Evidence map›Paper›PMID 41688460›Full record

ArticleNature communications2026

PanMETAI - a high performance tabular foundation model for accurate pancreatic cancer diagnosis via NMR metabolomics.

Dan-Ni Wu, Joey Jen, Erickson Fajiculay, Min-Fen Hsu, Ming-Chu Chang, Jen-Chen Yeh, Karen Sargsyan, Juozas Kupcinskas, Jurgita Skieceviciene, Ruta Steponaitiene and 5 more

Erratum issuedAbstract read
In one paragraph

Article in Nature communications, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors.

Dan-Ni WuInstitute of Biochemical Sciences, National Taiwan University, Taipei, Taiwan.
Joey JenInstitute of Chemistry, Academia Sinica, Taipei, Taiwan.
Erickson FajiculayInstitute of Chemistry, Academia Sinica, Taipei, Taiwan.
Min-Fen HsuGenomics Research Center, Academia Sinica, Taipei, Taiwan.ORCID http://orcid.org/0000-0003-3865-4723
Ming-Chu ChangDepartment of Internal Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan.
Jen-Chen YehInstitute of Chemistry, Academia Sinica, Taipei, Taiwan.
Karen SargsyanInstitute of Chemistry, Academia Sinica, Taipei, Taiwan.
Juozas KupcinskasInstitute for Digestive Research, Academy of Medicine, Lithuanian University of Health Sciences, Kaunas, Lithuania.
Jurgita SkiecevicieneInstitute for Digestive Research, Academy of Medicine, Lithuanian University of Health Sciences, Kaunas, Lithuania.
Ruta SteponaitieneInstitute for Digestive Research, Academy of Medicine, Lithuanian University of Health Sciences, Kaunas, Lithuania.
Egidijus MorkunasInstitute for Digestive Research, Academy of Medicine, Lithuanian University of Health Sciences, Kaunas, Lithuania.
Greta GedgaudieneInstitute for Digestive Research, Academy of Medicine, Lithuanian University of Health Sciences, Kaunas, Lithuania.
Chao-Ping HsuInstitute of Chemistry, Academia Sinica, Taipei, Taiwan. cherri@as.edu.tw.
Yu-Ting ChangDepartment of Internal Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan. yutingchang@ntu.edu.tw.ORCID http://orcid.org/0000-0002-5912-3406
Chun-Mei HuGenomics Research Center, Academia Sinica, Taipei, Taiwan. CMHU1220@as.edu.tw.

Funding

Academia Sinica AS-GC-110-MD03Academia Sinica AS-IV-114-M01
6 · The paper itself

Abstract

Late diagnosis and the lack of effective early detection techniques contribute to the poor prognosis of pancreatic ductal adenocarcinoma (PDAC). To address this challenge, we develop ¹H NMR-based metabolomics-AI platforms employing customized multilayer support vector machine (SVM), AutoGluon, and Tabular Foundation Model (TabPFN) frameworks. These platforms integrate serum metabolomic profiles-including small-molecule metabolites and lipoproteins-with clinical/biochemical parameters (age, CA19-9) and Activin A, derived from 902 participants (424 high-risk controls and 478 PDAC cases). Our TabPFN-based algorithm, PanMETAI, outperform state-of-the-art models. In the Taiwanese training and validation cohort, the model achieved an impressive AUC of 0.99 (95% CI: 0.98-0.99). Its robustness is further confirmed in a Lithuanian external validation cohort (n = 322), which yields an AUC of 0.93 (0.90-0.95). Notably, it identifies key signature patterns that improve early-stage (I/II) PDAC diagnosis and perform well with small sample sizes (n = 50). TabPFN-PanMETAI offers a rapid, accurate, and non-invasive tool for early PDAC detection, with strong potential for clinical application.

Indexed as

Carcinoma, Pancreatic DuctalMetabolomicsPancreatic NeoplasmsActivinsAgedAlgorithmsBiomarkers, TumorEarly Detection of CancerFemaleHumansMagnetic Resonance SpectroscopyMaleMiddle AgedSupport Vector MachineActivinsBiomarkers, Tumor

Identifiers

PMID41688460
PMCPMC12905243

What OpenQuestion holds

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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.