Evidence map›Paper›PMID 41350716›Full record

ArticleNPJ digital medicine2025

Deep multimodal fusion of patho-radiomic and clinical data for enhanced survival prediction for colorectal cancer patients.

Run Shi, Jing Sun, Zhaokai Zhou, Qiang Su, Yongqian Shu

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 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Review
  3. Multimodal AI in precision medicine: linking omics, imaging and clinical decisions.American journal of clinical and experimental immunology · 2026
    Article
  4. Review
  5. Review
  6. 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

5 authors.

Run Shi *Department of Oncology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu, China.
Jing Sun *Department of Endocrinology, Jiangsu Province Hospital of Chinese Medicine, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China.
Zhaokai Zhou *Department of Urology, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China.
Qiang SuFirst Clinical Medical College, Guizhou University of Traditional Chinese Medicine, Guiyang, Guizhou, China.
Yongqian ShuDepartment of Oncology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu, China. suqiang@gzy.edu.cn.

Funding

Jiangsu Provincial Medical Innovation Center CXZX202204
6 · The paper itself

Abstract

This study introduces PRISM-CRC, a novel deep learning framework designed to improve the diagnosis and prognosis of colorectal cancer (CRC) by integrating histopathology, radiology, endoscopy and clinical data. The model demonstrated high accuracy, achieving a concordance index of 0.82 for predicting 5-year disease-free survival and an AUC of 0.91 for identifying microsatellite instability (MSI) status. A key finding is the synergistic power of this multimodal approach, which significantly outperformed models using only a single data type. The PRISM-CRC risk score proved to be a strong, independent predictor of survival, offering more granular risk stratification than the traditional TNM staging system. This capability has direct clinical implications for personalizing treatment, such as identifying high-risk Stage II patients who might benefit from adjuvant chemotherapy. The study acknowledges limitations, including a modest performance decrease due to "domain shift" and classification errors in morphologically ambiguous cases, highlighting the need for future prospective trials to validate its clinical utility.

Identifiers

PMID41350716
PMCPMC12852121

What OpenQuestion holds

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Registered trials

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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.