Evidence map›Paper›PMID 39720418›Full record

ArticleJournal of pathology informatics2025

Deep learning-based classification of breast cancer molecular subtypes from H&E whole-slide images.

Masoud Tafavvoghi, Anders Sildnes, Mehrdad Rakaee, Nikita Shvetsov, Lars Ailo Bongo, Lill-Tove Rasmussen Busund, Kajsa Møllersen

Abstract read
In one paragraph

Article in Journal of pathology informatics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. 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

7 authors.

Masoud TafavvoghiDepartment of Community Medicine, Uit The Arctic University of Norway, Tromsø, Norway.
Anders SildnesDepartment of Computer Science, Uit The Arctic University of Norway, Tromsø, Norway.
Mehrdad RakaeeDepartment of Medical Biology, Uit The Arctic University of Norway, Tromsø, Norway.
Nikita ShvetsovDepartment of Computer Science, Uit The Arctic University of Norway, Tromsø, Norway.
Lars Ailo BongoDepartment of Computer Science, Uit The Arctic University of Norway, Tromsø, Norway.
Lill-Tove Rasmussen BusundDepartment of Medical Biology, Uit The Arctic University of Norway, Tromsø, Norway.
Kajsa MøllersenDepartment of Community Medicine, Uit The Arctic University of Norway, Tromsø, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Classifying breast cancer molecular subtypes is crucial for tailoring treatment strategies. While immunohistochemistry (IHC) and gene expression profiling are standard methods for molecular subtyping, IHC can be subjective, and gene profiling is costly and not widely accessible in many regions. Previous approaches have highlighted the potential application of deep learning models on hematoxylin and eosin (H&E)-stained whole-slide images (WSIs) for molecular subtyping, but these efforts vary in their methods, datasets, and reported performance. In this work, we investigated whether H&E-stained WSIs could be solely leveraged to predict breast cancer molecular subtypes (luminal A, B, HER2-enriched, and Basal). We used 1433 WSIs of breast cancer in a two-step pipeline: first, classifying tumor and non-tumor tiles to use only the tumor regions for molecular subtyping; and second, employing a One-vs-Rest (OvR) strategy to train four binary OvR classifiers and aggregating their results using an eXtreme Gradient Boosting model. The pipeline was tested on 221 hold-out WSIs, achieving an F1 score of 0.95 for tumor vs non-tumor classification and a macro F1 score of 0.73 for molecular subtyping. Our findings suggest that, with further validation, supervised deep learning models could serve as supportive tools for molecular subtyping in breast cancer. Our codes are made available to facilitate ongoing research and development.

Indexed as

Breast cancerClassificationDeep learningMolecular subtypesWhole-slide images

Identifiers

PMID39720418
PMCPMC11667687

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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.