Evidence map›Paper›PMID 40057490›Full record

ArticleNature communications2025

Self-supervised learning reveals clinically relevant histomorphological patterns for therapeutic strategies in colon cancer.

Bojing Liu, Meaghan Polack, Nicolas Coudray, Adalberto Claudio Quiros, Theodore Sakellaropoulos, Hortense Le, Afreen Karimkhan, Augustinus S L P Crobach, J Han J M van Krieken, Ke Yuan and 3 more

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

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

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

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors.

Bojing Liu *Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Karolinska, Sweden.
Meaghan Polack *Department of Surgery, Leiden University Medical Center, Leiden, The Netherlands.ORCID http://orcid.org/0000-0001-7980-7533
Nicolas CoudrayApplied Bioinformatics Laboratories, New York University Grossman School of Medicine, New York, NY, USA.
Adalberto Claudio QuirosDepartment of Computing Science, University of Glasgow, Glasgow, United Kingdom.
Theodore SakellaropoulosApplied Bioinformatics Laboratories, New York University Grossman School of Medicine, New York, NY, USA.
Hortense LeApplied Bioinformatics Laboratories, New York University Grossman School of Medicine, New York, NY, USA.ORCID http://orcid.org/0000-0001-6681-7652
Afreen KarimkhanDepartment of Pathology, New York University Grossman School of Medicine, New York, NY, USA.
Augustinus S L P CrobachDepartment of Pathology, Leiden University Medical Center, Leiden, The Netherlands.
J Han J M van KriekenDepartment of Pathology, Radboud University Medical Center, Nijmegen, The Netherlands.
Ke YuanDepartment of Computing Science, University of Glasgow, Glasgow, United Kingdom.ORCID http://orcid.org/0000-0002-2318-1460
Rob A E M TollenaarDepartment of Surgery, Leiden University Medical Center, Leiden, The Netherlands.
Wilma E MeskerDepartment of Surgery, Leiden University Medical Center, Leiden, The Netherlands.
Aristotelis TsirigosApplied Bioinformatics Laboratories, New York University Grossman School of Medicine, New York, NY, USA. Aristotelis.Tsirigos@nyulangone.org.ORCID http://orcid.org/0000-0002-7512-8477

Funding

Vaccine FacilityP30CA016087 · NCI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI ANIRBAN MAITRA · 1985 to 2026
$83.1M
NCI NIH HHS P30 CA016087Vetenskapsrådet (Swedish Research Council) 2019-06360
6 · The paper itself

Abstract

Self-supervised learning (SSL) automates the extraction and interpretation of histopathology features on unannotated hematoxylin-eosin-stained whole slide images (WSIs). We train an SSL Barlow Twins encoder on 435 colon adenocarcinoma WSIs from The Cancer Genome Atlas to extract features from small image patches (tiles). Leiden community detection groups tiles into histomorphological phenotype clusters (HPCs). HPC reproducibility and predictive ability for overall survival are confirmed in an independent clinical trial (N = 1213 WSIs). This unbiased atlas results in 47 HPCs displaying unique and shared clinically significant histomorphological traits, highlighting tissue type, quantity, and architecture, especially in the context of tumor stroma. Through in-depth analyses of these HPCs, including immune landscape and gene set enrichment analyses, and associations to clinical outcomes, we shine light on the factors influencing survival and responses to treatments of standard adjuvant chemotherapy and experimental therapies. Further exploration of HPCs may unveil additional insights and aid decision-making and personalized treatments for colon cancer patients.

Indexed as

AdenocarcinomaColonic NeoplasmsSupervised Machine LearningAgedChemotherapy, AdjuvantFemaleHumansMaleMiddle AgedReproducibility of Results

Identifiers

PMID40057490
PMCPMC11890774

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.