Evidence map›Paper›PMID 41249481›Full record

ArticleNPJ digital medicine2025

A multimodal AI model for precision prognosis in clear cell renal cell carcinoma: A multicenter study.

Xinyi Zang, Yujia Xia, Haibing Xiao, Haolun Luo, Minggui Si, Naiqiao Hou, Axide Haoni, Tianyi Chen, Ziyi Liu, Xinyuan Pu and 23 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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

33 authors.

Xinyi Zang *Department of Urology, Renji Hospital, School of Medicine in Shanghai Jiao Tong University, Shanghai, China.
Yujia Xia *Department of Bioinformatics and Biostatistics, School of Life Sciences and Biotechnology, Shanghai Jiao Tong University, Shanghai, China.
Haibing Xiao *Department of Urology, The First Affiliated Hospital of Anhui Medical University, Anhui Medical University, Hefei, Anhui, China.
Haolun Luo *Department of Urology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan.
Minggui SiDepartment of Urology, The Fourth Affiliated Hospital of Harbin Medical University, Heilongjiang Key Laboratory of Scientific Research in Urology, Harbin, China.
Naiqiao HouDepartment of Urology, Renji Hospital, School of Medicine in Shanghai Jiao Tong University, Shanghai, China.
Axide HaoniDepartment of Urology, Renji Hospital, School of Medicine in Shanghai Jiao Tong University, Shanghai, China.
Tianyi ChenDepartment of Urology, Renji Hospital, School of Medicine in Shanghai Jiao Tong University, Shanghai, China.
Ziyi LiuDepartment of Urology, Renji Hospital, School of Medicine in Shanghai Jiao Tong University, Shanghai, China.
Xinyuan PuDepartment of Urology, Renji Hospital, School of Medicine in Shanghai Jiao Tong University, Shanghai, China.
Xiangyu ZiDepartment of Urology, Renji Hospital, School of Medicine in Shanghai Jiao Tong University, Shanghai, China.
Lijun XuDepartment of Urology, The Second Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.
Jin ZhuDepartment of Urology, The Second Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.
Zhipeng XuDepartment of Urology, The First Affiliated Hospital of Shandong First Medical University, Jinan, China.
Jianning WangDepartment of Urology, The First Affiliated Hospital of Shandong First Medical University, Jinan, China.
Zaoyu WangDepartment of Pathology, Renji Hospital, School of Medicine in Shanghai Jiao Tong University, Shanghai, China.
Jun XiaDepartment of Pathology, Renji Hospital, School of Medicine in Shanghai Jiao Tong University, Shanghai, China.
Dengfeng CaoDepartment of Pathology, Renji Hospital, School of Medicine in Shanghai Jiao Tong University, Shanghai, China.
Yu YinDepartment of Pathology, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China.
Jieying WangDepartment of Nephrology, Molecular Cell Laboratory for Kidney Disease, Shanghai Peritoneal Dialysis Research Center, Ren Ji Hospital, Uremia Diagnosis and Treatment Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Xiaorong WuDepartment of Urology, Renji Hospital, School of Medicine in Shanghai Jiao Tong University, Shanghai, China.
Wen KongDepartment of Urology, Renji Hospital, School of Medicine in Shanghai Jiao Tong University, Shanghai, China.
Jiwei HuangDepartment of Urology, Renji Hospital, School of Medicine in Shanghai Jiao Tong University, Shanghai, China.
Jin ZhangDepartment of Urology, Renji Hospital, School of Medicine in Shanghai Jiao Tong University, Shanghai, China.
Yonghui ChenDepartment of Urology, Renji Hospital, School of Medicine in Shanghai Jiao Tong University, Shanghai, China.
Yiran HuangDepartment of Urology, Renji Hospital, School of Medicine in Shanghai Jiao Tong University, Shanghai, China.
David Ka-Wai LeungS.H. Ho Urology Centre, Department of Surgery, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China.
Jeremy Yuen-Chun TeohS.H. Ho Urology Centre, Department of Surgery, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China.
Keliang WangDepartment of Urology, The Fourth Affiliated Hospital of Harbin Medical University, Heilongjiang Key Laboratory of Scientific Research in Urology, Harbin, China. wangkeliang@hrbmu.edu.cn.
Chaozhao LiangDepartment of Urology, The First Affiliated Hospital of Anhui Medical University, Anhui Medical University, Hefei, Anhui, China. liang_chaozhao@ahmu.edu.cn.
Junhua ZhengDepartment of Urology, Renji Hospital, School of Medicine in Shanghai Jiao Tong University, Shanghai, China. zhengjh0471@sina.com.
Zhangsheng YuDepartment of Bioinformatics and Biostatistics, School of Life Sciences and Biotechnology, Shanghai Jiao Tong University, Shanghai, China. yuzhangsheng@sjtu.edu.cn.
Wei ZhaiDepartment of Urology, Renji Hospital, School of Medicine in Shanghai Jiao Tong University, Shanghai, China. jacky_zw2002@hotmail.com.

Funding

Excellent Project of Shanghai Municipal Health Commission 20244Z0004Innovative Research Team of High-level Local Universities in Shanghai SHSMUZLCX20212601National Key Research and Development Program of China 2022YFC2505305National Major Science and Technology Infrastructure for Translational Medicine (Shanghai) 2024 "Open Research Program" Key Projects TMSK-2024-119National Natural Science Foundation of China 82473386Renji Hospital Clinical Research Incubation Fund RJPY-DZX-004Shanghai 2023 "Science and Technology Innovation Action Plan" Key Project on Computational Biology 23JS1400803Shanghai Jiao Tong University Medical Engineering Interdisciplinary Research Fund - Key Project YG2024ZD07Shanghai Key Program of Computational Biology 23JS1400800Shanghai Municipal Education Commission's Artificial Intelligence-Powered Research Paradigm Reform and Discipline Advancement Program BJ1-9000-25-8010Shanghai Science and Technology Commission Medical Innovation Clinical Research Special Project 23Y21900400Simulation RCT Study of Shanghai Shenkang Three Year Action Plan Simulation RCT Study of Shanghai Shenkang Three Year Action Plan
6 · The paper itself

Abstract

Patients with clear cell renal cell carcinoma (ccRCC) face a high risk of recurrence after surgery, but existing clinical tools based on clinicopathological factors or costly molecular profiling often lack precision and clinical feasibility. We developed the multimodal predictive recurrence score (MPRS), a multimodal prognostic model using clinical features, CT images, and histopathological whole-slide images (WSIs) from 1648 patients across six centers and the TCGA database. MPRS outperformed unimodal models and clinical tools (Leibovich and UISS scores, KEYNOTE-564 risk classification), achieving C-index values of 0.886 and 0.838 in the internal and external validation cohorts, respectively. Importantly, MPRS correctly reclassified 83.3% (50/60) of KEYNOTE-564-defined low-risk recurrence patients as high-risk, avoiding inadequate adjuvant therapy, while reclassifying 57.7% (15/26) of KEYNOTE-564-defined intermediate/high-risk non-recurrence patients as low-risk, preventing excessive adjuvant therapy. By leveraging routinely available data, MPRS provides a cost-effective and accurate approach for recurrence risk stratification, optimizing personalized ccRCC management and therapeutic decision-making.

Identifiers

PMID41249481
PMCPMC12623892

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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.