ArticleAnnals of surgical oncology2025
Deep Learning Predicts Lymphovascular Invasion Status in Muscle Invasive Bladder Cancer Histopathology.
Article in Annals of surgical oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- MRI-based deep learning combined with radiomics for the preoperative prediction of lymphovascular invasion in patients with bladder cancer.Cancer imaging : the official publication of the International Cancer Imaging Society · 2026Article
- Development and validation of MRI-based models to predict lymph node metastasis in bladder cancer: a multi-center study.Cancer imaging : the official publication of the International Cancer Imaging Society · 2026Article
- The Emerging Role of Multimodal Artificial Intelligence in Urological Surgery.Current oncology (Toronto, Ont.) · 2025Review
- ASO Author Reflections: Artificial Intelligence in Bladder Cancer-Transforming Diagnosis and Treatment Paradigms.Annals of surgical oncology · 2025Article
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9 authors.
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Abstract
backgroundLymphovascular invasion (LVI) is linked to poor prognosis in patients with muscle-invasive bladder cancer (MIBC). Accurately identifying the LVI status in MIBC patients is crucial for effective risk stratification and precision treatment. We aim to develop a deep learning model to identify the LVI status in whole-slide images (WSIs) of MIBC patients. PATIENTS AND
methodsA cohort from The Cancer Genome Atlas (TCGA) database was used to train a deep learning model, slide-based lymphovascular invasion predictor (SBLVIP), based on multiple-instance learning. This model was externally validated using the Renmin Hospital of Wuhan University (RHWU) and People's Hospital of Hanchuan City (PHHC) cohorts. Kaplan-Meier curves, along with univariate and multivariate Cox models, were employed to evaluate the association between the LVI status predicted by SBLVIP and the survival outcomes of MIBC patients.
resultsIn the TCGA cohort, the SBLVIP model achieved an average accuracy of 0.804 [95% confidence interval (CI) 0.712-0.895] and an area under the receiver operating characteristic curve (AUC) of 0.77 (95% CI 0.63-0.84) in the training set. In the internal validation set, the model's average accuracy and AUC were 0.774 (95% CI, 0.701-0.846) and 0.76 (95% CI, 0.60-0.83), respectively. In the RHWU cohort, the SBLVIP model achieved an average accuracy of 0.807 (95% CI 0.734-0.880) and an AUC of 0.74 (95% CI 0.55-0.83). In the PHHC cohort, SBLVIP demonstrated an average accuracy of 0.821 (95% CI 0.737-0.909) and an AUC of 0.74 (95% CI 0.58-0.89). Moreover, the LVI status predicted by SBLVIP showed significant independent prognostic value (P = 1 × 10
conclusionsWe developed a deep learning model named SBLVIP to predict the LVI status in routine WSIs of MIBC patients.
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