Evidence map›Paper›PMID 39827151›Full record

ArticleScientific reports2025

Impact of stain variation and color normalization for prognostic predictions in pathology.

Siyu Lin, Haowen Zhou, Mark Watson, Ramaswamy Govindan, Richard J Cote, Changhuei Yang

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

16 citing papers in PubMed.

  1. Review
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  7. Mitigating Batch Effects in Histopathology via Language-Mediated Robust Embedding Generation.Proceedings. IEEE Computer Society Conference on Computer Vision and Pattern Recognition · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Siyu LinDepartment of Electrical Engineering, California Institute of Technology, Pasadena, CA, 91125, USA.
Haowen ZhouDepartment of Electrical Engineering, California Institute of Technology, Pasadena, CA, 91125, USA.
Mark WatsonDepartment of Pathology and Immunology, Washington University School of Medicine, St. Louis, MO, 63110, USA.
Ramaswamy GovindanDepartment of Medicine, Washington University School of Medicine, St. Louis, MO, 63110, USA.
Richard J CoteDepartment of Pathology and Immunology, Washington University School of Medicine, St. Louis, MO, 63110, USA.
Changhuei YangDepartment of Electrical Engineering, California Institute of Technology, Pasadena, CA, 91125, USA. chyang@caltech.edu.

Funding

A comprehensive liquid biopsy platform for detection and prognostication in early stage breast cancerU01CA233363 · NCI · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI AGARWAL, ASHUTOSH, COTE, RICHARD JAMES · 2018 to 2022
$2.6M
GENOMIC HARBINGERS OF BRAIN METASTASIS IN NON SMALL CELL LUNG CANCERR01CA182746 · NCI · WASHINGTON UNIVERSITY · PI GOVINDAN, RAMASWAMY, WATSON, MARK A. · 2014 to 2018
$1.6M
Caltech Rothenberg Innovation Initiative A4188-Yang-3-A1Heritage Medical Research Institute HMRI-15-09-01NCI NIH HHS 5R01CA182746NCI NIH HHS R01 CA182746NCI NIH HHS U01 CA233363NCI NIH HHS U01CA233363
6 · The paper itself

Abstract

In recent years, deep neural networks (DNNs) have demonstrated remarkable performance in pathology applications, potentially even outperforming expert pathologists due to their ability to learn subtle features from large datasets. One complication in preparing digital pathology datasets for DNN tasks is the variation in tinctorial qualities. A common way to address this is to perform stain normalization on the images. In this study, we show that a well-trained DNN model trained on one batch of histological slides failed to generalize to another batch prepared at a different time from the same tissue blocks, even when stain normalization methods were applied. This study used sample data from a previously reported DNN that was able to identify patients with early-stage non-small cell lung cancer (NSCLC) whose tumors did and did not metastasize, with high accuracy, based on training and then testing of digital images from H&E stained primary tumor tissue sections processed at the same time. In this study, we obtained a new series of histologic slides from the adjacent recuts of the same tissue blocks processed in the same lab but at a different time. We found that the DNN trained on either batch of slides/images was unable to generalize and failed to predict progression in the other batch of slides/images (AUC

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsStaining and LabelingColorDeep LearningHumansImage Processing, Computer-AssistedNeural Networks, ComputerPrognosis

Identifiers

PMID39827151
PMCPMC11742970

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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.