Evidence map›Paper›PMID 39358389›Full record

ArticleNPJ precision oncology2024

Comparison of DNA methylation based classification models for precision diagnostics of central nervous system tumors.

Quynh T Tran, Alex Breuer, Tong Lin, Ruth Tatevossian, Sariah J Allen, Michael Clay, Larissa V Furtado, Mark Chen, Dale Hedges, Tylman Michael and 8 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 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Article
  2. 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

18 authors.

Quynh T Tran *Department of Pathology, St. Jude Children's Research Hospital, Memphis, TN, USA.
Alex Breuer *Department of Pathology, St. Jude Children's Research Hospital, Memphis, TN, USA.
Tong LinClinical Biomarkers Lab, St. Jude Children's Research Hospital, Memphis, TN, USA.
Ruth TatevossianClinical Biomarkers Lab, St. Jude Children's Research Hospital, Memphis, TN, USA.
Sariah J AllenDepartment of Pathology, St. Jude Children's Research Hospital, Memphis, TN, USA.
Michael ClayDepartment of Pathology, University of Colorado School of Medicine, Aurora, CO, USA.
Larissa V FurtadoDepartment of Pathology, St. Jude Children's Research Hospital, Memphis, TN, USA.
Mark ChenDepartment of Laboratory Medicine, Cleveland Clinic, Cleveland, OH, USA.ORCID http://orcid.org/0000-0003-1169-563X
Dale HedgesAster Insights, Tampa, FL, USA.
Tylman MichaelDepartment of Pathology, St. Jude Children's Research Hospital, Memphis, TN, USA.
Giles RobinsonDepartment of Oncology, St. Jude Children's Research Hospital, Memphis, TN, USA.ORCID http://orcid.org/0000-0001-7441-9486
Paul NorthcottDepartment of Developmental Neurobiology, St. Jude Children's Research Hospital, Memphis, TN, USA.ORCID http://orcid.org/0000-0002-1220-5252
Amar GajjarDepartment of Pediatric Medicine, St. Jude Children's Research Hospital, Memphis, TN, USA.
Elizabeth AzzatoSection of Molecular Genetic Pathology, Department of Laboratory Medicine, Robert J. Tomsich Pathology and Laboratory Medicine Institute, Cleveland Clinic, Cleveland, OH, USA.
Sheila ShurtleffSection of Molecular Genetic Pathology, Department of Laboratory Medicine, Robert J. Tomsich Pathology and Laboratory Medicine Institute, Cleveland Clinic, Cleveland, OH, USA.
David W EllisonDepartment of Pathology, St. Jude Children's Research Hospital, Memphis, TN, USA.
Stanley PoundsDepartment of Biostatistics, St. Jude Children's Research Hospital, Memphis, TN, USA.ORCID http://orcid.org/0000-0002-9167-2114
Brent A OrrDepartment of Pathology, St. Jude Children's Research Hospital, Memphis, TN, USA. brent.orr@stjude.org.ORCID http://orcid.org/0000-0003-0997-4728

Funding

Viral Vector Technology (VVTSR)P30CA021765 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI CHARLES ROBERTS · 1985 to 2026
$166.9M
NCI NIH HHS P30 CA021765
6 · The paper itself

Abstract

As part of the advancement in therapeutic decision-making for brain tumor patients at St. Jude Children's Research Hospital (SJCRH), we developed three robust classifiers, a deep learning neural network (NN), k-nearest neighbor (kNN), and random forest (RF), trained on a reference series DNA-methylation profiles to classify central nervous system (CNS) tumor types. The models' performance was rigorously validated against 2054 samples from two independent cohorts. In addition to classic metrics of model performance, we compared the robustness of the three models to reduced tumor purity, a critical consideration in the clinical utility of such classifiers. Our findings revealed that the NN model exhibited the highest accuracy and maintained a balance between precision and recall. The NN model was the most resistant to drops in performance associated with a reduction in tumor purity, showing good performance until the purity fell below 50%. Through rigorous validation, our study emphasizes the potential of DNA-methylation-based deep learning methods to improve precision medicine for brain tumor classification in the clinical setting.

Identifiers

PMID39358389
PMCPMC11447224

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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.