Evidence map›Paper›PMID 41184299›Full record

ArticleNature communications2025

AI-powered spatial cell phenomics enhances risk stratification in non-small cell lung cancer.

Simon Schallenberg, Gabriel Dernbach, Sharon Ruane, Philipp Jurmeister, Cornelius Böhm, Kai Standvoss, Sandip Ghosh, Marco Frentsch, Mihnea P Dragomir, Philipp G Keyl and 19 more

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
  4. ADC Target Profiling in NSCLC: Generalizable AI Separates TROP-2 and cMET Phenotypes.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Review
  10. Medea: An omics AI agent for therapeutic discovery.bioRxiv : the preprint server for biology · 2026
    Article
  11. Review
  12. 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

29 authors.

Simon Schallenberg *Institute of Pathology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin and Berlin Institute of Health, Berlin, Germany.
Gabriel Dernbach *Institute of Pathology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin and Berlin Institute of Health, Berlin, Germany.
Sharon RuaneAignostics, Berlin, Germany.
Philipp JurmeisterInstitute of Pathology, Ludwig-Maximilians-Universität München, Munich, Germany.ORCID http://orcid.org/0000-0001-7745-3794
Cornelius BöhmAignostics, Berlin, Germany.ORCID http://orcid.org/0009-0007-3754-4182
Kai StandvossAignostics, Berlin, Germany.
Sandip GhoshAignostics, Berlin, Germany.ORCID http://orcid.org/0009-0008-7342-1064
Marco FrentschDepartment of Hematology, Oncology, and Tumor Immunology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.
Mihnea P DragomirInstitute of Pathology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin and Berlin Institute of Health, Berlin, Germany.ORCID http://orcid.org/0000-0002-5550-3516
Philipp G KeylBIFOLD - Berlin Institute for the Foundations of Learning and Data, Berlin, Germany.ORCID http://orcid.org/0000-0002-5472-4683
Corinna FriedrichInstitute of Pathology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin and Berlin Institute of Health, Berlin, Germany.ORCID http://orcid.org/0000-0002-5586-1989
Il-Kang NaDepartment of Hematology, Oncology, and Tumor Immunology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.
Sabine Merkelbach-BruseInstitute of Pathology, University Hospital Cologne, Köln, Germany.
Alexander QuaasInstitute of Pathology, University Hospital Cologne, Köln, Germany.
Nikolaj FrostDepartment of Infectious Diseases and Respiratory Medicine, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin and Berlin Institute of Health, Berlin, Germany.ORCID http://orcid.org/0000-0001-7452-7129
Kyrill BoschungBethanien Hospital, Clinic of Pneumology and Allergology, Center for Sleep Medicine and Respiratory Care, Institute of Pneumology at the University of Cologne, Solingen, Germany.
Winfried RanderathBethanien Hospital, Clinic of Pneumology and Allergology, Center for Sleep Medicine and Respiratory Care, Institute of Pneumology at the University of Cologne, Solingen, Germany.
Georg SchlachtenbergerDepartment of Cardiothoracic Surgery, University Hospital Cologne, Solingen, Germany.
Matthias HeldweinDepartment of Cardiothoracic Surgery, University Hospital Cologne, Solingen, Germany.ORCID http://orcid.org/0000-0002-2084-795X
Ulrich KeilholzBerlin Institute of Health (BIH), Berlin, Germany.
Khosro HekmatDepartment of Cardiothoracic Surgery, University Hospital Cologne, Solingen, Germany.
Jens-Carsten RückertDepartment of General, Visceral, Vascular and Thoracic Surgery, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Reinhard BüttnerInstitute of Pathology, University Hospital Cologne, Köln, Germany.ORCID http://orcid.org/0000-0001-8806-4786
Angela VasaturoUltivue, Berlin, Germany.
David HorstInstitute of Pathology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin and Berlin Institute of Health, Berlin, Germany.ORCID http://orcid.org/0000-0003-4755-5743
Lukas RuffAignostics, Berlin, Germany.
Maximilian AlberInstitute of Pathology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin and Berlin Institute of Health, Berlin, Germany.
Klaus-Robert MüllerBIFOLD - Berlin Institute for the Foundations of Learning and Data, Berlin, Germany. klaus-robert.mueller@tu-berlin.de.ORCID http://orcid.org/0000-0002-3861-7685
Frederick KlauschenInstitute of Pathology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin and Berlin Institute of Health, Berlin, Germany. frederick.klauschen@med.uni-muenchen.de.ORCID http://orcid.org/0000-0002-9131-2389

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Risk stratification remains a critical challenge in non-small cell lung cancer patients for optimal therapy selection. In this study, we develop an artificial intelligence-powered spatial cellomics approach that combines histology, multiplex immunofluorescence imaging and multimodal machine learning to characterize the complex cellular relationships of 43 cell phenotypes in the tumor microenvironment in a real-world retrospective cohort of 1168 non-small cell lung cancer patients from two large German cancer centers. The model identifies cell niches associated with survival and achieves a 14% and 47% improvement in risk stratification in the two main non-small cell lung cancer subtypes, lung adenocarcinoma and squamous cell carcinoma, respectively, combining niche patterns with conventional cancer staging. Our results show that complex immune cell niche patterns identify potentially undertreated high-risk patients qualifying for adjuvant therapy. Our approach highlights the potential of artificial intelligence powered multiplex imaging analyses to better understand the contribution of the tumor microenvironment to cancer progression and to improve risk stratification and treatment selection in non-small cell lung cancer.

Indexed as

Artificial IntelligenceCarcinoma, Non-Small-Cell LungLung NeoplasmsPhenomicsAgedCarcinoma, Squamous CellFemaleHumansMachine LearningMaleMiddle AgedRetrospective StudiesRisk AssessmentTumor Microenvironment

Identifiers

PMID41184299
PMCPMC12583542

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.