Evidence map›Paper›PMID 40410262›Full record

ArticleNPJ digital medicine2025

Multimodal fusion model for prognostic prediction and radiotherapy response assessment in head and neck squamous cell carcinoma.

Ruxian Tian, Feng Hou, Haicheng Zhang, Guohua Yu, Ping Yang, Jiaxuan Li, Ting Yuan, Xi Chen, Ying Chen, Yan Hao and 12 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 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

15 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

22 authors.

Ruxian Tian *Department of Otorhinolaryngology, Head and Neck Surgery, Yantai Yuhuangding Hospital, Qingdao University, Yantai, China.
Feng Hou *Department of Pathology, Affiliated Hospital of Qingdao University, Qingdao, China.
Haicheng Zhang *Key Laboratory of Biomedical Information Engineering of Ministry of Education, School of Life Science and Technology, Xi'an Jiaotong University, Xi'an, China.
Guohua Yu *Department of Pathology, Yantai Yuhuangding Hospital, Qingdao University, Yantai, China.
Ping Yang *Department of Pathology, Yantai Yuhuangding Hospital, Qingdao University, Yantai, China.
Jiaxuan LiDepartment of Otorhinolaryngology, Head and Neck Surgery, Yantai Yuhuangding Hospital, Qingdao University, Yantai, China.
Ting YuanDepartment of Otorhinolaryngology, Head and Neck Surgery, Yantai Yuhuangding Hospital, Qingdao University, Yantai, China.
Xi ChenDepartment of Otorhinolaryngology, Head and Neck Surgery, Yantai Yuhuangding Hospital, Qingdao University, Yantai, China.
Ying ChenThe Second School of Clinical Medicine of Binzhou Medical University, Yantai, China.
Yan HaoShandong University of Traditional Chinese Medicine, Jinan, China.
Yisong YaoDepartment of Otorhinolaryngology, Head and Neck Surgery, Yantai Yuhuangding Hospital, Qingdao University, Yantai, China.
Hongfei ZhaoDepartment of Otorhinolaryngology, Head and Neck Surgery, Yantai Yuhuangding Hospital, Qingdao University, Yantai, China.
Pengyi YuDepartment of Otorhinolaryngology, Head and Neck Surgery, Yantai Yuhuangding Hospital, Qingdao University, Yantai, China.
Han FangDepartment of Otorhinolaryngology, Head and Neck Surgery, Yantai Yuhuangding Hospital, Qingdao University, Yantai, China.
Liling SongThe Second School of Clinical Medicine of Binzhou Medical University, Yantai, China.
Anning LiDepartment of Radiology, Qilu Hospital of Shandong University, Jinan, China.
Zhonglu LiuDepartment of Otorhinolaryngology, Head and Neck Surgery, Yantai Yuhuangding Hospital, Qingdao University, Yantai, China.
Huaiqing LvLinyi People's Hospital Affiliated to Shandong Second Medical University, Linyi, China. lvhuaiqing@126.com.
Dexin YuDepartment of Radiology, Qilu Hospital of Shandong University, Jinan, China. yudexin0330@sina.com.
Hongxia ChengDepartment of Pathology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China. hongxiacheng322@hotmail.com.
Ning MaoBig Data and Artificial Intelligence Laboratory, Yantai Yuhuangding Hospital, Qingdao University, Yantai, China. maoning@pku.edu.cn.
Xicheng SongDepartment of Otorhinolaryngology, Head and Neck Surgery, Yantai Yuhuangding Hospital, Qingdao University, Yantai, China. drxchsong@163.com.

Funding

Taishan Scholar Project of Shandong Province No.ts20190991Taishan Scholar Project of Shandong Province tsqn202103197The Key R&D Project of Shandong Province 2022CXPT023The Natural Science Foundation of China 82371933
6 · The paper itself

Abstract

Accurate prediction of prognosis and postoperative radiotherapy response is critical for personalized treatment in head and neck squamous cell carcinoma (HNSCC). We developed a multimodal deep learning model (MDLM) integrating computed tomography, whole-slide images, and clinical features from 1087 HNSCC patients across multiple centers. The MDLM exhibited good performance in predicting overall survival (OS) and disease-free survival in external test cohorts. Additionally, the MDLM outperformed unimodal models. Patients with a high-risk score who underwent postoperative radiotherapy exhibited prolonged OS compared to those who did not (P = 0.016), whereas no significant improvement in OS was observed among patients with a low-risk score (P = 0.898). Biological exploration indicated that the model may be related to changes in the cytochrome P450 metabolic pathway, tumor microenvironment, and myeloid-derived cell subpopulations. Overall, the MDLM effectively predicts prognosis and postoperative radiotherapy response, offering a promising tool for personalized HNSCC therapy.

Identifiers

PMID40410262
PMCPMC12102330

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.