Evidence map›Paper›PMID 42904142›Full record

ReviewiScience2026

Intelligent immunotherapy: AI-driven optimization of CAR-T therapy in hematologic malignancies.

Farshid Farhadzadeh, Amirhossien Borji, Cena Aram, Ali Alishvandi, Mohammad Javad Kamali, Mona Rahimi

Abstract readReview
In one paragraph

Review in iScience, 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

6 authors.

Farshid FarhadzadehSchool of Electrical and Computer Engineering, College of Engineering, University of Tehran, Tehran, Iran.
Amirhossien BorjiDepartment of Immunology, School of Medicine, Iranshahr University of Medical Sciences, Iranshahr, Iran.
Cena AramDepartment of Cell & Molecular Biology, Faculty of Biological Sciences, Kharazmi University, Tehran, Iran.
Ali AlishvandiUniversal Scientific Education and Research Network (USERN), Babol, Iran.
Mohammad Javad KamaliDepartment of Medical Genetics, School of Medicine, Babol University of Medical Sciences, Babol, Iran.
Mona RahimiCollege of Science, University of Tehran, Tehran, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chimeric antigen receptor (CAR)-T cell therapy has transformed outcomes in selected hematologic malignancies, yet its delivery remains constrained by variable efficacy, acute and prolonged toxicities, and complex manufacturing logistics. Artificial intelligence (AI) is being applied across the CAR-T continuum at three distinct levels of evidentiary maturity. Externally validated parsimonious models built on routine clinical and laboratory data including CAR-HEMATOTOX, endothelial activation and stress index (EASIX) and m-EASIX, MyCARe, and gradient-boosting cytokine release syndrome predictors provide deployable risk stratification today. Methodologically sophisticated tools using deep-learning positron emission tomography (PET) segmentation, attention-based digital-pathology analysis, and multimodal fusion of imaging with laboratory and circulating tumor DNA features have demonstrated technical promise but generally lack the multi-center external validation required for clinical-grade deployment. Forward-looking applications, including digital-twin frameworks, large language models, and closed-loop adaptive therapy, remain at the prototype stage and have not yet been validated for CAR-T. This review synthesizes these three tiers, summarizes 18 published AI and statistical-modeling tools in a comparative performance table, and compares data characteristics and AI modeling paradigms across large B cell lymphoma, B cell acute lymphoblastic leukemia, and multiple myeloma. We also identify the implementation realities-absent regulatory clearance, demographic and racial bias in training data, and post-deployment model drift-that condition the field's evolution. The contribution of AI to CAR-T therapy, as the evidence currently stands, is the calibrated quantification of established risk factors rather than the discovery of novel biology, but the methodological and data infrastructure foundations are now in place for the broader transformation that the next decade may enable.

Indexed as

artificial intelligenceCAR-T therapycytokine modelingdigital pathologydigital twinsradiomics

Identifiers

PMID42904142
PMCPMC13682363

What OpenQuestion holds

Textmetadata
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.