Evidence map›Paper›PMID 39885364›Full record

ArticleNature cancer2025

Decoding pan-cancer treatment outcomes using multimodal real-world data and explainable artificial intelligence.

Julius Keyl, Philipp Keyl, Grégoire Montavon, René Hosch, Alexander Brehmer, Liliana Mochmann, Philipp Jurmeister, Gabriel Dernbach, Moon Kim, Sven Koitka and 28 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 42 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 2 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

42 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  12. AI and Blood Banking: Predicting Transfusion Demand - A Systematic Review of Forecasting Approaches.Transfusion medicine and hemotherapy : offizielles Organ der Deutschen Gesellschaft fur Transfusionsmedizin und Immunhamatologie · 2026
    Review
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  20. Leveraging AI for cell biology discovery.Biochemical Society transactions · 2026
    Review
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

38 authors.

Julius Keyl *Institute for Artificial Intelligence in Medicine, University Hospital Essen (AöR), Essen, Germany.ORCID 0000-0002-5617-091X
Philipp Keyl *Institute of Pathology, Ludwig-Maximilians-University Munich, Munich, Germany.ORCID 0000-0002-5472-4683
Grégoire MontavonBIFOLD - Berlin Institute for the Foundations of Learning and Data, Berlin, Germany.ORCID 0000-0001-7243-6186
René HoschInstitute for Artificial Intelligence in Medicine, University Hospital Essen (AöR), Essen, Germany.
Alexander BrehmerInstitute for Artificial Intelligence in Medicine, University Hospital Essen (AöR), Essen, Germany.
Liliana MochmannInstitute of Pathology, Ludwig-Maximilians-University Munich, Munich, Germany.
Philipp JurmeisterInstitute of Pathology, Ludwig-Maximilians-University Munich, Munich, Germany.
Gabriel DernbachMachine Learning Group, Technical University of Berlin, Berlin, Germany.
Moon KimInstitute for Artificial Intelligence in Medicine, University Hospital Essen (AöR), Essen, Germany.ORCID 0000-0002-7546-3910
Sven KoitkaInstitute for Artificial Intelligence in Medicine, University Hospital Essen (AöR), Essen, Germany.
Sebastian BauerDepartment of Medical Oncology, University Hospital Essen (AöR), Essen, Germany.ORCID 0000-0001-5949-8120
Nikolaos BechrakisMedical Faculty, University of Duisburg-Essen, Essen, Germany.
Michael ForstingInstitute for Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen (AöR), Essen, Germany.
Dagmar Führer-SakelMedical Faculty, University of Duisburg-Essen, Essen, Germany.
Martin GlasMedical Faculty, University of Duisburg-Essen, Essen, Germany.
Viktor GrünwaldDepartment of Medical Oncology, University Hospital Essen (AöR), Essen, Germany.ORCID 0000-0003-2083-7687
Boris HadaschikMedical Faculty, University of Duisburg-Essen, Essen, Germany.
Johannes HauboldInstitute for Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen (AöR), Essen, Germany.
Ken HerrmannMedical Faculty, University of Duisburg-Essen, Essen, Germany.
Stefan KasperDepartment of Medical Oncology, University Hospital Essen (AöR), Essen, Germany.
Rainer KimmigMedical Faculty, University of Duisburg-Essen, Essen, Germany.
Stephan LangMedical Faculty, University of Duisburg-Essen, Essen, Germany.
Tienush RassafMedical Faculty, University of Duisburg-Essen, Essen, Germany.
Alexander RoeschMedical Faculty, University of Duisburg-Essen, Essen, Germany.ORCID 0000-0002-0773-6067
Dirk SchadendorfMedical Faculty, University of Duisburg-Essen, Essen, Germany.ORCID 0000-0003-3524-7858
Jens T SivekeDepartment of Medical Oncology, University Hospital Essen (AöR), Essen, Germany.ORCID 0000-0002-8772-4778
Martin StuschkeMedical Faculty, University of Duisburg-Essen, Essen, Germany.
Ulrich SureMedical Faculty, University of Duisburg-Essen, Essen, Germany.ORCID 0000-0002-9073-1821
Matthias TotzeckMedical Faculty, University of Duisburg-Essen, Essen, Germany.
Anja WeltDepartment of Medical Oncology, University Hospital Essen (AöR), Essen, Germany.
Marcel WieswegDepartment of Medical Oncology, University Hospital Essen (AöR), Essen, Germany.ORCID 0000-0002-9698-9559
Hideo A BabaInstitute of Pathology, University Hospital Essen (AöR), Essen, Germany.
Felix NensaInstitute for Artificial Intelligence in Medicine, University Hospital Essen (AöR), Essen, Germany.
Jan EggerInstitute for Artificial Intelligence in Medicine, University Hospital Essen (AöR), Essen, Germany.
Klaus-Robert MüllerBIFOLD - Berlin Institute for the Foundations of Learning and Data, Berlin, Germany. klaus-robert.mueller@tu-berlin.de.ORCID 0000-0002-3861-7685
Martin SchulerDepartment of Medical Oncology, University Hospital Essen (AöR), Essen, Germany. Martin.Schuler@uk-essen.de.ORCID 0000-0002-2166-3394
Frederick KlauschenInstitute of Pathology, Ludwig-Maximilians-University Munich, Munich, Germany. Frederick.Klauschen@med.uni-muenchen.de.ORCID 0000-0002-9131-2389
Jens KleesiekInstitute for Artificial Intelligence in Medicine, University Hospital Essen (AöR), Essen, Germany. Jens.Kleesiek@uk-essen.de.ORCID 0000-0001-8686-0682

Funding

Bundesministerium für Bildung und Forschung (Federal Ministry of Education and Research) 01IS14013A-E, 01GQ1115, 01GQ0850, 01IS18056A, 01IS18025A and 01IS18037ABundesministerium für Bildung und Forschung (Federal Ministry of Education and Research) BMBF; 01KD2206A/SATURN3Deutsche Forschungsgemeinschaft (German Research Foundation) 418179183 - KFO 337(RO 3577/3-2 (AR), RO 3577/7-1 (AR), SCHA 422/17-1 (DS)Deutsche Forschungsgemeinschaft (German Research Foundation) FU 356/12-2
6 · The paper itself

Abstract

Despite advances in precision oncology, clinical decision-making still relies on limited variables and expert knowledge. To address this limitation, we combined multimodal real-world data and explainable artificial intelligence (xAI) to introduce AI-derived (AID) markers for clinical decision support. We used xAI to decode the outcome of 15,726 patients across 38 solid cancer entities based on 350 markers, including clinical records, image-derived body compositions, and mutational tumor profiles. xAI determined the prognostic contribution of each clinical marker at the patient level and identified 114 key markers that accounted for 90% of the neural network's decision process. Moreover, xAI enabled us to uncover 1,373 prognostic interactions between markers. Our approach was validated in an independent cohort of 3,288 patients with lung cancer from a US nationwide electronic health record-derived database. These results show the potential of xAI to transform the assessment of clinical variables and enable personalized, data-driven cancer care.

Indexed as

Artificial IntelligenceNeoplasmsBiomarkers, TumorClinical Decision-MakingDecision Support Systems, ClinicalElectronic Health RecordsFemaleHumansMaleNeural Networks, ComputerPrecision MedicinePrognosisTreatment OutcomeBiomarkers, Tumor

Identifiers

PMID39885364
PMCPMC11864985

What OpenQuestion holds

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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.