Evidence map›Paper›PMID 40883317›Full record

ArticleNPJ breast cancer2025

Prognostic and predictive capacity of tumor infiltrating lymphocytes in the MA.20 regional node radiotherapy trial.

N Riaz, B E Chen, A Bane, D Gao, E S Stovgaard, Z Kos, S C Leung, E Shenasa, W Parulekar, S Chambers and 2 more

Abstract read
In one paragraph

Article in NPJ breast cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Immune Cell Composition and Prognosis in Node-Positive, Irradiated Breast Cancer Patients in the DBCG-IMN2 Study.APMIS : acta pathologica, microbiologica, et immunologica Scandinavica · 2026
    Article
  3. Article
  4. Article
  5. 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

12 authors.

N RiazDepartment of Pathology and Laboratory Medicine, University of British Columbia, Vancouver, BC, Canada. nazia.riaz@gu.se.
B E ChenCanadian Clinical Trials Group, Queen's University, Kingston, ON, Canada.
A BaneUniversity Health Network, Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, ON, Canada.
D GaoDepartment of Pathology and Laboratory Medicine, University of British Columbia, Vancouver, BC, Canada.
E S StovgaardDepartment of Pathology, Herlev and Gentofte Hospital, Copenhagen, Denmark.
Z KosDepartment of Pathology and Laboratory Medicine, University of British Columbia, Vancouver, BC, Canada.
S C LeungDepartment of Pathology and Laboratory Medicine, University of British Columbia, Vancouver, BC, Canada.
E ShenasaDepartment of Pathology and Laboratory Medicine, University of British Columbia, Vancouver, BC, Canada.
W ParulekarCanadian Clinical Trials Group, Queen's University, Kingston, ON, Canada.
S ChambersDepartment of Oncology, McMaster University, Hamilton, ON, Canada.
T O NielsenDepartment of Pathology and Laboratory Medicine, University of British Columbia, Vancouver, BC, Canada.
T J WhelanDepartment of Oncology, McMaster University, Hamilton, ON, Canada.

Funding

Canadian Cancer Society 705463
6 · The paper itself

Abstract

Prognostic and predictive value of immune infiltrates in the context of regional nodal radiation (RNI) for breast cancer has not been assessed. Stromal tumor infiltrating lymphocytes (sTILs) were assessed on scanned images of hematoxylin and eosin (H&E) stained sections and by CD8 immunohistochemistry on tissue microarrays available from the MA.20 trial. Cox proportional modelling was used, and hazard ratios (HR) with 95% confidence intervals (CI) are reported for primary and secondary endpoints. Predictive value was assessed by an interaction test. H&E sTILs (continuous parameter) were prognostic for distant-DFS (HR 0.99, 95% CI 0.98-1.00, P = 0.04). CD8+sTILs were associated with significantly improved disease-free survival (DFS) (HR 0.99, 95% CI 0.98-1.00, P = 0.02) and distant-DFS (HR 0.98, 95% CI 0.97-0.99, P = 0.0002). CD8+sTILs was predictive of benefit from RNI for distant-DFS (continuous variable: HR 0.98, 95% CI 0.96-1.00, P

Identifiers

PMID40883317
PMCPMC12397239

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.