Evidence map›Paper›PMID 42251145›Full record

ArticleNPJ precision oncology2026

AI-assisted histomorphological stratification of endometrial cancer: real-world validation of foundation models for molecular subtyping.

Laura Schwarzmann, Robert Stöhr, Julius Emons, Patrik Pöschke, Katharina Seitz, Matthias Rübner, Matthias W Beckmann, Mareike Britt Diederich, Irina Unser, Arndt Hartmann and 2 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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

12 authors.

Laura SchwarzmannInstitute of Pathology, University Hospital Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Comprehensive Cancer Center Erlangen-EMN (CCC ER-EMN), Erlangen, Germany. laura.schwarzmann@fau.de.
Robert StöhrInstitute of Pathology, University Hospital Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Comprehensive Cancer Center Erlangen-EMN (CCC ER-EMN), Erlangen, Germany.
Julius EmonsBavarian Cancer Research Center (BZKF), Erlangen, Germany.
Patrik PöschkeBavarian Cancer Research Center (BZKF), Erlangen, Germany.
Katharina SeitzBavarian Cancer Research Center (BZKF), Erlangen, Germany.
Matthias RübnerBavarian Cancer Research Center (BZKF), Erlangen, Germany.
Matthias W BeckmannBavarian Cancer Research Center (BZKF), Erlangen, Germany.
Mareike Britt DiederichInstitute of Pathology, University Hospital Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Comprehensive Cancer Center Erlangen-EMN (CCC ER-EMN), Erlangen, Germany.
Irina UnserInstitute of Pathology, University Hospital Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Comprehensive Cancer Center Erlangen-EMN (CCC ER-EMN), Erlangen, Germany.
Arndt HartmannInstitute of Pathology, University Hospital Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Comprehensive Cancer Center Erlangen-EMN (CCC ER-EMN), Erlangen, Germany.
Christian Matek *Institute of Pathology, University Hospital Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Comprehensive Cancer Center Erlangen-EMN (CCC ER-EMN), Erlangen, Germany. christian.matek@uk-erlangen.de.
Ramona Erber *Institute of Pathology, University Hospital Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Comprehensive Cancer Center Erlangen-EMN (CCC ER-EMN), Erlangen, Germany.

Funding

Deutsche Krebshilfe No: 70116663Interdisciplinary Center for Clinical Research (IZKF) at the University Hospital of the University of Erlangen-Nuremberg Junior Project J101
6 · The paper itself

Abstract

Endometrial cancer (EC) is classified into four molecular subtypes with distinct prognosis and treatment implications. Despite this well-established molecular classification, morpho-molecular correlations remain understudied. Artificial intelligence (AI) enables biomarker prediction from H&E-stained whole-slide images (WSIs). However, real-world validation for EC molecular subtyping is lacking. In this study, we evaluated image-based molecular subtyping in a real-world cohort derived from routine diagnostic cases with heterogeneous image quality. We benchmarked the feature extraction with the CTransPath and UNI foundation models, demonstrating robust results across different scanner hardware and quantified performance variation by additional stain normalization. UNI-based features achieved a mean AUROC of 0.646 for POLEmut (n = 16), 0.700 for MMRd_MSI (n = 79), 0.684 for NSMP (n = 176), and 0.844 for p53abn (n = 18) on external real-world data. We provided human interpretations of subtype-specific morphological features. Our findings may thus lay the foundations of a more reliable framework for personalized treatment stratification based on morphologically informed molecular subtyping.

Identifiers

PMID42251145
PMCPMC13242518

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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.