Evidence map›Paper›PMID 39955424›Full record

ArticleNPJ digital medicine2025

Self supervised artificial intelligence predicts poor outcome from primary cutaneous squamous cell carcinoma at diagnosis.

Nicolas Coudray, Michelle C Juarez, Maressa C Criscito, Adalberto Claudio Quiros, Reason Wilken, Stephanie R Jackson Cullison, Mary L Stevenson, Nicole A Doudican, Ke Yuan, Jamie D Aquino and 15 more

Abstract read
In one paragraph

Article in NPJ digital medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Artificial Intelligence Algorithm Predicts Response to Immune Checkpoint Inhibitors.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
    Article
  5. Article
  6. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

25 authors.

Nicolas Coudray *Applied Bioinformatics Laboratories, New York University School of Medicine, New York, NY, USA.
Michelle C Juarez *The Ronald O. Perelman Department of Dermatology, New York University Grossman School of Medicine, New York, NY, USA.ORCID http://orcid.org/0000-0002-5791-4984
Maressa C Criscito *The Ronald O. Perelman Department of Dermatology, New York University Grossman School of Medicine, New York, NY, USA.ORCID http://orcid.org/0000-0003-0951-3817
Adalberto Claudio Quiros *School of Computing Science, University of Glasgow, Glasgow, Scotland, UK.
Reason WilkenDepartment of Dermatology, Northwell Health, New York, NY, USA.
Stephanie R Jackson CullisonDepartment of Dermatology, Thomas Jefferson University, Philadelphia, PA, USA.
Mary L StevensonThe Ronald O. Perelman Department of Dermatology, New York University Grossman School of Medicine, New York, NY, USA.
Nicole A DoudicanThe Ronald O. Perelman Department of Dermatology, New York University Grossman School of Medicine, New York, NY, USA.
Ke YuanSchool of Computing Science, University of Glasgow, Glasgow, Scotland, UK.ORCID http://orcid.org/0000-0002-2318-1460
Jamie D AquinoDepartment of Dermatology, University of California, San Francisco, San Francisco, CA, USA.
Daniel M KlufasDepartment of Dermatology, University of California, San Francisco, San Francisco, CA, USA.
Jeffrey P NorthDepartment of Dermatology, University of California, San Francisco, San Francisco, CA, USA.
Siegrid S YuDepartment of Dermatology, University of California, San Francisco, San Francisco, CA, USA.
Fadi MuradDepartment of Dermatology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Emily RuizDepartment of Dermatology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Chrysalyne D SchmultsDepartment of Dermatology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Cristian D Cardona MachadoInstituto de Biología Molecular y Celular del Cáncer (Lab 20), Campus Miguel de Unamuno, Salamanca, Spain.
Javier CañuetoInstituto de Biología Molecular y Celular del Cáncer (Lab 20), Campus Miguel de Unamuno, Salamanca, Spain.
Anirudh ChoudharyDepartment of Computer Science, University of Illinois, Urbana-Champain, IL, USA.
Alysia N HughesMayo Clinic, Scottsdale, AZ, USA.
Alyssa StockardMayo Clinic, Scottsdale, AZ, USA.
Zachary Leibovit-ReibenMayo Clinic, Scottsdale, AZ, USA.
Aaron R MangoldMayo Clinic, Scottsdale, AZ, USA.ORCID http://orcid.org/0000-0001-6873-1705
Aristotelis TsirigosApplied Bioinformatics Laboratories, New York University School of Medicine, New York, NY, USA. Aristotelis.Tsirigos@nyulangone.org.ORCID http://orcid.org/0000-0002-7512-8477
John A CarucciThe Ronald O. Perelman Department of Dermatology, New York University Grossman School of Medicine, New York, NY, USA. John.Carucci@nyulangone.org.

Funding

Vaccine FacilityP30CA016087 · NCI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI ANIRBAN MAITRA · 1985 to 2026
$83.1M
SHORT-TERM TRAINING STUDENTS IN HEALTH PROFESSIONAL SCHOT35HL007479 · NHLBI · UNIVERSITY OF ARIZONA · PI GEOFFREY C GURTNER, JAMES Kuang-Jan LIAO · 1985 to 2026
$4.4M
NCI NIH HHS P30 CA016087NHLBI NIH HHS T35 HL007479
6 · The paper itself

Abstract

Primary cutaneous squamous cell carcinoma (cSCC) is responsible for ~10,000 deaths annually in the United States. Stratification of risk of poor outcome at initial biopsy would significantly impact clinical decision-making during the initial post operative period where intervention has been shown to be most effective. Using whole-slide images (WSI) from 163 patients from 3 institutions, we developed a self supervised deep-learning model to predict poor outcomes in cSCC patients from histopathological features at initial diagnosis, and validated it using WSI from 563 patients, collected from two other academic institutions. For disease-free survival prediction, the model attained a concordance index of 0.73 in the development cohort and 0.84 in the Mayo cohort. The model's interpretability revealed that features like poor differentiation and deep invasion were strongly associated with poor prognosis. Furthermore, the model is effective in stratifying risk among BWH T2a and AJCC T2, known for outcome heterogeneity.

Identifiers

PMID39955424
PMCPMC11830021

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.