Development of an artificial intelligence-derived histologic signature associated with adjuvant gemcitabine treatment outcomes in pancreatic cancer
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Development of an artificial intelligence-derived histologic signature associated with adjuvant gemcitabine treatment outcomes in pancreatic cancer. / Nimgaonkar, Vivek; Krishna, Viswesh; Krishna, Vrishab; Tiu, Ekin; Joshi, Anirudh; Vrabac, Damir; Bhambhvani, Hriday; Smith, Katelyn; Johansen, Julia S.; Makawita, Shalini; Musher, Benjamin; Mehta, Arnav; Hendifar, Andrew; Wainberg, Zev; Sohal, Davendra; Fountzilas, Christos; Singhi, Aatur; Rajpurkar, Pranav; Collisson, Eric A.
I: Cell Reports Medicine, Bind 4, Nr. 4, 101013, 2023.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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T1 - Development of an artificial intelligence-derived histologic signature associated with adjuvant gemcitabine treatment outcomes in pancreatic cancer
AU - Nimgaonkar, Vivek
AU - Krishna, Viswesh
AU - Krishna, Vrishab
AU - Tiu, Ekin
AU - Joshi, Anirudh
AU - Vrabac, Damir
AU - Bhambhvani, Hriday
AU - Smith, Katelyn
AU - Johansen, Julia S.
AU - Makawita, Shalini
AU - Musher, Benjamin
AU - Mehta, Arnav
AU - Hendifar, Andrew
AU - Wainberg, Zev
AU - Sohal, Davendra
AU - Fountzilas, Christos
AU - Singhi, Aatur
AU - Rajpurkar, Pranav
AU - Collisson, Eric A.
N1 - Publisher Copyright: © 2023 Valar Labs, Inc.
PY - 2023
Y1 - 2023
N2 - Pancreatic ductal adenocarcinoma (PDAC) has been left behind in the evolution of personalized medicine. Predictive markers of response to therapy are lacking in PDAC despite various histological and transcriptional classification schemes. We report an artificial intelligence (AI) approach to histologic feature examination that extracts a signature predictive of disease-specific survival (DSS) in patients with PDAC receiving adjuvant gemcitabine. We demonstrate that this AI-generated histologic signature is associated with outcomes following adjuvant gemcitabine, while three previously developed transcriptomic classification systems are not (n = 47). We externally validate this signature in an independent cohort of patients treated with adjuvant gemcitabine (n = 46). Finally, we demonstrate that the signature does not stratify survival outcomes in a third cohort of untreated patients (n = 161), suggesting that the signature is specifically predictive of treatment-related outcomes but is not generally prognostic. This imaging analysis pipeline has promise in the development of actionable markers in other clinical settings where few biomarkers currently exist.
AB - Pancreatic ductal adenocarcinoma (PDAC) has been left behind in the evolution of personalized medicine. Predictive markers of response to therapy are lacking in PDAC despite various histological and transcriptional classification schemes. We report an artificial intelligence (AI) approach to histologic feature examination that extracts a signature predictive of disease-specific survival (DSS) in patients with PDAC receiving adjuvant gemcitabine. We demonstrate that this AI-generated histologic signature is associated with outcomes following adjuvant gemcitabine, while three previously developed transcriptomic classification systems are not (n = 47). We externally validate this signature in an independent cohort of patients treated with adjuvant gemcitabine (n = 46). Finally, we demonstrate that the signature does not stratify survival outcomes in a third cohort of untreated patients (n = 161), suggesting that the signature is specifically predictive of treatment-related outcomes but is not generally prognostic. This imaging analysis pipeline has promise in the development of actionable markers in other clinical settings where few biomarkers currently exist.
KW - digital pathology
KW - pancreatic cancer
KW - predictive biomarker
U2 - 10.1016/j.xcrm.2023.101013
DO - 10.1016/j.xcrm.2023.101013
M3 - Journal article
C2 - 37044094
AN - SCOPUS:85152254090
VL - 4
JO - Cell Reports Medicine
JF - Cell Reports Medicine
SN - 2666-3791
IS - 4
M1 - 101013
ER -
ID: 362891544