Evidence map›Paper›PMID 42294317›Full record

ArticleFrontiers in oncology2026

HPV genotype-specific p16/Ki67 expression with machine learning-assisted assessment in cervical neoplasia.

Meryem Kececi Oguzhanoglu, Esen Gul Uzuner, Kursat Oguzhanoglu, Ali Cetin, Senem Karacabey Cakmak, Zeynab Asgarova

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Article in Frontiers in oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Meryem Kececi OguzhanogluDepartment of Obstetrics and Gynecology, Haseki Training and Research Hospital, University of Health Sciences, Istanbul, Türkiye.
Esen Gul UzunerDepartment of Pathology, Haseki Training and Research Hospital, University of Health Sciences, Istanbul, Türkiye.
Kursat OguzhanogluDepartment of Obstetrics and Gynecology, Haseki Training and Research Hospital, University of Health Sciences, Istanbul, Türkiye.
Ali CetinDepartment of Obstetrics and Gynecology, Haseki Training and Research Hospital, University of Health Sciences, Istanbul, Türkiye.
Senem Karacabey CakmakDepartment of Obstetrics and Gynecology, Haseki Training and Research Hospital, University of Health Sciences, Istanbul, Türkiye.
Zeynab AsgarovaDepartment of Pathology, Haseki Training and Research Hospital, University of Health Sciences, Istanbul, Türkiye.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Genotype-specific patterns of dual p16/Ki67 immunoexpression and their integration with computational assessment remain insufficiently delineated in cervical neoplasia. The present investigation characterized biomarker expression stratified by HPV genotype and evaluated the methodological feasibility of a deep learning-assisted scoring pipeline. Methods: A single-center cross-sectional investigation was conducted on 100 HPV-positive women, stratified into three categories: HPV16 mono-infection (n=33), non-HPV16 high-risk mono-infection (n=33), and multi-genotype co-infection (n=34). Whole-slide p16/Ki67 immunohistochemistry was scored through real-time consensus by two pathologists of differing experience levels, blinded to HPV genotype. A ResNet50-based computational pipeline was developed as a methodological feasibility demonstration and evaluated on an independent held-out test set (n=25). Between-group comparisons were performed using the Mann-Whitney Results: HPV16 mono-infection exhibited significantly elevated p16 immunoexpression (52.4 ± 27.6%) relative to non-HPV16 high-risk genotypes (31.1 ± 22.8%; Conclusions: HPV16 mono-infection is associated with distinctly elevated dual p16/Ki67 immunoexpression, providing methodological support for genotype-informed cytological risk stratification. The computational pipeline demonstrates technical feasibility; however, external multicenter validation is required prior to any consideration of clinical implementation.

Indexed as

artificial intelligencecervical intraepithelial neoplasiadigital pathologyHPV genotypingmachine learningp16/Ki67 biomarkers

Identifiers

PMID42294317
PMCPMC13259803

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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.