Evidence map›Paper›PMID 41286436›Full record

ArticleNPJ digital medicine2025

Multimodal analysis of whole slide images in colorectal cancer.

Jitendra Jonnagaddala, Miljana Shulajkovska, Anton Gradišek, Toni Rose Jue, Qifeng Zhou, Yuzhi Guo, Jamil Mahmoud El Chayeb, Ruijiang Li, Jana Lipkova, Jakob Nikolas Kather 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 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. 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.

Jitendra JonnagaddalaFaculty of Medicine and Health, UNSW Sydney, Sydney, NSW, Australia. jitendra.jonnagaddala@unsw.edu.au.
Miljana ShulajkovskaDepartment of Intelligent Systems, Jožef Stefan Institute, Ljubljana, Slovenia. miljana.sulajkovska@ijs.si.
Anton GradišekDepartment of Intelligent Systems, Jožef Stefan Institute, Ljubljana, Slovenia. anton.gradisek@ijs.si.
Toni Rose JueFaculty of Medicine and Health, UNSW Sydney, Sydney, NSW, Australia.
Qifeng ZhouDepartment of Computer Science and Engineering, University of Texas at Arlington, Arlington, TX, USA.
Yuzhi GuoDepartment of Computer Science and Engineering, University of Texas at Arlington, Arlington, TX, USA.
Jamil Mahmoud El ChayebNMC Royal Hospital, Khalifa City, Abu Dhabi, United Arab Emirates.
Ruijiang LiDepartment of Radiation Oncology, Stanford University School of Medicine, Stanford, CA, USA.
Jana LipkovaSchool of Biomedical Engineering, University of California Irvine, Irvine, CA, USA.
Jakob Nikolas KatherElse Kroener Fresenius Center for Digital Health, Faculty of Medicine and University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Dresden, Germany.
Junzhou HuangDepartment of Computer Science and Engineering, University of Texas at Arlington, Arlington, TX, USA.

Funding

Australian National Health and Medical Research Council GNT1192469
6 · The paper itself

Abstract

Multimodal models have enabled the integration of digital pathology, radiology, clinical information, and omics data to enhance Colorectal cancer (CRC) care. This systematic review critically appraises Multimodal digital pathology techniques applied in CRC, their performance, and contrasts them with foundation models. We identified and screened 1601 studies published between January 2014 and August 2024 using PubMed, Web of Science, Scopus, and IEEE Xplore (PROSPERO protocol: 635831). The quality and bias of the 22 eligible studies were assessed using the Newcastle-Ottawa Scale. Our findings suggest that majority of the studies integrated different modalities to enhance diagnostic accuracy and survival prediction. Various fusion techniques have been used to extract novel features. Most studies did not undertake external validation. Compared to unimodal models, multimodal approaches demonstrate superior performance but challenges remain, including constructing multimodal datasets, managing data heterogeneity, ensuring temporal alignment, determining modality weighting, and improving interpretability.

Identifiers

PMID41286436
PMCPMC12644990

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.