Evidence map›Paper›PMID 42180367›Full record

ArticlemedRxiv : the preprint server for health sciences2026

Development and Validation of a Multimodal Clinical, Pathologic, and Genomic Model for Breast Cancer Recurrence.

Ngoc-Kim Nguyen, Anran Li, Sara Kochanny, James Dolezal, Siddhi Ramesh, Gil Shamai, Junhan Zhao, Rita Nanda, Nan Chen, Olufunmilayo I Olopade and 23 more

Abstract readPreprint
In one paragraph

Article in medRxiv : the preprint server for health sciences, 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

33 authors.

Ngoc-Kim NguyenDepartment of Medicine, University of Chicago, Chicago, IL, USA.
Anran LiDepartment of Medicine, University of Chicago, Chicago, IL, USA.
Sara KochannyDepartment of Medicine, University of Chicago, Chicago, IL, USA.
James DolezalGeisinger Cancer Institute, Danville, PA, USA.
Siddhi RameshDepartment of Medicine, University of Chicago, Chicago, IL, USA.
Gil ShamaiTechnion-Israel Institute of Technology, Haifa, Israel.
Junhan ZhaoDepartment of Pediatrics, University of Chicago, Chicago, IL, USA.
Rita NandaDepartment of Medicine, University of Chicago, Chicago, IL, USA.
Nan ChenDepartment of Medicine, University of Chicago, Chicago, IL, USA.
Olufunmilayo I OlopadeDepartment of Medicine, University of Chicago, Chicago, IL, USA.
Megan SullivanEndeavor Health Cancer Institute, Evanston, IL, USA.
E Martin FloresDepartment of Pathology, Ingalls Memorial Hospital, Harvey, IL, USA.
Galina KhramtsovaDepartment of Medicine, University of Chicago, Chicago, IL, USA.
Sasha Jain-LiuDepartment of Medicine, University of Chicago, Chicago, IL, USA.
Riley MedenwaldEndeavor Health Cancer Institute, Evanston, IL, USA.
Poornima SahaEndeavor Health Cancer Institute, Evanston, IL, USA.
Linda McCartThe Ohio State University Comprehensive Cancer Center, Columbus, OH, USA.
Mark WatsonDepartment of Pathology and Immunology, Washington University School of Medicine, St. Louis, MO, USA.
W Fraser SymmansDepartment of Pathology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Kevin KalinskyEmory University Department of Medicine Section of Hematology/Oncology, Atlanta GA, USA.
Lajos PusztaiYale University Department of Medicine Section of Hematology/Oncology, New Haven CT, USA.
Michal GalaMultiplexDX, s.r.o., Comenius University Science Park, Bratislava, Slovakia.
Evan D PaulMultiplexDX, s.r.o., Comenius University Science Park, Bratislava, Slovakia.
Barbora HuraiováMultiplexDX, s.r.o., Comenius University Science Park, Bratislava, Slovakia.
Pavol ČekanMultiplexDX, s.r.o., Comenius University Science Park, Bratislava, Slovakia.
Ann H PartridgeDana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA.
Lisa CareyLineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Daniel StoverThe Ohio State University Comprehensive Cancer Center, Columbus, OH, USA.
Katharine YaoEndeavor Health Cancer Institute, Evanston, IL, USA.
Joseph A SparanoIcahn School of Medicine at Mount Sinai, Tisch Cancer Institute, New York NY, USA.
Dezheng HuoDepartment of Public Health Sciences, University of Chicago, Chicago, IL, USA.
Alexander T PearsonDepartment of Medicine, University of Chicago, Chicago, IL, USA.
Frederick M HowardDepartment of Medicine, University of Chicago, Chicago, IL, USA.

