Evidence map›Paper›PMID 41554849›Full record

ArticleNPJ precision oncology2026

Validation of histopathology-based deep learning algorithms for detection of actionable non-small cell lung cancer biomarkers.

Christian Rolfo, Efrat Ofek, Yoash Barak, Jonathan Weidenfeld, Razan Imad Haj, Yosef Molchanov, Alexander Loebel, David R Braxton, John S Cupp, Rinat Yacobi and 13 more

Abstract read
In one paragraph

Article in NPJ precision oncology, 2026. 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. Article
  2. Review
  3. 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

23 authors.

Christian Rolfo *Division of Medical Oncology, Department of Internal Medicine, The Arthur G. James Comprehensive Cancer Center, The Ohio State University, Columbus, OH, USA. Christian.Rolfo@osumc.edu.
Efrat Ofek *Institute of Pathology, Sheba Medical Center, Tel Aviv, Israel.
Yoash BarakInstitute of Pathology, Sheba Medical Center, Tel Aviv, Israel.
Jonathan WeidenfeldInstitute of Pathology, Sheba Medical Center, Tel Aviv, Israel.
Razan Imad HajInstitute of Pathology, Sheba Medical Center, Tel Aviv, Israel.
Yosef MolchanovInstitute of Pathology, Sheba Medical Center, Tel Aviv, Israel.
Alexander LoebelInstitute of Pathology, Sheba Medical Center, Tel Aviv, Israel.
David R BraxtonDepartment of Pathology, Hoag Memorial Hospital Presbyterian, Newport Beach, CA, USA.
John S CuppDepartment of Pathology, Hoag Memorial Hospital Presbyterian, Newport Beach, CA, USA.
Rinat YacobiInstitute of Pathology, Sheba Medical Center, Tel Aviv, Israel.
Chen MayerInstitute of Pathology, Sheba Medical Center, Tel Aviv, Israel.
Francesco DragoDivision of Medical Oncology, Department of Internal Medicine, The Arthur G. James Comprehensive Cancer Center, The Ohio State University, Columbus, OH, USA.
Camila AviviInstitute of Pathology, Sheba Medical Center, Tel Aviv, Israel.
Nurit Paz-YaacovImagene AI Ltd, Tel Aviv, Israel.
Assaf AvinoamImagene AI Ltd, Tel Aviv, Israel.
Jonathan ZalachImagene AI Ltd, Tel Aviv, Israel.
Addie DvirImagene AI Ltd, Tel Aviv, Israel.
Inbal GazyImagene AI Ltd, Tel Aviv, Israel.
Nir PeledHelmsley Cancer Institute, Shaare Zedek Medical Center, Jerusalem, Israel.
Damien UrbanFaculty of Medicine and Health Sciences, Tel Aviv University, Tel Aviv, Israel.
Jair BarFaculty of Medicine and Health Sciences, Tel Aviv University, Tel Aviv, Israel.
Dov HershkovizFaculty of Medicine and Health Sciences, Tel Aviv University, Tel Aviv, Israel.
Iris BarshackInstitute of Pathology, Sheba Medical Center, Tel Aviv, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Non-small cell lung cancer (NSCLC) patient management relies on molecular analysis to determine eligibility for targeted therapy. Furthermore, neoadjuvant immunotherapy is primarily suitable in the absence of specific genomic alterations. However, significant challenges remain, including suboptimal molecular testing and patients being assigned to non-optimal treatment strategies. Here, we present AI classifiers for the identification of EGFR, ALK, BRAF and MET alterations directly from hematoxylin and eosin (H&E)-stained tissue using CanvOI 1.1, a digital pathology foundation model. Their performance was evaluated on an independent validation dataset of 968 NSCLC samples. The classifiers achieved AUCs of 0.87 for EGFR, 0.96 for ALK, 0.88 for BRAF and 0.83 for MET. Moreover, they demonstrated high accuracy in identifying cases lacking alterations. Our results highlight the potential of deep-learning tools for the detection of NSCLC biomarkers and specifically the identification of tumors without EGFR or ALK driver alterations, supporting more informed clinical decision-making.

Identifiers

PMID41554849
PMCPMC12891468

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.