Kludt, Carina, Wang, Yuan, Ahmad, Waleed, Bychkov, Andrey, Fukuoka, Junya, Gaisa, Nadine, Kühnel, Mark, Jonigk, Danny, Pryalukhin, Alexey, Mairinger, Fabian, Klein, Franziska, Schultheis, Anne Maria, Seper, Alexander, Hulla, Wolfgang, Brägelmann, Johannes, Michels, Sebastian, Klein, Sebastian, Quaas, Alexander, Büttner, Reinhard and Tolkach, Yuri (2024). Next-generation lung cancer pathology: Development and validation of diagnostic and prognostic algorithms. Cell Reports Medicine, 5 (9). pp. 1-20. Elsevier. ISSN 2666-3791

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Identification Number:10.1016/j.xcrm.2024.101697

Abstract

[Artikel-Nr.: 101697] Non-small cell lung cancer (NSCLC) is one of the most common malignant tumors. In this study, we develop a clinically useful computational pathology platform for NSCLC that can be a foundation for multiple downstream applications and provide immediate value for patient care optimization and individualization. We train the primary multi-class tissue segmentation algorithm on a substantial, high-quality, manually annotated dataset of whole-slide images with lung adenocarcinoma and squamous cell carcinomas. We investigate two downstream applications. NSCLC subtyping algorithm is trained and validated using a large, multi-institutional (n = 6), multi-scanner (n = 5), international cohort of NSCLC cases (slides/patients 4,097/1,527). Moreover, we develop four AI-derived, fully explainable, quantitative, prognostic parameters (based on tertiary lymphoid structure and necrosis assessment) and validate them for different clinical endpoints. The computational platform enables the high-precision, quantitative analysis of H&E-stained slides. The developed prognostic parameters facilitate robust and independent risk stratification of patients with NSCLC.

Item Type: Article
Creators:
Creators
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ORCID Put Code
Kludt, Carina
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Wang, Yuan
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Ahmad, Waleed
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Bychkov, Andrey
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Fukuoka, Junya
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Gaisa, Nadine
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Kühnel, Mark
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Jonigk, Danny
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Pryalukhin, Alexey
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Mairinger, Fabian
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Klein, Franziska
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Schultheis, Anne Maria
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Seper, Alexander
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Hulla, Wolfgang
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Brägelmann, Johannes
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Michels, Sebastian
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Klein, Sebastian
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Quaas, Alexander
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Büttner, Reinhard
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Tolkach, Yuri
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URN: urn:nbn:de:hbz:38-814387
Identification Number: 10.1016/j.xcrm.2024.101697
Journal or Publication Title: Cell Reports Medicine
Volume: 5
Number: 9
Page Range: pp. 1-20
Number of Pages: 20
Date: September 2024
Publisher: Elsevier
ISSN: 2666-3791
Language: English
Faculty: Faculty of Medicine
Divisions: Faculty of Medicine > Innere Medizin > Klinik I für Innere Medizin - Hämatologie und Onkologie
Faculty of Medicine > Pathologie und Neuropathologie > Institut für Pathologie
Faculty of Medicine > Weitere > Centrum für integrierte Onkologie (CIO)
Faculty of Medicine > Weitere > Translationale Genomik
Zentrum für Molekulare Medizin
Subjects: Medical sciences Medicine
Uncontrolled Keywords:
Keywords
Language
lung cancer ; NSCLC ; AI ; algorithm ; subtyping ; prognosis
English
['eprint_fieldname_oa_funders' not defined]: Publikationsfonds UzK
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/81438

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