1. Cell graph neural networks enable the precise prediction of patient survival in gastric cancer
- Author
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Yanan Wang, Yu Guang Wang, Changyuan Hu, Ming Li, Yanan Fan, Nina Otter, Ikuan Sam, Hongquan Gou, Yiqun Hu, Terry Kwok, John Zalcberg, Alex Boussioutas, Roger J. Daly, Guido Montúfar, Pietro Liò, Dakang Xu, Geoffrey I. Webb, Jiangning Song, Li, Ming [0000-0002-1218-2804], Daly, Roger J [0000-0002-5739-8027], Lio, Pietro [0000-0002-0540-5053], Xu, Dakang [0000-0003-2415-4920], Webb, Geoffrey I [0000-0001-9963-5169], Song, Jiangning [0000-0001-8031-9086], Apollo - University of Cambridge Repository, and Liò, Pietro [0000-0002-0540-5053]
- Subjects
Cancer Research ,Rare Diseases ,Oncology ,692/4028/67/1504/1829 ,631/67/2321 ,article ,32 Biomedical and Clinical Sciences ,3 Good Health and Well Being ,631/114 ,3211 Oncology and Carcinogenesis ,692/4028/67/327 ,Cancer - Abstract
Gastric cancer is one of the deadliest cancers worldwide. An accurate prognosis is essential for effective clinical assessment and treatment. Spatial patterns in the tumor microenvironment (TME) are conceptually indicative of the staging and progression of gastric cancer patients. Using spatial patterns of the TME by integrating and transforming the multiplexed immunohistochemistry (mIHC) images as Cell-Graphs, we propose a graph neural network-based approach, termed Cell−GraphSignatureorCGSignature, powered by artificial intelligence, for the digital staging of TME and precise prediction of patient survival in gastric cancer. In this study, patient survival prediction is formulated as either a binary (short-term and long-term) or ternary (short-term, medium-term, and long-term) classification task. Extensive benchmarking experiments demonstrate that the CGSignature achieves outstanding model performance, with Area Under the Receiver Operating Characteristic curve of 0.960 ± 0.01, and 0.771 ± 0.024 to 0.904 ± 0.012 for the binary- and ternary-classification, respectively. Moreover, Kaplan–Meier survival analysis indicates that the “digital grade” cancer staging produced by CGSignature provides a remarkable capability in discriminating both binary and ternary classes with statistical significance (P value CGSignature improves the assessment of the link between the TME spatial patterns and patient prognosis. Our study suggests the feasibility and benefits of such an artificial intelligence-powered digital staging system in diagnostic pathology and precision oncology.
- Published
- 2022