Funding

Member Site CoreU10CA180821 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI Evanthia Galanis · 2014 to 2026
$177.3M
Project-006U10CA180820 · NCI · ECOG-ACRIN MEDICAL RESEARCH FOUNDATION · PI Peter J ODwyer, MITCHELL D. SCHNALL · 2014 to 2026
$167.6M
Statistics CoreU10CA180882 · NCI · MAYO CLINIC ROCHESTER · PI Sumithra Jay Mandrekar · 2014 to 2026
$115.0M
Geisinger Cancer Institute Oncology Research ProgramUG1CA189847 · NCI · GEISINGER CLINIC · PI Rajiv Panikkar · 2014 to 2026
$16.0M
WASHINGTON UNIVERSITY / SITEMAN CANCER CENTER LEAD ACADEMIC SITEUG1CA233339 · NCI · WASHINGTON UNIVERSITY · PI NANCY L BARTLETT, Clifford Grant Robinson · 2019 to 2026
$11.3M
UT MD Anderson Cancer Center Network Lead Academic Participating Site (LAP) UG1UG1CA233329 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI KELLY K HUNT, CHELSEA Camille PINNIX · 2019 to 2026
$11.1M
OSU as a Network Lead Academic Participating Site for the NCI NCTNUG1CA233331 · NCI · OHIO STATE UNIVERSITY · PI John L. Hays, Dwight H. Owen · 2019 to 2026
$8.9M
NCTN Lead Academic Participating Site at Dana-Farber/Partners Cancer CareUG1CA233180 · NCI · DANA-FARBER CANCER INST · PI Harold John Burstein · 2019 to 2026
$8.6M
Northwestern University Lead Academic Participating Site Supplement Year 2UG1CA233320 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI BENSON, AL B, MATEI, DANIELA E · 2019 to 2025
$5.5M
The Funding Mechanism of the Pilot TrialR01CA276652 · NCI · UNIVERSITY OF CHICAGO · PI Hiroyuki Abe, Gregory S. Karczmar · 2023 to 2026
$5.0M
UG1 - NCTN (Network Lead)UG1CA233327 · NCI · UNIVERSITY OF CHICAGO · PI STEVEN J CHMURA, HEDY L KINDLER · 2019 to 2026
$4.4M
Integrating Clinical, Pathologic, and Immune Features to Predict Breast Cancer Recurrence and Chemotherapy BenefitK08CA283261 · NCI · UNIVERSITY OF CHICAGO · PI Frederick Matthew Howard · 2023 to 2026
$806k
NCI NIH HHS K08 CA283261NCI NIH HHS R01 CA276652NCI NIH HHS U10 CA180820NCI NIH HHS U10 CA180821NCI NIH HHS U10 CA180882NCI NIH HHS UG1 CA189847NCI NIH HHS UG1 CA233180NCI NIH HHS UG1 CA233320NCI NIH HHS UG1 CA233327NCI NIH HHS UG1 CA233329NCI NIH HHS UG1 CA233331NCI NIH HHS UG1 CA233339NIDCR NIH HHS R56 DE030958
6 · The paper itself

Abstract

Purpose: To develop and validate a multimodal recurrence-risk model integrating histology, genomic testing, and clinical variables. Methods: We developed AI-Path, a whole-slide image biomarker for recurrence prediction trained in CALGB 9344, and validated it in three independent cohorts: TAILORx, a multi-site Chicago cohort, and the MDX-BRCA cohort. We then integrated AI-Path with Oncotype DX Recurrence Score (RS), tumor size, and nodal status into a Cox model, PathClinRS, fit using 60% of cases from TAILORx, with the remaining 40% held out for validation. The primary end point was distant recurrence-free interval. Performance was assessed using Harrell's concordance index (C-index) and Kaplan-Meier analyses. Results: A total of 12,418 patients were included. In TAILORx, AI-Path outperformed RS for distant recurrence (C-index, 0.682 vs 0.647; Conclusion: Digital histopathology provides prognostic information complementary to genomic assays and has the potential to personalize therapy beyond existing clinicogenomic tools.

Identifiers

PMID42180367
PMCPMC13193151

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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.