA.
Christian KirkupPathAI, Boston, MA, USA.
Syed Ashar JavedPathAI, Boston, MA, USA.
Raymond BijuPathAI, Boston, MA, USA.
Natalia HarguindeguyPathAI, Boston, MA, USA.
Daniel ShenkerPathAI, Boston, MA, USA.
Nicholas IndorfPathAI, Boston, MA, USA.
Darpan SanghaviPathAI, Boston, MA, USA.
Robert EggerPathAI, Boston, MA, USA.
Benjamin TrotterPathAI, Boston, MA, USA.
Ylaine GerardinPathAI, Boston, MA, USA.
Jacqueline A Brosnan-CashmanPathAI, Boston, MA, USA.
Aditya DhootPathAI, Boston, MA, USA.
Michael C MontaltoPathAI, Boston, MA, USA.
Chintan ParmarPathAI, Boston, MA, USA.
Ilan WapinskiPathAI, Boston, MA, USA.
Archit KhoslaPathAI, Boston, MA, USA.ORCID http://orcid.org/0000-0002-8956-3664
Michael G DragePathAI, Boston, MA, USA.
Limin YuPathAI, Boston, MA, USA.
Amaro Taylor-WeinerPathAI, Boston, MA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

While alterations in nucleus size, shape, and color are ubiquitous in cancer, comprehensive quantification of nuclear morphology across a whole-slide histologic image remains a challenge. Here, we describe the development of a pan-tissue, deep learning-based digital pathology pipeline for exhaustive nucleus detection, segmentation, and classification and the utility of this pipeline for nuclear morphologic biomarker discovery. Manually-collected nucleus annotations were used to train an object detection and segmentation model for identifying nuclei, which was deployed to segment nuclei in H&E-stained slides from the BRCA, LUAD, and PRAD TCGA cohorts. Interpretable features describing the shape, size, color, and texture of each nucleus were extracted from segmented nuclei and compared to measurements of genomic instability, gene expression, and prognosis. The nuclear segmentation and classification model trained herein performed comparably to previously reported models. Features extracted from the model revealed differences sufficient to distinguish between BRCA, LUAD, and PRAD. Furthermore, cancer cell nuclear area was associated with increased aneuploidy score and homologous recombination deficiency. In BRCA, increased fibroblast nuclear area was indicative of poor progression-free and overall survival and was associated with gene expression signatures related to extracellular matrix remodeling and anti-tumor immunity. Thus, we developed a powerful pan-tissue approach for nucleus segmentation and featurization, enabling the construction of predictive models and the identification of features linking nuclear morphology with clinically-relevant prognostic biomarkers across multiple cancer types.

Identifiers

PMID38898127
PMCPMC11187064

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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.