Evidence map›Paper›PMID 40695288›Full record

ArticleCell reports. Medicine2025

TME-guided deep learning predicts chemotherapy and immunotherapy response in gastric cancer with attention-enhanced residual Swin Transformer.

Shengtian Sang, Zepang Sun, Wenbo Zheng, Wei Wang, Md Tauhidul Islam, Yijun Chen, Qingyu Yuan, Chuanli Cheng, Sujuan Xi, Zhen Han and 11 more

Abstract read
In one paragraph

Article in Cell reports. Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

21 authors.

Shengtian SangDepartment of Biomedical Informatics, University at Buffalo, Buffalo, NY, USA; Department of Computer Science, University of Miami, Miami, FL, USA; Department of Radiology, Stanford University School of Medicine, Stanford, CA, USA.
Zepang SunDepartment of Gastrointestinal Surgery, The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Wenbo ZhengDepartment of General Surgery & Guangdong Provincial Key Laboratory of Precision Medicine for Gastrointestinal Tumor, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Wei WangDepartment of Gastric Surgery, Sun Yat-sen University Cancer Center, Guangzhou, China.
Md Tauhidul IslamDepartment of Radiation Oncology, Stanford University School of Medicine, Stanford, CA, USA.
Yijun ChenDepartment of Radiation Oncology, Wake Forest University School of Medicine, Winston Salem, NC, USA.
Qingyu YuanDepartment of Medical Imaging Center, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Chuanli ChengDepartment of Medical Imaging Center, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Sujuan XiThe Reproductive Medical Center, The Seventh Affiliated Hospital of Sun Yat-sen University, Shenzhen, China.
Zhen HanDepartment of General Surgery & Guangdong Provincial Key Laboratory of Precision Medicine for Gastrointestinal Tumor, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Taojun ZhangDepartment of General Surgery & Guangdong Provincial Key Laboratory of Precision Medicine for Gastrointestinal Tumor, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Lin WuDepartment of Pathology, the Third Affiliated Hospital of Kunming Medical University, Yunnan Cancer Hospital, Yunnan Cancer Center, Kunming, China.
Wencheng LiDepartment of Pathology, Wake Forest University School of Medicine, Winston Salem, NC, USA.
Jingjing XieGraduate Group of Epidemiology, University of California Davis, Davis, CA, USA.
Wanying FengDepartment of Pathology, School of Basic Medical Sciences, Southern Medical University, Guangzhou, China.
Yan ChenShenzhen Hospital of Integrated Traditional Chinese and Western Medicine, Shenzhen, China.
Wenjun XiongDepartment of Gastrointestinal Surgery, Guangdong Provincial Hospital of Chinese Medicine, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.
Jiang YuDepartment of General Surgery & Guangdong Provincial Key Laboratory of Precision Medicine for Gastrointestinal Tumor, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Guoxin LiSchool of Clinical Medicine, Tsinghua University, Beijing Tsinghua Changgung Hospital, Beijing, China. Electronic address: gzliguoxin@163.com.
Zhenhui LiDepartment of Radiology, the Third Affiliated Hospital of Kunming Medical University, Yunnan Cancer Hospital, Yunnan Cancer Center, Kunming, China. Electronic address: lizhenhui@kmmu.edu.cn.
Yuming JiangDepartment of Radiation Oncology, Wake Forest University School of Medicine, Winston Salem, NC, USA. Electronic address: yumjiang@wakehealth.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Adjuvant chemotherapy and immune checkpoint blockade exert quite durable anti-tumor responses, but the lack of effective biomarkers limits the therapeutic benefits. Utilizing multi-cohorts of 3,095 patients with gastric cancer, we propose an attention-enhanced residual Swin Transformer network to predict chemotherapy response (main task), and two predicting subtasks (ImmunoScore and periostin [POSTN]) are used as intermediate tasks to improve the model's performance. Furthermore, we assess whether the model can identify which patients would benefit from immunotherapy. The deep learning model achieves high accuracy in predicting chemotherapy response and the tumor microenvironment (ImmunoScore and POSTN). We further find that the model can identify which patient may benefit from checkpoint blockade immunotherapy. This approach offers precise chemotherapy and immunotherapy response predictions, opening avenues for personalized treatment options. Prospective studies are warranted to validate its clinical utility.

Indexed as

Deep LearningImmunotherapyStomach NeoplasmsTumor MicroenvironmentBiomarkers, TumorFemaleHumansMaleMiddle AgedTreatment OutcomeBiomarkers, Tumorchemotherapy responseimmunotherapymedical imagingmultitask Swin Transformertumor microenvironment

Identifiers

PMID40695288
PMCPMC12432364

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.