Evidence map›Paper›PMID 39178259›Full record

ArticleScience advances2024

Sexually dimorphic computational histopathological signatures prognostic of overall survival in high-grade gliomas via deep learning.

Ruchika Verma, Tyler J Alban, Prerana Parthasarathy, Mojgan Mokhtari, Paula Toro Castano, Mark L Cohen, Justin D Lathia, Manmeet Ahluwalia, Pallavi Tiwari

Abstract read
In one paragraph

Article in Science advances, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Review
  2. Multimodal Explainable Artificial Intelligence for Prognostic Stratification of Patients With Glioblastoma.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2025
    Article
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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

9 authors.

Ruchika VermaDepartment of Biomedical Engineering, Case Western Reserve University, Cleveland, OH, USA.ORCID 0000-0003-4870-128X
Tyler J AlbanCenter for Immunotherapy and Precision Immuno-Oncology, Cleveland Clinic Foundation, Cleveland, OH, USA.ORCID 0000-0002-3261-140X
Prerana ParthasarathyCenter for Immunotherapy and Precision Immuno-Oncology, Cleveland Clinic Foundation, Cleveland, OH, USA.ORCID 0009-0002-7702-9656
Mojgan MokhtariDepartment of Biomedical Engineering, Case Western Reserve University, Cleveland, OH, USA.
Paula Toro CastanoDepartment of Pathology, Cleveland Clinic, Cleveland, OH, USA.ORCID 0000-0003-1660-1137
Mark L CohenDepartment of Pathology, University Hospitals Case Medical Center, Cleveland, OH, USA.
Justin D LathiaLerner Research Institute, Cleveland Clinic, Cleveland, OH, USA.ORCID 0000-0003-3168-7290
Manmeet AhluwaliaMiami Cancer Institute, Miami, FL, USA.
Pallavi TiwariDepartments of Radiology and Biomedical Engineering, University of Wisconsin-Madison, Madison, WI, USA.ORCID 0000-0001-9477-4856

Funding

Radiomic spatial maps for identifying viable tumor extent on multi-parametric MRI for GlioblastomaR01CA277728 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI Manmeet Ahluwalia, Pallavi Tiwari · 2024 to 2026
$3.0M
Quantitative imaging phenotypic classifier for distinguishing radiation effects from tumor recurrence in Glioblastoma .R01CA264017 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI Manmeet Ahluwalia, Pallavi Tiwari · 2022 to 2026
$2.9M
RadxTools for assessing tumor treatment response on imagingU01CA248226 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI TIWARI, PALLAVI, VISWANATH, SATISH EASWAR · 2020 to 2022
$1.4M
BLRD VA I01 BX005842NCI NIH HHS R01 CA264017NCI NIH HHS R01 CA277728NCI NIH HHS U01 CA248226
6 · The paper itself

Abstract

High-grade glioma (HGG) is an aggressive brain tumor. Sex is an important factor that differentially affects survival outcomes in HGG. We used an end-to-end deep learning approach on hematoxylin and eosin (H&E) scans to (i) identify sex-specific histopathological attributes of the tumor microenvironment (TME), and (ii) create sex-specific risk profiles to prognosticate overall survival. Surgically resected H&E-stained tissue slides were analyzed in a two-stage approach using ResNet18 deep learning models, first, to segment the viable tumor regions and second, to build sex-specific prognostic models for prediction of overall survival. Our mResNet-Cox model yielded C-index (0.696, 0.736, 0.731, and 0.729) for the female cohort and C-index (0.729, 0.738, 0.724, and 0.696) for the male cohort across training and three independent validation cohorts, respectively. End-to-end deep learning approaches using routine H&E-stained slides, trained separately on male and female patients with HGG, may allow for identifying sex-specific histopathological attributes of the TME associated with survival and, ultimately, build patient-centric prognostic risk assessment models.

Indexed as

Brain NeoplasmsDeep LearningGliomaSex CharacteristicsTumor MicroenvironmentAdultAgedFemaleHumansMaleMiddle AgedNeoplasm GradingPrognosis

Identifiers

PMID39178259
PMCPMC11343024

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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.