Evidence map›Paper›PMID 41588105›Full record

ArticleNPJ digital medicine2026

Multimodal digital biopsy for preoperative prediction of occult peritoneal metastasis in gastric cancer.

Sheng Chen, Ping'an Ding, Yihao Yang, Shuo Ma, Honghai Guo, Xiao Han, Jiaxuan Yang, Wenqian Ma, Ning Meng, Zhijia Xia and 9 more

Abstract read
In one paragraph

Article in NPJ digital medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 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

19 authors.

Sheng Chen *The Third Department of Surgery, the Fourth Hospital of Hebei Medical University, Shijiazhuang, 050011, Hebei, China.
Ping'an Ding *The Third Department of Surgery, the Fourth Hospital of Hebei Medical University, Shijiazhuang, 050011, Hebei, China.
Yihao YangThe Third Department of Surgery, the Fourth Hospital of Hebei Medical University, Shijiazhuang, 050011, Hebei, China.
Shuo MaThe Third Department of Surgery, the Fourth Hospital of Hebei Medical University, Shijiazhuang, 050011, Hebei, China.
Honghai GuoThe Third Department of Surgery, the Fourth Hospital of Hebei Medical University, Shijiazhuang, 050011, Hebei, China.
Xiao HanCollege of Biomedical Engineering, Sichuan University, Chengdu, 610065, Sichuan, China.
Jiaxuan YangThe Third Department of Surgery, the Fourth Hospital of Hebei Medical University, Shijiazhuang, 050011, Hebei, China.
Wenqian MaDepartment of Endoscopy, The Fourth Hospital of Hebei Medical University, Shijiazhuang, 050011, China.
Ning MengDepartment of General Surgery, Shijiazhuang People's Hospital, Shijiazhuang, 050050, Hebei, China.
Zhijia XiaDepartment of General, Visceral, and Transplant Surgery, Ludwig-Maximilians-University Munich, D-81377, Munich, Germany.
Xiaolong LiDepartment of General Surgery, Baoding Central Hospital, Baoding, 071030, Hebei, China.
Lilong ZhangDepartment of General Surgery, Renmin Hospital of Wuhan University, Wuhan, 430065, Hubei, China.
Yanlong ShiDepartment of General Surgery, The Fifth Affiliated Hospital of Anhui Medical University, Fuyang, 236003, Anhui, China.
Zhenjiang GuoDepartment of General Surgery, Hengshui People's Hospital, Hengshui, Hebei, 053099, China.
Kaixuan GaoDepartment of Anorectal Surgery, Cangzhou People's Hospital, Cangzhou, 061000, China.
Renjun GuSchool of Chinese Medicine & School of Integrated Chinese and Western Medicine, Nanjing University of Chinese Medicine, Nanjing, 210023, Jiangsu, China.
Hong LongDepartment of Gastrointestinal Surgery, The First Affiliated Hospital of University of South China, Hengyang, 421001, Hunan, China.
Lingjiao MengResearch Center and Tumor Research Institute of the Fourth Hospital of Hebei Medical University, Shijiazhuang, 050011, Hebei, China. ljmeng@hebmu.edu.cn.ORCID http://orcid.org/0000-0001-6730-4154
Qun ZhaoThe Third Department of Surgery, the Fourth Hospital of Hebei Medical University, Shijiazhuang, 050011, Hebei, China. zhaoqun@hebmu.edu.cn.ORCID http://orcid.org/0000-0003-1603-3002

Funding

Fundamental Research Funds for the Central Universities 20822041J4123Hebei Province Medical Applicable Technology Tracking Project GZ20250046Hengrui-Hebei Innovative Development Medical Cooperation Program Project HR202501001National Natural Science Foundation of China 82503478National Natural Science Foundation of China 82573273Natural Science Foundation of Hebei Province H2025206841S&T Program of Hebei 23297701ZS&T Program of Hebei 242W7713Zthe Hebei Provincial Medical Science Research Project Plan 20260519
6 · The paper itself

Abstract

Gastric cancer staging is frequently limited by the low sensitivity of routine imaging for occult peritoneal metastasis (OPM), necessitating invasive staging laparoscopy. We developed a Multimodal Model, integrating primary tumor radiomics from CT with clinical factors to non-invasively predict OPM in locally advanced gastric cancer. The model was trained and internally validated in a large cohort (n = 940) and externally validated across two independent multi-center cohorts (n = 309), an incremental cohort (n = 477), and a prospective clinical trial cohort (n = 168). In all cohorts, the model achieved robust performance (AUCs: 0.834-0.857), significantly outperforming single-modality models. Crossover validation showed AI assistance increased the average radiologist AUC from 0.735 to 0.872. Transcriptomic analysis revealed that the model's low-risk stratification correlated with an enhanced antitumor immune microenvironment (CD8 T cells, TNFα signaling). This validated model provides a practical tool for accurate, non-invasive OPM prediction and individualized treatment planning.

Identifiers

PMID41588105
PMCPMC12865198

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.