Evidence map›Paper›PMID 41229771›Full record

ArticleJournal of thoracic disease2025

Predicting targeted therapy resistance in non-small cell lung cancer using multimodal machine learning.

Peiying Hua, Andrea Olofson, Faraz Farhadi, Liesbeth Hondelink, Gregory Tsongalis, Konstantin Dragnev, Dagmar Hoegemann Savellano, Arief Suriawinata, Laura Tafe, Saeed Hassanpour

Abstract read
In one paragraph

Article in Journal of thoracic disease, 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. Targeting ClassicalCancers · 2026
    Review
  2. Review
  3. Article
  4. Review
  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

10 authors.

Peiying HuaDepartment of Biomedical Data Science, Geisel School of Medicine at Dartmouth, Hanover, NH, USA.
Andrea OlofsonDepartment of Pathology, Ochsner Health System, New Orleans, LA, USA.
Faraz FarhadiDepartment of Radiology, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA.
Liesbeth HondelinkDepartment of Pathology, Leiden University Medical Center, Leiden, the Netherlands.
Gregory TsongalisDepartment of Pathology and Laboratory Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA.
Konstantin DragnevDepartment of Medical Oncology, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA.
Dagmar Hoegemann SavellanoDepartment of Radiology, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA.
Arief SuriawinataDepartment of Pathology and Laboratory Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA.
Laura TafeDepartment of Pathology and Laboratory Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA.
Saeed HassanpourDepartment of Biomedical Data Science, Geisel School of Medicine at Dartmouth, Hanover, NH, USA.ORCID https://orcid.org/0000-0001-9460-6414

Funding

Translational Engineering in Cancer (TEC)P30CA023108 · NCI · DARTMOUTH COLLEGE · PI Fred W Kolling IV · 1985 to 2026
$91.3M
Advancing Digital Pathology through Novel Machine Learning MethodologiesR01LM013833 · NLM · DARTMOUTH COLLEGE · PI Saeed Hassanpour · 2022 to 2026
$3.0M
Clinicopathologic and Genetic Profiling through Machine Learning and Natural Language Processing for Precision Lung Cancer ManagementR01CA249758 · NCI · DARTMOUTH COLLEGE · PI HASSANPOUR, SAEED · 2019 to 2022
$1.5M
Improving Colorectal Cancer Screening and Risk Assessment through Deep Learning on Medical Images and RecordsR01LM012837 · NLM · DARTMOUTH COLLEGE · PI HASSANPOUR, SAEED · 2019 to 2022
$1.4M
NCI NIH HHS P30 CA023108NCI NIH HHS R01 CA249758NLM NIH HHS R01 LM012837NLM NIH HHS R01 LM013833
6 · The paper itself

Abstract

Background: Resistance to tyrosine kinase inhibitors remains a major clinical challenge in the treatment of non-small cell lung cancer (NSCLC) with activating epidermal growth factor receptor ( Methods: We conducted a multi-institutional retrospective study to develop and evaluate a multimodal machine learning model for predicting therapy resistance in late-stage NSCLC patients with Results: The multimodal model achieved a mean C-index of 0.82 across cross-validation folds, outperforming image-only and non-image models (C-index 0.75 and 0.77, respectively). Stratified analyses across institutions confirmed consistent performance gains with the multimodal approach. Kaplan-Meier analysis revealed that the multimodal model significantly stratified patients into distinct hazard groups (log-rank P=0.04), which unimodal models failed to achieve. Key predictors included Conclusions: This study presents a robust multimodal machine learning model for predicting therapy resistance in

Indexed as

multimodal machine learningNon-small cell lung cancer (NSCLC)precision oncologytherapy resistance predictionwhole slide imaging

Identifiers

PMID41229771
PMCPMC12603399

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.