Evidence map›Paper›PMID 41387521›Full record

ArticleNPJ precision oncology2025

A machine learning-based framework for prognostic prediction and tumor microenvironment characterization of locally advanced cervical cancer with concurrent chemoradiotherapy.

Yue Feng, Zijian Sun, Yuqiang Li, Fang Wang, Qiyang Li, Jiahui Ma, Xiaoyong Zhang, Hui Ye, Xiaojuan Lv, Zhao Wang and 12 more

Abstract read
In one paragraph

Article in NPJ precision oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

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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

22 authors.

Yue Feng *Zhejiang Cancer Hospital, Hangzhou Institute of Medicine (HIM), Chinese Academy of Sciences, Hangzhou, Zhejiang, China.
Zijian Sun *Zhejiang Cancer Hospital, Hangzhou Institute of Medicine (HIM), Chinese Academy of Sciences, Hangzhou, Zhejiang, China.
Yuqiang Li *Key Laboratory for Molecular Medicine and Chinese Medicine Preparations, Hangzhou Institute of Medicine (HIM), Chinese Academy of Sciences, Hangzhou, Zhejiang, China.
Fang WangZhejiang Cancer Hospital, Hangzhou Institute of Medicine (HIM), Chinese Academy of Sciences, Hangzhou, Zhejiang, China.
Qiyang LiDepartment of Gynecological Radiotherapy, Harbin Medical University Cancer Hospital, Harbin, China.
Jiahui MaKey Laboratory for Molecular Medicine and Chinese Medicine Preparations, Hangzhou Institute of Medicine (HIM), Chinese Academy of Sciences, Hangzhou, Zhejiang, China.
Xiaoyong ZhangKey Laboratory for Molecular Medicine and Chinese Medicine Preparations, Hangzhou Institute of Medicine (HIM), Chinese Academy of Sciences, Hangzhou, Zhejiang, China.
Hui YeKey Laboratory for Molecular Medicine and Chinese Medicine Preparations, Hangzhou Institute of Medicine (HIM), Chinese Academy of Sciences, Hangzhou, Zhejiang, China.
Xiaojuan LvZhejiang Cancer Hospital, Hangzhou Institute of Medicine (HIM), Chinese Academy of Sciences, Hangzhou, Zhejiang, China.
Zhao WangZhejiang Cancer Hospital, Hangzhou Institute of Medicine (HIM), Chinese Academy of Sciences, Hangzhou, Zhejiang, China.
Lei ShiZhejiang Cancer Hospital, Hangzhou Institute of Medicine (HIM), Chinese Academy of Sciences, Hangzhou, Zhejiang, China.
Zhen ZhangZhejiang Cancer Hospital, Hangzhou Institute of Medicine (HIM), Chinese Academy of Sciences, Hangzhou, Zhejiang, China.
Jiayu SongDepartment of Gynecological Radiotherapy, Harbin Medical University Cancer Hospital, Harbin, China.
Tao FengDepartment of Gynecological Radiotherapy, Harbin Medical University Cancer Hospital, Harbin, China.
Haowen LiZhejiang Cancer Hospital, Hangzhou Institute of Medicine (HIM), Chinese Academy of Sciences, Hangzhou, Zhejiang, China.
Chunwei XuZhejiang Cancer Hospital, Hangzhou Institute of Medicine (HIM), Chinese Academy of Sciences, Hangzhou, Zhejiang, China.
Yihan WangKey Laboratory for Molecular Medicine and Chinese Medicine Preparations, Hangzhou Institute of Medicine (HIM), Chinese Academy of Sciences, Hangzhou, Zhejiang, China.
Jingkui TianZhejiang Cancer Hospital, Hangzhou Institute of Medicine (HIM), Chinese Academy of Sciences, Hangzhou, Zhejiang, China.
Yunyan ZhangDepartment of Gynecological Radiotherapy, Harbin Medical University Cancer Hospital, Harbin, China. zhangyunyan@hrbmu.edu.cn.
Liting ShiZhejiang Cancer Hospital, Hangzhou Institute of Medicine (HIM), Chinese Academy of Sciences, Hangzhou, Zhejiang, China. shilt@zjcc.org.cn.
Hanmei LouZhejiang Cancer Hospital, Hangzhou Institute of Medicine (HIM), Chinese Academy of Sciences, Hangzhou, Zhejiang, China. louhm@zjcc.org.cn.
Wei ZhuZhejiang Cancer Hospital, Hangzhou Institute of Medicine (HIM), Chinese Academy of Sciences, Hangzhou, Zhejiang, China. zhuwei@him.cas.cn.

Funding

grants-in-aid for scientific research from the National Natural Science Foundation of China 82405091Leading Talents of Health Profession Training Project of Zhejiang Province WS2022LJ02Natural Science Foundation of Zhejiang Province Q24H290031Zhejiang Province Traditional Chinese Medicine Key Laboratory Project GZY-ZJ-SY-2303Zhejiang Province Traditional Chinese Medicine Science and Technology Project GZY-ZJ-KJ-24063
6 · The paper itself

Abstract

Accurate prognosis prediction for locally advanced cervical cancer (LACC) after concurrent chemoradiotherapy (CCRT) is essential for individualized treatment decision making. We aimed to develop a multitask prognostic model and reveal radiomic-phenotypic associations for LACC patients after CCRT. The framework consists of (1) A deep learning-based fully automated model (DeepMR-LACC) which used T2-weighted magnetic resonance images obtained before CCRT to predict patient outcomes; (2) Proteomics profiling from paired cervical biopsy samples for tumor microenvironment characterization and radioproteomics-based risk stratification. The DeepMR-LACC predicted progression-free survival (PFS) and overall survival (OS) in training [C-indices, 0.80 (95% confidence interval, 0.75-0.84) and 0.83 (0.80-0.87)], internal test [0.67 (0.59-0.75) and 0.70 (0.61-0.78)], external test [0.69 (0.59-0.78) and 0.65 (0.55-0.76)] cohorts. The DeepMR-LACC effectively stratified patients into high- or low-risk groups, outperforming current clinical risk factors. Furthermore, proteomic profiling revealed an immunosuppressive microenvironment in the high-risk group. Finally, radioproteomics-based risk stratification showed superior prognostic performance compared to the DeepMR-LACC for PFS and OS in the radioproteomics cohort [C-indices 0.85 (0.74-0.96) and 0.85 (0.73-0.96)]. The DeepMR-LACC enabled accurate prognostic prediction and in-depth tumor microenvironment characterization for LACC, aiding personalized long-term management.

Identifiers

PMID41387521
PMCPMC12816678

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