Evidence map›Paper›PMID 40097393›Full record

ArticleNature communications2025

Histopathology based AI model predicts anti-angiogenic therapy response in renal cancer clinical trial.

Jay Jasti, Hua Zhong, Vandana Panwar, Vipul Jarmale, Jeffrey Miyata, Deyssy Carrillo, Alana Christie, Dinesh Rakheja, Zora Modrusan, Edward Ernest Kadel and 5 more

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–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

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. The Role of AI in Clinical Trial Design and Scientific Writing.Cardiovascular and interventional radiology · 2026
    Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Multimodal AI in precision medicine: linking omics, imaging and clinical decisions.American journal of clinical and experimental immunology · 2026
    Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Review
  17. bioRxiv : the preprint server for biology · 2025
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors.

Jay JastiLyda Hill Department of Bioinformatics, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Hua ZhongLyda Hill Department of Bioinformatics, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Vandana PanwarDepartment of Pathology, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Vipul JarmaleLyda Hill Department of Bioinformatics, University of Texas Southwestern Medical Center, Dallas, TX, USA.ORCID http://orcid.org/0000-0001-6911-0898
Jeffrey MiyataKidney Cancer Program, Simmons Comprehensive Cancer Center, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Deyssy CarrilloKidney Cancer Program, Simmons Comprehensive Cancer Center, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Alana ChristieKidney Cancer Program, Simmons Comprehensive Cancer Center, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Dinesh RakhejaDepartment of Pathology, University of Texas Southwestern Medical Center, Dallas, TX, USA.ORCID http://orcid.org/0000-0001-6888-7902
Zora ModrusanDepartment of Proteomic and Genomic Technologies, Genentech, South San Francisco, CA, USA.
Edward Ernest KadelTranslational Medicine Oncology, Genentech, South San Francisco, CA, USA.ORCID http://orcid.org/0000-0003-3030-6628
Niha BeiggRED Computational Sciences, Genentech, South San Francisco, CA, USA.
Mahrukh HuseniTranslational Medicine Oncology, Genentech, South San Francisco, CA, USA.
James BrugarolasKidney Cancer Program, Simmons Comprehensive Cancer Center, University of Texas Southwestern Medical Center, Dallas, TX, USA.ORCID http://orcid.org/0000-0002-8575-499X
Payal KapurDepartment of Pathology, University of Texas Southwestern Medical Center, Dallas, TX, USA. payal.kapur@utsouthwestern.edu.ORCID http://orcid.org/0000-0002-4239-0495
Satwik RajaramLyda Hill Department of Bioinformatics, University of Texas Southwestern Medical Center, Dallas, TX, USA. satwik.rajaram@utsouthwestern.edu.ORCID http://orcid.org/0000-0001-8242-4402

Funding

UT Southwestern Medical Center Simmons Comprehensive Cancer CenterP30CA142543 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI Kathryn Ann O'Donnell · 2010 to 2026
$53.7M
University of Texas Southwestern Medical Center SPORE in Kidney CancerP50CA196516 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI Payal Kapur, Payal Kapur · 2016 to 2026
$24.7M
NON-INVASIVE PHYSIOLOGIC PREDICTORS OF AGGRESSIVENESS IN RENAL CELL CARCINOMAR01CA154475 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI PEDROSA, IVAN · 2011 to 2024
$4.3M
Vascular image-guided optimization of response (VIGOR) to therapy in kidney cancerR01CA244579 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI LIU, LI, PINNEY, KEVIN G. · 2020 to 2024
$2.4M
Glomerular Filtration of Sub-nm Gold NanoparticlesR01DK115986 · NIDDK · UNIVERSITY OF TEXAS DALLAS · PI ZHENG, JIE · 2018 to 2021
$1.4M
Cancer Prevention and Research Institute of Texas (Cancer Prevention Research Institute of Texas) RP200233NCI NIH HHS P30 CA142543NCI NIH HHS P50 CA196516NCI NIH HHS R01 CA154475NCI NIH HHS R01 CA244579NIDDK NIH HHS R01 DK115986U.S. Department of Defense (United States Department of Defense) KC200285
6 · The paper itself

Abstract

Anti-angiogenic (AA) therapy is a cornerstone of metastatic clear cell renal cell carcinoma (ccRCC) treatment, but not everyone responds, and predictive biomarkers are lacking. CD31, a marker of vasculature, is insufficient, and the Angioscore, an RNA-based angiogenesis quantification method, is costly, associated with delays, difficult to standardize, and does not account for tumor heterogeneity. Here, we developed an interpretable deep learning (DL) model that predicts the Angioscore directly from ubiquitous histopathology slides yielding a visual vascular network (H&E DL Angio). H&E DL Angio achieves a strong correlation with the Angioscore across multiple cohorts (spearman correlations of 0.77 and 0.73). Using this approach, we found that angiogenesis inversely correlates with grade and stage and is associated with driver mutation status. Importantly, DL Angio expediently predicts AA response in both a real-world and IMmotion150 trial cohorts, out-performing CD31, and closely approximating the Angioscore (c-index 0.66 vs 0.67) at a fraction of the cost.

Indexed as

Angiogenesis InhibitorsCarcinoma, Renal CellDeep LearningKidney NeoplasmsNeovascularization, PathologicBiomarkers, TumorFemaleHumansMaleMiddle AgedMutationPlatelet Endothelial Cell Adhesion Molecule-1Treatment OutcomeAngiogenesis InhibitorsBiomarkers, TumorPlatelet Endothelial Cell Adhesion Molecule-1

Identifiers

PMID40097393
PMCPMC11914575

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.