Evidence map›Paper›PMID 39039250›Full record

ArticleNature medicine2024

A foundation model for clinical-grade computational pathology and rare cancers detection.

Eugene Vorontsov, Alican Bozkurt, Adam Casson, George Shaikovski, Michal Zelechowski, Kristen Severson, Eric Zimmermann, James Hall, Neil Tenenholtz, Nicolo Fusi and 23 more

Abstract read
In one paragraph

Article in Nature medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 295 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
295citing papers in PubMed, 1 pooled it
–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

295 citing papers in PubMed, 1 synthesis or guideline pooled it.

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235 more citing papers are in PubMed but not listed here.

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

33 authors.

Eugene Vorontsov *Paige, New York, NY, US.ORCID http://orcid.org/0000-0002-4530-533X
Alican Bozkurt *Paige, New York, NY, US.
Adam Casson *Paige, New York, NY, US.
George Shaikovski *Paige, New York, NY, US.
Michal Zelechowski *Paige, New York, NY, US.
Kristen Severson *Microsoft Research, Cambridge, MA, US.ORCID http://orcid.org/0000-0002-0412-4217
Eric ZimmermannMicrosoft Research, Cambridge, MA, US.
James HallMicrosoft Research, Cambridge, MA, US.
Neil TenenholtzMicrosoft Research, Cambridge, MA, US.ORCID http://orcid.org/0000-0003-1250-3716
Nicolo FusiMicrosoft Research, Cambridge, MA, US.ORCID http://orcid.org/0000-0002-4102-0169
Ellen YangMemorial Sloan Kettering Cancer Center, New York, NY, US.
Philippe MathieuPaige, New York, NY, US.
Alexander van EckPaige, New York, NY, US.
Donghun LeePaige, New York, NY, US.
Julian ViretPaige, New York, NY, US.
Eric RobertPaige, New York, NY, US.ORCID http://orcid.org/0009-0002-7587-9817
Yi Kan WangPaige, New York, NY, US.
Jeremy D KunzPaige, New York, NY, US.
Matthew C H LeePaige, New York, NY, US.
Jan H BernhardPaige, New York, NY, US.
Ran A GodrichPaige, New York, NY, US.
Gerard OakleyPaige, New York, NY, US.
Ewan MillarNSW Health Pathology, St George Hospital, Sydney, New South Wales, Australia.
Matthew HannaMemorial Sloan Kettering Cancer Center, New York, NY, US.
Hannah WenMemorial Sloan Kettering Cancer Center, New York, NY, US.
Juan A RetameroPaige, New York, NY, US.
William A MoyePaige, New York, NY, US.
Razik YousfiPaige, New York, NY, US.
Christopher KananPaige, New York, NY, US.ORCID http://orcid.org/0000-0002-6412-995X
David S KlimstraPaige, New York, NY, US.
Brandon RothrockPaige, New York, NY, US.ORCID http://orcid.org/0000-0003-2237-6589
Siqi LiuPaige, New York, NY, US. siqi.liu@paige.ai.ORCID http://orcid.org/0000-0002-4169-7567
Thomas J FuchsPaige, New York, NY, US.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) P30CA008748
6 · The paper itself

Abstract

The analysis of histopathology images with artificial intelligence aims to enable clinical decision support systems and precision medicine. The success of such applications depends on the ability to model the diverse patterns observed in pathology images. To this end, we present Virchow, the largest foundation model for computational pathology to date. In addition to the evaluation of biomarker prediction and cell identification, we demonstrate that a large foundation model enables pan-cancer detection, achieving 0.95 specimen-level area under the (receiver operating characteristic) curve across nine common and seven rare cancers. Furthermore, we show that with less training data, the pan-cancer detector built on Virchow can achieve similar performance to tissue-specific clinical-grade models in production and outperform them on some rare variants of cancer. Virchow's performance gains highlight the value of a foundation model and open possibilities for many high-impact applications with limited amounts of labeled training data.

Indexed as

NeoplasmsArtificial IntelligenceBiomarkers, TumorComputational BiologyHumansNeoplasm GradingPathology, ClinicalPrecision MedicineRare DiseasesROC CurveBiomarkers, Tumor

Identifiers

PMID39039250
PMCPMC11485232

What OpenQuestion holds

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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.