Evidence map›Paper›PMID 40335632›Full record

ArticleNPJ precision oncology2025

Biopsy image-based deep learning for predicting pathologic response to neoadjuvant chemotherapy in patients with NSCLC.

Yibo Zhang, Shuaibo Wang, Xinying Liu, Yang Qu, Zijian Yang, Yang Su, Bin Hu, Yousheng Mao, Dongmei Lin, Lin Yang and 1 more

Abstract read
In one paragraph

Article in NPJ precision oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. A modular framework for antibody-drug conjugate biomarkers.Nature reviews. Clinical oncology · 2026
    Review
  2. Article
  3. Review
  4. Article
  5. Article
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

11 authors.

Yibo Zhang *Institute of Genomic Medicine, School of Biomedical Engineering, Wenzhou Medical University, Wenzhou, 325027, P. R. China.
Shuaibo Wang *Department of Thoracic Surgery, Beijing Institute of Respiratory Medicine and Beijing Chao-Yang Hospital, Capital Medical University, Beijing, 100020, P. R. China.
Xinying Liu *Department of Pathology, Peking University Cancer Hospital & Institute, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Beijing, 100142, P. R. China.
Yang Qu *Department of Pathology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, P. R. China.
Zijian YangInstitute of Genomic Medicine, School of Biomedical Engineering, Wenzhou Medical University, Wenzhou, 325027, P. R. China.
Yang SuInstitute of Genomic Medicine, School of Biomedical Engineering, Wenzhou Medical University, Wenzhou, 325027, P. R. China.
Bin HuDepartment of Thoracic Surgery, Beijing Institute of Respiratory Medicine and Beijing Chao-Yang Hospital, Capital Medical University, Beijing, 100020, P. R. China.
Yousheng MaoDepartment of Thoracic Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, P. R. China. youshengmao@gmail.com.
Dongmei LinDepartment of Pathology, Peking University Cancer Hospital & Institute, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Beijing, 100142, P. R. China. lindm3@163.com.
Lin YangDepartment of Pathology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, P. R. China. yanglin@cicams.ac.cn.ORCID http://orcid.org/0000-0002-7594-3770
Meng ZhouInstitute of Genomic Medicine, School of Biomedical Engineering, Wenzhou Medical University, Wenzhou, 325027, P. R. China. zhoumeng@wmu.edu.cn.ORCID http://orcid.org/0000-0001-9987-9024

Funding

Beijing Chao-Yang Hospital Golden Seeds Foundation CYJZ202410
6 · The paper itself

Abstract

Neoadjuvant chemotherapy (NAC) is a widely used therapeutic strategy for patients with resectable non-small cell lung cancer (NSCLC). However, individual responses to NAC vary widely among patients, limiting its effective clinical application. In this study, we propose a weakly supervised deep learning model, DeepDrRVT, which integrates self-supervised feature extraction and attention-based deep multiple instance learning, to improve NAC decision making from pretreatment biopsy images. DeepDrRVT demonstrated superior predictive performance and generalizability, achieving AUCs of 0.954, 0.872 and 0.848 for complete pathologic response, and 0.968, 0.893 and 0.831 for major pathologic response in the training, internal validation and external validation cohorts, respectively. The DeepDrRVT digital assessment of residual viable tumor correlated significantly with the local pathologists' visual assessment (Pearson r = 0.98, 0.80, and 0.59; digital/visual slope = 1.0, 0.8 and 0.55) and was also associated with longer disease-free survival (DFS) in all cohorts (HR = 0.455, 95% CI 0.234-0.887, P = 0.018; HR = 0.347, 95% CI 0.135-0.892, P = 0.021 and HR = 0.446, 95% CI 0.193-1.027, P = 0.051). Furthermore, DeepDrRVT remained an independent prognostic factor for DFS after adjustment for clinicopathologic variables (HR = 0.456, 95% CI 0.227-0.914, P = 0.027; HR = 0.358, 95% CI 0.135-0.949, P = 0.039 and HR = 0.419, 95% CI 0.181-0.974, P = 0.043). Thus, DeepDrRVT holds promise as an accessible and reliable tool for clinicians to make more informed treatment decisions prior to the initiation of NAC.

Identifiers

PMID40335632
PMCPMC12059055

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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.