Evidence map›Paper›PMID 40664754›Full record

ArticleNPJ precision oncology2025

AI-powered prediction model for neoadjuvant chemotherapy efficacy: comprehensive analysis of breast cancer histological images.

Fengling Li, Yani Wei, Wenchuan Zhang, Yuanyuan Zhao, Jing Fu, Xiuli Xiao, Yan Qiu, Yuhao Yi, Yongquan Yang, Hong Bu

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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

10 authors.

Fengling LiDepartment of Pathology, West China Hospital, Sichuan University, Chengdu, China.
Yani WeiInstitute of Clinical Pathology, West China Hospital, Sichuan University, Chengdu, China.
Wenchuan ZhangDepartment of Pathology, West China Hospital, Sichuan University, Chengdu, China.
Yuanyuan ZhaoDepartment of Pathology, Shanxi Province Cancer Hospital/Shanxi Hospital Affiliated to Cancer Hospital, Chinese Academy of Medical Sciences/Cancer Hospital Affiliated to Shanxi Medical University, Taiyuan, China.
Jing FuDepartment of Pathology, Sichuan Provincial People's Hospital, Chengdu, China.
Xiuli XiaoDepartment of Pathology, The Affiliated Hospital of Southwest Medical University, Luzhou, China.
Yan QiuDepartment of Pathology, West China Hospital, Sichuan University, Chengdu, China.
Yuhao YiInstitute of Clinical Pathology, West China Hospital, Sichuan University, Chengdu, China. yuhaoyi@scu.edu.cn.
Yongquan YangInstitute of Clinical Pathology, West China Hospital, Sichuan University, Chengdu, China. remy_yang@foxmail.com.
Hong BuDepartment of Pathology, West China Hospital, Sichuan University, Chengdu, China.

Funding

Natural Science Foundation Project of Science & Technology Department of Sichuan Province 24NSFSC7843the National Natural Science Foundation of China 82404081the Sichuan Science and Technology Program 2024YFFK0339
6 · The paper itself

Abstract

Breast cancer patients exhibit variable responses to neoadjuvant therapy (NAT), necessitating robust predictive biomarkers. We developed an artificial intelligence (AI)-driven integrated predictive model (IPM) combining histopathological, clinical, and immune features to address this challenge. Using whole-slide images from 1035 patients across four centers, we compared tumor epithelium (TE-score), stroma (TS-score), and whole-tumor (TR-score) deep learning biomarkers, identifying TR-score as optimal (AUC = 0.729 vs. 0.686/0.719 for TE/TS-scores). The IPM, incorporating TR-score and clinical variables, demonstrated superior NAT response prediction versus clinicopathological models (validation AUC = 0.780 vs. 0.706, p < 0.001), with 10% higher accuracy. Immune profiling further enhanced performance (AUC = 0.831 vs. 0.822, p = 0.183). These results establish the biological and clinical validity of TR-score for characterizing tumor-stroma interactions, with IPM providing a generalizable framework for precision oncology. The model's stability across multicenter cohorts (AUCs 0.781-0.816) and incremental value of immune data suggest its utility in guiding NAT decision-making and trial stratification.

Identifiers

PMID40664754
PMCPMC12263982

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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.