Evidence map›Paper›PMID 39880907›Full record

ArticleNature cancer2025

Spatially resolved transcriptomics and graph-based deep learning improve accuracy of routine CNS tumor diagnostics.

Michael Ritter, Christina Blume, Yiheng Tang, Areeba Patel, Bhuvic Patel, Natalie Berghaus, Jasim Kada Benotmane, Jan Kueckelhaus, Yahaya Yabo, Junyi Zhang and 18 more

Abstract read
In one paragraph

Article in Nature cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing 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

20 citing papers in PubMed.

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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

28 authors.

Michael RitterDept. of Neuropathology, University Hospital Heidelberg, Heidelberg, Germany.
Christina BlumeDept. of Neuropathology, University Hospital Heidelberg, Heidelberg, Germany.
Yiheng TangDept. of Neuropathology, University Hospital Heidelberg, Heidelberg, Germany.ORCID 0000-0002-9484-3353
Areeba PatelDept. of Neuropathology, University Hospital Heidelberg, Heidelberg, Germany.
Bhuvic PatelDept. of Neuropathology, University Hospital Heidelberg, Heidelberg, Germany.
Natalie BerghausDept. of Neuropathology, University Hospital Heidelberg, Heidelberg, Germany.
Jasim Kada BenotmaneDepartment of Neurosurgery, University Hospital Erlangen, Erlangen, Germany.
Jan KueckelhausDepartment of Neurosurgery, University Hospital Erlangen, Erlangen, Germany.
Yahaya YaboDepartment of Neurosurgery, University Hospital Erlangen, Erlangen, Germany.ORCID 0000-0002-1128-6038
Junyi ZhangTranslational Neurosurgery, Friedrich-Alexander Universität Nürnberg-Erlangen, Erlangen, Germany.ORCID 0000-0002-0001-2971
Elena GrabisTranslational Neurosurgery, Friedrich-Alexander Universität Nürnberg-Erlangen, Erlangen, Germany.
Giulia VillaMicroenvironment and Immunology Research Laboratory, Friedrich-Alexander Universität Nürnberg-Erlangen, Erlangen, Germany.
David Niklas ZimmerDepartment of Neurosurgery, Medical Center - University of Freiburg, Freiburg, Germany.
Amir KhrieshDepartment of Neurosurgery, University Hospital Erlangen, Erlangen, Germany.
Philipp SieversDept. of Neuropathology, University Hospital Heidelberg, Heidelberg, Germany.ORCID 0000-0003-3237-6021
Zaira SeferbekovaDivision of AI in Oncology, German Cancer Research Center (DKFZ), Heidelberg, Germany.ORCID 0000-0002-3131-3697
Felix HinzDept. of Neuropathology, University Hospital Heidelberg, Heidelberg, Germany.
Vidhya M RaviDepartment of Neurosurgery, Medical Center - University of Freiburg, Freiburg, Germany.ORCID 0000-0003-0062-2099
Marcel Seiz-RosenhagenDepartment of Neurosurgery, Hospital Memmingen, Memmingen, Germany.
Miriam RatliffDepartment of Neurosurgery, University Medicine Mannheim, University of Heidelberg, Mannheim, Germany.ORCID 0000-0002-9464-6544
Christel Herold-MendeDivision of Experimental Neurosurgery, University Hospital Heidelberg, Heidelberg, Germany.ORCID 0000-0002-1915-745X
Oliver SchnellDivision of Pediatric Neurooncology, German Consortium for Translational Cancer Research (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany.
Juergen BeckDepartment of Neurosurgery, Medical Center - University of Freiburg, Freiburg, Germany.ORCID 0000-0002-7687-6098
Wolfgang WickClinical Cooperation Unit Neurooncology, German Consortium for Translational Cancer Research (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany.ORCID 0000-0002-6171-634X
Andreas von DeimlingDept. of Neuropathology, University Hospital Heidelberg, Heidelberg, Germany.ORCID 0000-0002-5863-540X
Moritz GerstungDivision of AI in Oncology, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Dieter Henrik Heiland *Department of Neurological Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA. henrik.heiland@uk-erlangen.de.ORCID 0000-0002-9258-3033
Felix Sahm *Dept. of Neuropathology, University Hospital Heidelberg, Heidelberg, Germany. Felix.sahm@med.uni-heidelberg.de.ORCID 0000-0001-5441-1962

Funding

Deutsche Forschungsgemeinschaft (German Research Foundation) HE 8145/5-1
6 · The paper itself

Abstract

The diagnostic landscape of brain tumors integrates comprehensive molecular markers alongside traditional histopathological evaluation. DNA methylation and next-generation sequencing (NGS) have become a cornerstone in central nervous system (CNS) tumor classification. A limiting requirement for NGS and methylation profiling is sufficient DNA quality and quantity, which restrict its feasibility. Here we demonstrate NePSTA (neuropathology spatial transcriptomic analysis) for comprehensive morphological and molecular neuropathological diagnostics from single 5-µm tissue sections. NePSTA uses spatial transcriptomics with graph neural networks for automated histological and molecular evaluations. Trained and evaluated across 130 participants with CNS malignancies and healthy donors across four medical centers, NePSTA predicts tissue histology and methylation-based subclasses with high accuracy. We demonstrate the ability to reconstruct immunohistochemistry and genotype profiling on tissue with minimal requirements, inadequate for conventional molecular diagnostics, demonstrating the potential to enhance tumor subtype identification with implications for fast and precise diagnostic workup.

Indexed as

Brain NeoplasmsCentral Nervous System NeoplasmsDeep LearningGene Expression ProfilingTranscriptomeBiomarkers, TumorDNA MethylationFemaleHigh-Throughput Nucleotide SequencingHumansMaleBiomarkers, Tumor

Identifiers

PMID39880907
PMCPMC11864981

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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.