Evidence map›Paper›PMID 41238742›Full record

ArticleNPJ digital medicine2025

GlioSurv: interpretable transformer for multimodal, individualized survival prediction in diffuse glioma.

Junhyeok Lee, Joon Jang, Heeseong Eum, Han Jang, Minchul Kim, Sung Hye Park, Chul Kee Park, Seung Hong Choi, Sung Soo Ahn, Yoseob Han and 1 more

Abstract read
In one paragraph

Article in NPJ digital medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
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  3. Article
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.

Junhyeok LeeInterdisciplinary Programs in Cancer Biology, Seoul National University Graduate School, Seoul, Republic of Korea.
Joon JangDepartment of Biomedical Sciences, Seoul National University, Seoul, Republic of Korea.
Heeseong EumInterdisciplinary Programs in Cancer Biology, Seoul National University Graduate School, Seoul, Republic of Korea.
Han JangDepartment of Radiology, Seoul National University Hospital, Seoul, Republic of Korea.
Minchul KimDepartment of Radiology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
Sung Hye ParkDepartment of Pathology, Seoul National University Hospital, Seoul, Republic of Korea.
Chul Kee ParkDepartment of Neurosurgery, Seoul National University Hospital, Seoul, Republic of Korea.
Seung Hong ChoiDepartment of Radiology, Seoul National University Hospital, Seoul, Republic of Korea.
Sung Soo AhnDepartment of Radiology, Research Institute of Radiological Science, Center for Clinical Imaging Data Science, Yonsei University College of Medicine, Seoul, Republic of Korea.
Yoseob HanDepartment of Electronic Engineering, Soongsil University, Seoul, Republic of Korea.
Kyu Sung ChoiDepartment of Radiology, Seoul National University Hospital, Seoul, Republic of Korea. kyuchoi86@gmail.com.

Funding

Ministry of Health and Welfare RS-2024-00439549Ministry of Science and ICT, South Korea RS-2023-00251022Seoul National Uinversity Hospital 04-2024-0600Seoul National University and Seoul National University Hospital SNU-SNUH Physician Scientist Training
6 · The paper itself

Abstract

Adult diffuse gliomas are clinically and molecularly heterogeneous, complicating risk stratification and personalized management. We introduce GlioSurv, a multimodal transformer model based on an accelerated failure time framework to integrate multiparametric MRI, clinical and molecular variables, and treatment data for personalized survival prediction. In a retrospective analysis of 1944 patients, including one internal cohort (n = 891; mean OS 32.2 months) and three external cohorts (n = 84, 470, 499; mean OS 26.1, 18.8, 19.0 months), GlioSurv demonstrated robust discrimination (IAUC: 0.68-0.86), calibration (IBS: 0.10-0.21) and concordance (C-index: 0.61-0.80). It significantly outperformed a convolutional neural network, a vision transformer, and a non-imaging multimodal transformer (p < 0.01). Sequential integration of imaging, clinical, molecular, then treatment data, progressively improved C-index from 0.69 to 0.80 (p < 0.001). Interpretability analyses confirmed established prognostic factors and indicate the potential of GlioSurv to support personalized survival prediction and risk-stratified decision-making in diffuse glioma.

Identifiers

PMID41238742
PMCPMC12618496

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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.