Evidence map›Paper›PMID 40301768›Full record

SynthesisBMC gastroenterology2025

Artificial intelligence networks for assessing the prognosis of gastrointestinal cancer to immunotherapy based on genetic mutation features: a systematic review and meta-analysis.

Narges Norouzkhani, Hesam Mobaraki, Shirin Varmazyar, Hadis Zaboli, Zhina Mohamadi, Golnaz Nikeghbali, Kamyar Bagheri, Newsha Marivany, Mirmehdi Najafi, Mahdiyeh Nozad Varjovi and 6 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC gastroenterology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 3 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

14 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Machine Learning-Driven radiomics on 18 F-FDG PET for glioma diagnosis: a systematic review and meta-analysis.Cancer imaging : the official publication of the International Cancer Imaging Society · 2025
    Pooled it
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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

16 authors.

Narges Norouzkhani *Department of Medical Informatics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.ORCID http://orcid.org/0000-0001-9734-9126
Hesam Mobaraki *Faculty of Medicine, İstanbul Yeniyuzyil University, Istanbul, Turkey.
Shirin Varmazyar *Department of Radiology, University of Michigan, Michigan, USA.
Hadis ZaboliStudent Research Committee, Babol University Medical Science, Babol, Iran.
Zhina MohamadiFaculty of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Golnaz NikeghbaliSchool of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Kamyar BagheriStudent Research Committee, Abadan University of Medical Sciences, Abadan, Iran.
Newsha MarivanyStudent Research Committee, Zanjan University of Medical Sciences, Zanjan, Iran.
Mirmehdi NajafiUniversal Scientific Education and Research Network (USERN), Tehran, Iran.ORCID http://orcid.org/0009-0007-4146-7239
Mahdiyeh Nozad VarjoviStudent Research Committee, Faculty of Pharmacy, Tabriz University of Medical Sciences, Tabriz, Iran.
Mohamed AbouzeidMersey & West Lancashire Teaching Hospitals NHS Trust, Southport Hospital, Lancashire, UK. muhamedabozeid@gmail.com.ORCID http://orcid.org/0009-0003-5853-8305
Hanieh Zeidi BaghrabadTabriz University of Medical Sciences, Gastroenterology and Hepatology Research Center, Tabriz, Iran.
Pooya EiniToxicological Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.ORCID http://orcid.org/0000-0002-9457-8588
Aida AzhdarimoghaddamStudent Research Committee, School of Medicine, Zahedan University of Medical Sciences, Zahedan, Iran.
Farbod KhosraviSchool of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Mahsa Asadi AnarCollege of Medicine, University of Arizona, Tucson, USA. Mahsa.boz@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimArtificial intelligence (AI) networks offer significant potential for predicting immunotherapy outcomes in gastrointestinal cancers by analyzing genetic mutation profiles. Their application in prognosis remains underexplored. This systematic review and meta-analysis aim to evaluate the effectiveness of AI-based models, which refers to systems utilizing artificial intelligence to analyze data and make predictions, in predicting immunotherapy responses in gastrointestinal cancers using genetic mutation features.

methodsThis study, adhering to PRISMA guidelines, aimed to evaluate AI networks for predicting gastrointestinal cancer prognosis in response to immunotherapy using genetic mutation features. A search in PubMed, WOS, and Scopus identified relevant studies. Data extraction and quality assessment were conducted, and statistical analysis included pooled estimates for sensitivity, specificity, accuracy, and AUC. Regression models and imputation methods addressed missing values, ensuring accurate and robust results. STATA version 18 was used to analyze the data.

resultA total of 45 studies, all published in 2024, involving 14,047 participants in training sets and 10,885 participants in test sets, were included. The pooled results of AI model performance for gastrointestinal cancers based on genetic mutation features were: AUC = 0.86 (95% CI: 0.86-0.87), Sensitivity = 83% (95% CI: 83%-84%), Specificity = 72% (95% CI: 72%-73%), and Accuracy = 82% (95% CI: 82%-83%). Heterogeneity was low to moderate, and no publication bias was detected. Subgroup analysis showed higher AUC for gastric cancer models (AUC: 0.87) and lower for pancreatic cancer models (AUC: 0.52).

conclusionAI networks demonstrate promising potential in predicting immunotherapy outcomes for gastrointestinal cancers based on genetic mutation features. This systematic review highlights their effectiveness in stratifying patients and optimizing treatment decisions. However, further large-scale studies are needed to validate AI models and integrate them into clinical practice for improved precision in cancer immunotherapy.

Indexed as

Artificial IntelligenceGastrointestinal NeoplasmsImmunotherapyMutationHumansPrognosisANNArtificial Intelligence NetworksGastrointestinal cancerGenetic mutationImmunotherapy

Identifiers

PMID40301768
PMCPMC12039286

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.