Evidence map›Paper›PMID 40760681›Full record

ArticleGut microbes2025

Personalized colorectal cancer risk assessment through explainable AI and Gut microbiome profiling.

Pierfrancesco Novielli, Simone Baldi, Donato Romano, Michele Magarelli, Domenico Diacono, Pierpaolo Di Bitonto, Giulia Nannini, Leandro Di Gloria, Roberto Bellotti, Amedeo Amedei and 1 more

Abstract read
In one paragraph

Article in Gut microbes, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

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

  1. Pooled it
  2. Pooled it
  3. Gut Microbial Topology and Metabolic Signatures Associated With Colorectal Neoplasia.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
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  16. Endometrial immune dysregulation shapes CD8Frontiers in immunology · 2026
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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

11 authors.

Pierfrancesco NovielliDepartment of Soil, Plant and Food Sciences, University of Bari Aldo Moro, Bari, Italy.
Simone BaldiDepartment of Experimental and Clinical Medicine, University of Florence, Florence, Italy.
Donato RomanoDepartment of Soil, Plant and Food Sciences, University of Bari Aldo Moro, Bari, Italy.
Michele MagarelliDepartment of Soil, Plant and Food Sciences, University of Bari Aldo Moro, Bari, Italy.
Domenico DiaconoNational Institute for Nuclear Physics, Bari Division, Bari, Italy.
Pierpaolo Di BitontoDepartment of Soil, Plant and Food Sciences, University of Bari Aldo Moro, Bari, Italy.
Giulia NanniniDepartment of Experimental and Clinical Medicine, University of Florence, Florence, Italy.
Leandro Di GloriaDepartment of Biomedical, Experimental and Clinical Sciences "Mario Serio", University of Florence, Florence, Italy.
Roberto BellottiNational Institute for Nuclear Physics, Bari Division, Bari, Italy.
Amedeo AmedeiDepartment of Experimental and Clinical Medicine, University of Florence, Florence, Italy.
Sabina TangaroDepartment of Soil, Plant and Food Sciences, University of Bari Aldo Moro, Bari, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The clinical adenoma - carcinoma progression represents a well-established framework for understanding colorectal cancer (CRC) development, although the molecular mechanisms underlying this transition remain only partially understood. Increasing evidence suggests the gut microbiome (GM) as a key modulator of colorectal carcinogenesis, positioning microbial profiling as a promising avenue for noninvasive risk stratification and early detection. In this study, Machine Learning (ML) classifiers integrated with eXplainable Artificial Intelligence (XAI) techniques were employed to identify microbiome-derived biomarkers predictive of CRC and adenomatous lesions. The models were trained on 16S rRNA sequencing data from 453 patients and evaluated through cross-validation, achieving AU-ROC and AU-PRC scores of 0.71 and 0.67, respectively. External validation on an independent Italian cohort (

Indexed as

Artificial IntelligenceBacteriaColorectal NeoplasmsGastrointestinal MicrobiomeAdenomaAgedFemaleHumansMachine LearningMaleMiddle AgedPrecision MedicineRisk AssessmentRNA, Ribosomal, 16SRNA, Ribosomal, 16Sbiomarkercolorectal cancerExplainable AImicrobiomerisk stratificationSHAP interaction analysis

Identifiers

PMID40760681
PMCPMC12326576

What OpenQuestion holds

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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.