Evidence map›Paper›PMID 39496911›Full record

ArticleBreast cancer research and treatment2025

Predicting nodal response to neoadjuvant treatment in breast cancer with core biopsy biomarkers of tumor microenvironment using data mining.

Nina Pislar, Gorana Gasljevic, Erika Matos, Gasper Pilko, Janez Zgajnar, Andraz Perhavec

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Article in Breast cancer research and treatment, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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0cells of the map it votes in
3citing papers in PubMed
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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

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

6 authors.

Nina PislarDepartment of Surgical Oncology, Institute of Oncology Ljubljana, Ljubljana, Slovenia.
Gorana GasljevicDepartment of Pathology, Institute of Oncology Ljubljana, Ljubljana, Slovenia.
Erika MatosFaculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.
Gasper PilkoDepartment of Surgical Oncology, Institute of Oncology Ljubljana, Ljubljana, Slovenia.
Janez ZgajnarDepartment of Surgical Oncology, Institute of Oncology Ljubljana, Ljubljana, Slovenia.
Andraz PerhavecDepartment of Surgical Oncology, Institute of Oncology Ljubljana, Ljubljana, Slovenia. aperhavec@onko-i.si.

Funding

Javna Agencija za Raziskovalno Dejavnost RS No. P3-0352 (C)
6 · The paper itself

Abstract

purposeTo generate a model for predicting nodal response to neoadjuvant systemic treatment (NAST) in biopsy-proven node-positive breast cancer patients (cN+) that incorporates tumor microenvironment (TME) characteristics and could be used for planning the axillary surgical staging procedure.

methodsClinical and pathologic features were retrospectively collected for 437 patients. Core biopsy (CB) samples were reviewed for stromal content and tumor-infiltrating lymphocytes (TIL). Orange Datamining Toolbox was used for model generation and assessment.

results151/437 (34.6%) patients achieved nodal pCR (ypN0). The following 5 variables were included in the prediction model: ER, Her-2, grade, stroma content and TILs. After stratified tenfold cross-validation, the logistic regression algorithm achieved and area under the ROC curve (AUC) of 0.86 and F1 score of 0.72. Nomogram was used for visualization.

conclusionsWe developed a clinical tool to predict nodal pCR for cN+ patients after NAST that includes biomarkers of TME and achieves an AUC of 0.86 after tenfold cross-validation.

Indexed as

Biomarkers, TumorBreast NeoplasmsData MiningTumor MicroenvironmentAdultAgedBiopsy, Large-Core NeedleFemaleHumansLymphatic MetastasisLymph NodesLymphocytes, Tumor-InfiltratingMiddle AgedNeoadjuvant TherapyNeoplasm StagingNomogramsBiomarkers, TumorBreast cancerNeoadjuvantNodal responsePrediction modelTumor microenvironment

Identifiers

PMID39496911
PMCPMC11787214

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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.