Evidence map›Paper›PMID 39511143›Full record

ArticleNature communications2024

An explainable longitudinal multi-modal fusion model for predicting neoadjuvant therapy response in women with breast cancer.

Yuan Gao, Sofia Ventura-Diaz, Xin Wang, Muzhen He, Zeyan Xu, Arlene Weir, Hong-Yu Zhou, Tianyu Zhang, Frederieke H van Duijnhoven, Luyi Han and 10 more

Abstract readMulticenter Study
In one paragraph

Article in Nature communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 5 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

47 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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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

20 authors.

Yuan GaoGROW School for Oncology and Developmental Biology, Maastricht University Medical Centre, P. Debyelaan 25, 6202 AZ, Maastricht, The Netherlands.ORCID 0000-0001-6326-129X
Sofia Ventura-DiazDepartment of Radiology, St Joseph's Healthcare Hamilton, 50 Charlton Ave E, Hamilton, ON L8N 4A6, Ontario, Canada.
Xin WangGROW School for Oncology and Developmental Biology, Maastricht University Medical Centre, P. Debyelaan 25, 6202 AZ, Maastricht, The Netherlands.ORCID 0000-0001-9619-7503
Muzhen HeDepartment of Radiology, Shengli Clinical Medical College of Fujian Medical University, Fuzhou University Affiliated Provincial Hospital, Fuzhou, Fujian, 350001, China.
Zeyan XuDepartment of Radiology, The Third Affiliated Hospital of Kunming Medical University, Kunming, 650118, China.
Arlene WeirDepartment of Radiology, Cork University Hospital, Wilton, Cork, T12 DC4A, Ireland.
Hong-Yu ZhouDepartment of Biomedical Informatics, Harvard Medical School, Boston, USA.ORCID 0000-0002-1256-7050
Tianyu ZhangGROW School for Oncology and Developmental Biology, Maastricht University Medical Centre, P. Debyelaan 25, 6202 AZ, Maastricht, The Netherlands.ORCID 0000-0001-9891-6874
Frederieke H van DuijnhovenDepartments of Surgical Oncology, Netherlands Cancer Institute, Plesmanlaan 121, 1066 CX, Amsterdam, The Netherlands.
Luyi HanDepartment of Radiology, Netherlands Cancer Institute, Plesmanlaan 121, 1066 CX, Amsterdam, The Netherlands.ORCID 0000-0003-4046-2763
Xiaomei LiThe Second Clinical Medical College of Jinan University, Shenzhen, Guangdong, 518020, China.
Anna D'AngeloDepartment of Diagnostic Imaging, Oncological Radiotherapy and Hematology, Fondazione Policlinico Universitario 'A. Gemelli' IRCCS, Rome, Italy.
Valentina LongoDepartment of Diagnostic Imaging, Oncological Radiotherapy and Hematology, Fondazione Policlinico Universitario 'A. Gemelli' IRCCS, Rome, Italy.
Zaiyi LiuDepartment of Radiology, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, 510080, China.ORCID 0000-0003-3296-9759
Jonas TeuwenDepartment of Radiation Oncology, Netherlands Cancer Institute, Plesmanlaan 121, 1066 CX, Amsterdam, The Netherlands.
Marleen KokDepartment of Tumor Biology and Immunology, Netherlands Cancer Institute, Plesmanlaan 121, 1066 CX, Amsterdam, The Netherlands.ORCID 0000-0001-9043-9815
Regina Beets-TanGROW School for Oncology and Developmental Biology, Maastricht University Medical Centre, P. Debyelaan 25, 6202 AZ, Maastricht, The Netherlands.
Hugo M HorlingsDepartment of Pathology, Netherlands Cancer Institute, Plesmanlaan 121, 1066 CX, Amsterdam, The Netherlands.ORCID 0000-0003-4782-8828
Tao TanFaculty of Applied Sciences, Macao Polytechnic University, 999078, Macao, China. taotanjs@gmail.com.ORCID 0000-0001-5403-0887
Ritse MannDepartment of Radiology, Netherlands Cancer Institute, Plesmanlaan 121, 1066 CX, Amsterdam, The Netherlands.ORCID 0000-0001-8111-1930

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Multi-modal image analysis using deep learning (DL) lays the foundation for neoadjuvant treatment (NAT) response monitoring. However, existing methods prioritize extracting multi-modal features to enhance predictive performance, with limited consideration on real-world clinical applicability, particularly in longitudinal NAT scenarios with multi-modal data. Here, we propose the Multi-modal Response Prediction (MRP) system, designed to mimic real-world physician assessments of NAT responses in breast cancer. To enhance feasibility, MRP integrates cross-modal knowledge mining and temporal information embedding strategy to handle missing modalities and remain less affected by different NAT settings. We validated MRP through multi-center studies and multinational reader studies. MRP exhibited comparable robustness to breast radiologists, outperforming humans in predicting pathological complete response in the Pre-NAT phase (ΔAUROC 14% and 10% on in-house and external datasets, respectively). Furthermore, we assessed MRP's clinical utility impact on treatment decision-making. MRP may have profound implications for enrolment into NAT trials and determining surgery extensiveness.

Indexed as

Breast NeoplasmsDeep LearningNeoadjuvant TherapyAdultAgedFemaleHumansLongitudinal StudiesMiddle AgedMultimodal ImagingTreatment Outcome

Identifiers

PMID39511143
PMCPMC11544255

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.