Evidence map›Paper›PMID 38926357›Full record

ArticleNature communications2024

AI-based histopathology image analysis reveals a distinct subset of endometrial cancers.

Amirali Darbandsari, Hossein Farahani, Maryam Asadi, Matthew Wiens, Dawn Cochrane, Ali Khajegili Mirabadi, Amy Jamieson, David Farnell, Pouya Ahmadvand, Maxwell Douglas and 10 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 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing 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

20 citing papers in PubMed.

  1. Review
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  3. Molecular subtypes and survival patterns of endometrial cancer in a South Indian cohort.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 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

20 authors.

Amirali Darbandsari *Department of Electrical and Computer Engineering, University of British Columbia, Vancouver, BC, Canada.
Hossein Farahani *School of Biomedical Engineering, University of British Columbia, Vancouver, BC, Canada.ORCID 0000-0002-9503-1875
Maryam Asadi *School of Biomedical Engineering, University of British Columbia, Vancouver, BC, Canada.
Matthew WiensSchool of Biomedical Engineering, University of British Columbia, Vancouver, BC, Canada.
Dawn CochraneDepartment of Molecular Oncology, British Columbia Cancer Research Institute, Vancouver, BC, Canada.
Ali Khajegili MirabadiSchool of Biomedical Engineering, University of British Columbia, Vancouver, BC, Canada.ORCID 0000-0002-0489-6583
Amy JamiesonDepartment of Obstetrics and Gynaecology, University of British Columbia, Vancouver, BC, Canada.
David FarnellDepartment of Pathology and Laboratory Medicine, University of British Columbia, Vancouver, BC, Canada.
Pouya AhmadvandSchool of Biomedical Engineering, University of British Columbia, Vancouver, BC, Canada.
Maxwell DouglasDepartment of Molecular Oncology, British Columbia Cancer Research Institute, Vancouver, BC, Canada.
Samuel LeungDepartment of Molecular Oncology, British Columbia Cancer Research Institute, Vancouver, BC, Canada.
Purang AbolmaesumiDepartment of Electrical and Computer Engineering, University of British Columbia, Vancouver, BC, Canada.
Steven J M JonesMichael Smith Genome Sciences Center, British Columbia Cancer Research Center, Vancouver, BC, Canada.ORCID 0000-0003-3394-2208
Aline TalhoukDepartment of Obstetrics and Gynaecology, University of British Columbia, Vancouver, BC, Canada.
Stefan KommossDepartment of Women's Health, Tübingen University Hospital, Tübingen, Germany.
C Blake GilksDepartment of Pathology and Laboratory Medicine, University of British Columbia, Vancouver, BC, Canada.
David G HuntsmanDepartment of Pathology and Laboratory Medicine, University of British Columbia, Vancouver, BC, Canada.
Naveena SinghDepartment of Pathology and Laboratory Medicine, University of British Columbia, Vancouver, BC, Canada.
Jessica N McAlpineDepartment of Obstetrics and Gynaecology, University of British Columbia, Vancouver, BC, Canada.ORCID 0000-0001-6003-485X
Ali BashashatiSchool of Biomedical Engineering, University of British Columbia, Vancouver, BC, Canada. ali.bashashati@ubc.ca.ORCID 0000-0002-4212-7224

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Endometrial cancer (EC) has four molecular subtypes with strong prognostic value and therapeutic implications. The most common subtype (NSMP; No Specific Molecular Profile) is assigned after exclusion of the defining features of the other three molecular subtypes and includes patients with heterogeneous clinical outcomes. In this study, we employ artificial intelligence (AI)-powered histopathology image analysis to differentiate between p53abn and NSMP EC subtypes and consequently identify a sub-group of NSMP EC patients that has markedly inferior progression-free and disease-specific survival (termed 'p53abn-like NSMP'), in a discovery cohort of 368 patients and two independent validation cohorts of 290 and 614 from other centers. Shallow whole genome sequencing reveals a higher burden of copy number abnormalities in the 'p53abn-like NSMP' group compared to NSMP, suggesting that this group is biologically distinct compared to other NSMP ECs. Our work demonstrates the power of AI to detect prognostically different and otherwise unrecognizable subsets of EC where conventional and standard molecular or pathologic criteria fall short, refining image-based tumor classification. This study's findings are applicable exclusively to females.

Indexed as

Artificial IntelligenceEndometrial NeoplasmsAgedCohort StudiesDNA Copy Number VariationsFemaleHumansImage Processing, Computer-AssistedMiddle AgedPrognosisTumor Suppressor Protein p53Whole Genome SequencingTumor Suppressor Protein p53

Identifiers

PMID38926357
PMCPMC11208496

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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.