Evidence map›Paper›PMID 40790287›Full record

ArticleClinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico2026

PD-L1 expression scoring using artificial intelligence algorithms in non-small cell lung cancer harbouring ROS1 fusions: potential clinical-biological significance.

Luis Fernando García, Esther Conde, Susana Hernandez, Marta Alonso, Daniel Curto, Manuel Dómine, Federico Rojo, Javier Freire, Javier Gómez-Román, Antonio Calles and 7 more

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Article in Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

17 authors.

Luis Fernando GarcíaDepartment of Medical Oncology, Hospital Universitario La Paz, Research Institute, IdiPAZ, Madrid, Spain.
Esther CondeDepartment of Pathology, Hospital Universitario 12 de OctubreUniversidad Complutense de Madrid, Research Institute Hospital12 de Octubre (imas12), CIBERONC, Av. de Córdoba S/N, 28041, Madrid, Spain.
Susana HernandezDepartment of Pathology, Hospital Universitario 12 de Octubre. Research Institute Hospital, 12 de Octubre (imas12), Madrid, Spain.
Marta AlonsoDepartment of Pathology, Hospital Universitario 12 de Octubre. Research Institute Hospital, 12 de Octubre (imas12), Madrid, Spain.
Daniel CurtoDepartment of Pathology, Hospital Universitario 12 de Octubre. Research Institute Hospital, 12 de Octubre (imas12), Madrid, Spain.
Manuel DómineDepartment of Medical Oncology, Hospital Universitario Fundación Jimenez Díaz, Madrid, Spain.
Federico RojoDepartment of Pathology, Hospital Universitario Fundación Jimenez Díaz, Madrid, Spain.
Javier FreireDepartment of Pathology, Instituto de Investigación Marqués de Valdecilla (IDIVAL), Hospital Universitario Marqués de Valdecilla, Universidad de Cantabria, Santander, Spain.
Javier Gómez-RománDepartment of Pathology, Instituto de Investigación Marqués de Valdecilla (IDIVAL), Hospital Universitario Marqués de Valdecilla, Universidad de Cantabria, Santander, Spain.
Antonio CallesDepartment of Medical Oncology, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
María CebolleroDepartment of Pathology, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
José Luis González-LarribaDepartment of Medical Oncology, Hospital Universitario Clínico San Carlos, Madrid, Spain.
Melchor SaizDepartment of Pathology, Hospital Universitario Clínico San Carlos, Madrid, Spain.
Isabel EstebanDepartment of Pathology, Hospital Universitario La Paz, Research Institute, IdiPAZ, Madrid, Spain.
Laura GutiérrezDepartment of Medical Oncology, Hospital Universitario La Paz, Research Institute, IdiPAZ, Madrid, Spain.
Fernando Lopez-RiosDepartment of Pathology, Hospital Universitario 12 de OctubreUniversidad Complutense de Madrid, Research Institute Hospital12 de Octubre (imas12), CIBERONC, Av. de Córdoba S/N, 28041, Madrid, Spain. fernandolopezriosmoreno@gmail.com.ORCID http://orcid.org/0000-0001-6813-0395
Javier de CastroDepartment of Medical Oncology, Hospital Universitario La Paz, Research Institute, IdiPAZ, Madrid, Spain.

Funding

Comunidad de Madrid iLUNG Program P2022/BMD-7437Fundación Mutua Madrileña AP18051-2022Instituto de Salud Carlos III DTS22/00145Instituto de Salud Carlos III PI22-01700
6 · The paper itself

Abstract

backgroundPD-L1 expression in ROS1-positive non-small cell lung carcinoma (NSCLC) patients remains unclear regarding its possible clinical-biological role.

methodsA retrospective, descriptive study of 24 ROS1-positive NSCLC patients (2013-2023) from five Spanish hospitals were evaluated. Manual (clone SP263) PD-L1 tumour proportion score (TPS) was also subjected to two artificial intelligence (AI) testing algorithms. Clinical and molecular data categorized according to PD-L1 levels by double independent review, were retrospectively collected and, potential correlations were analysed.

resultsThe median age was 60 years (46-85), female (54.1%), adenocarcinoma (87.5%), and former/never smokers (83.3%). Predominant ROS1 fusion partner (FP) was CD74 (41.6%). Most patients (79.1%) received crizotinib at some point during their treatment. PDL1 TPS 1-49% (41.7%), ≥ 50% (33.3%), and < 1% (25%). Statistically significant association between the ROS1 FP category and PD-L1 TPS ≥ 50% (p = 0.008), specifically with EZR (mean manual TPS: 62.1) was found. No statistically significant associations for clinical categorical variables and PD-L1 TPS were observed. Although no significant difference among PD-L1 TPS categories in terms of overall survival was detected (p = 0.36), a shorter overall survival was noted in patients with TPS ≥ 50% and EZR. No significant differences were found between the manual PD-L1 TPS evaluation and the use of PD-L1-based AI algorithms.

conclusionsPD-L1 expression may have a biological significance in ROS1-positive NSCLC, particularly when associated with the EZR FP and PD-L1 TPS ≥ 50% which determines a lower overall survival. No significant differences were found between manual PD-L1 TPS evaluation and the use of AI.

Indexed as

AlgorithmsArtificial IntelligenceB7-H1 AntigenCarcinoma, Non-Small-Cell LungLung NeoplasmsOncogene Proteins, FusionProtein-Tyrosine KinasesProto-Oncogene ProteinsAgedAged, 80 and overAntigens, Differentiation, B-LymphocyteCrizotinibFemaleHistocompatibility Antigens Class IIHumansMaleAntigens, Differentiation, B-LymphocyteB7-H1 AntigenCD274 protein, humanCrizotinibHistocompatibility Antigens Class IIinvariant chainOncogene Proteins, FusionProtein-Tyrosine KinasesProto-Oncogene ProteinsROS1 protein, humanArtificial intelligenceNon-small cell lung carcinomaPD-L1ROS1

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