Evidence map›Paper›PMID 41906333›Full record

Observational studyCancer biology & medicine2026

Virtual histology imaging of lymph nodes

Shuwei Zhang, Houpu Yang, Yiyin Zhang, Xiaoxian Li, Jin Zhao, Yuanyuan Zhang, Ping Xue, Hua Kang, Hongchuan Jiang, Wenhui Ren and 1 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Cancer biology & medicine, 2026. 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
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Shuwei Zhang *Breast Center, Peking University People's Hospital, Beijing 100044, China.
Houpu Yang *Breast Center, Peking University People's Hospital, Beijing 100044, China.
Yiyin Zhang *Breast Center, Peking University People's Hospital, Beijing 100044, China.
Xiaoxian LiDepartment of Pathology and Laboratory Medicine, Emory University, Atlanta, GA 30322, USA.
Jin ZhaoBreast Center, Peking University People's Hospital, Beijing 100044, China.
Yuanyuan ZhangDepartment of Pathology, Peking University People's Hospital, Beijing 100044, China.
Ping XueDepartment of Physics and State Key Laboratory of Low-dimensional Quantum Physics, Tsinghua University, Beijing 100084, China.
Hua KangDepartment of General Surgery, Xuanwu Hospital, Capital Medical University, Beijing 100053, China.
Hongchuan JiangDepartment of Breast Surgery, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China.
Wenhui RenDepartment of Clinical Epidemiology and Biostatistics, Peking University People's Hospital, Beijing 100044, China.
Shu WangBreast Center, Peking University People's Hospital, Beijing 100044, China.ORCID 0000-0002-8651-4795

Funding

Beijing Natural Science Foundation 7242281Beijing Natural Science Foundation 7244427Key Research and Development Program of China 2024YFC3405303Research and Development Fund of Peking University People's Hospital RDEB2025-25Research and Development Fund of Peking University People's Hospital RDZH2024-03
6 · The paper itself

Abstract

objectiveThe current pathological diagnosis of lymph node metastasis is time-consuming, labor-intensive, and dependent on sectioning of paraffin blocks. Herein, in a prospective cohort of patients with breast cancer, we validated dynamic full-field optical coherence tomography (D-FFOCT), a virtual pathology tool integrating deep learning for nodal metastasis detection, and offering rapid and label-free histologic approximations of fresh tissues.

methodsIn a prospective dual-center cohort of 155 patients with breast cancer, 747 freshly bisected lymph node slides were obtained

resultsD-FFOCT strongly correlated with hematoxylin and eosin (H&E)-stained histological images. Surgeons achieved 97.10% specificity in nodal diagnosis with D-FFOCT. The performance of the artificial intelligence (AI) model was not inferior to that of human experts and had a sensitivity/specificity of 87.88%/91.94% and an area under the receiver operating characteristic curve of 0.899 at the slide level. The human-AI collaborative system reduced labor requirements by 75% and increased the specificity by 6.5%, to 98.39%.

conclusionsD-FFOCT has excellent potential as a tool for assessing lymph node metastatic status without tissue preparation or consumption. The integration of D-FFOCT with deep learning decreases labor demands and maintains high accuracy, thereby enabling streamlined nodal prediction independent of routine pathology procedures.

Indexed as

Breast NeoplasmsDeep LearningLymphatic MetastasisLymph NodesTomography, Optical CoherenceDiagnosis, DifferentialFemaleHumansProspective StudiesReproducibility of ResultsROC CurveSensitivity and SpecificityTelepathologyAI modelBreast cancerdynamic full field optical coherence tomographylymph nodesmetastatic status

Identifiers

PMID41906333
PMCPMC13059866

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.