Evidence map›Paper›PMID 40566494›Full record

ArticleLife (Basel, Switzerland)2025

Artificial Intelligence (AI) for Programmed Death Ligand-1 (PD-L1) Immunohistochemical Assessment in Urothelial Carcinomas: "Teaching" Cell Differentiation to AI Systems.

Ioan Alin Nechifor-Boilă, Adela Nechifor-Boilă, Andrada Loghin, Carmen Mihaela Mihu, Carmen Stanca Melincovici, Mădălin Mihai Onofrei, Călin Bogdan Chibelean, Orsolya Martha, Angela Borda

Erratum issuedAbstract read
In one paragraph

Article in Life (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.

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

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Ioan Alin Nechifor-BoilăDepartment of Anatomy and Embryology, George Emil Palade University of Medicine, Pharmacy, Science and Technology of Targu Mures, 38th Gh. Marinescu Street, 540142 Targu Mures, Romania.
Adela Nechifor-BoilăDepartment of Histology, Center for Advanced Medical and Pharmaceutical Research, George Emil Palade University of Medicine, Pharmacy, Science and Technology of Targu Mures, 38th Gh. Marinescu Street, 540142 Targu Mures, Romania.ORCID 0000-0002-1165-0071
Andrada LoghinDepartment of Histology, Center for Advanced Medical and Pharmaceutical Research, George Emil Palade University of Medicine, Pharmacy, Science and Technology of Targu Mures, 38th Gh. Marinescu Street, 540142 Targu Mures, Romania.
Carmen Mihaela MihuDiscipline of Histology, Department of Morpho-Functional Sciences, Iuliu Hatieganu University of Medicine and Pharmacy, 400349 Cluj-Napoca, Romania.
Carmen Stanca MelincoviciDiscipline of Histology, Department of Morpho-Functional Sciences, Iuliu Hatieganu University of Medicine and Pharmacy, 400349 Cluj-Napoca, Romania.
Mădălin Mihai OnofreiDiscipline of Histology, Department of Morpho-Functional Sciences, Iuliu Hatieganu University of Medicine and Pharmacy, 400349 Cluj-Napoca, Romania.ORCID 0009-0008-0844-3662
Călin Bogdan ChibeleanDepartment of Urology, Targu Mures County Hospital, 1st Gh. Marinescu Street, 540103 Targu Mures, Romania.
Orsolya MarthaDepartment of Urology, Targu Mures County Hospital, 1st Gh. Marinescu Street, 540103 Targu Mures, Romania.
Angela BordaDepartment of Histology, Center for Advanced Medical and Pharmaceutical Research, George Emil Palade University of Medicine, Pharmacy, Science and Technology of Targu Mures, 38th Gh. Marinescu Street, 540142 Targu Mures, Romania.

Funding

Universitatea de Medicină, Farmacie, Științe și Tehnologie "George Emil Palade" din Târgu Mureș 164 / 22 /10.01.2023
6 · The paper itself

Abstract

Assessment of Programmed Death-Ligand 1 (PD-L1) immunohistochemical (IHC) expression on tumor cells (TCs) and immune cells (ICs) in bladder cancer (BC) is challenging. Artificial Intelligence (AI) has potential for accurate PD-L1 IHC scoring, but its efficiency remains debatable. Our aim was to compare two AI protocols provided by the free QuPath software (v0.5.1) (Selected Area Interpretation (AI-SAI) and Whole Slide Imaging (AI-WSI)) with manual PD-L1 IHC scoring. A total of 43 BCs were included. PD-L1 IHC was performed using the SP263 clone. The IHC slides were digitized and further imported into QuPath. The PD-L1 positivity threshold was set at 25%. Statistically significant correlations were observed between AI-SAI and manual interpretation for both TCs (r = 0.85) and ICs (r = 0.57). AI-WSI yielded comparable results, with correlation coefficients of r = 0.82 for TCs and r = 0.56 for ICs. However, AI-SAI demonstrated stronger agreement with manual assessment (κ = 0.86) compared to AI-WSI (κ = 0.65). Receiver Operating Characteristic (ROC) analysis further supported the superiority of AI-SAI, with higher AUC values for both TCs (0.96 vs. 0.92) and ICs (0.92 vs. 0.90). Our findings indicate that AI-SAI is preferable to AI-WSI, particularly in BC cases with high PD-L1-positive TC content. Nevertheless, supervision by an experienced pathologist is mandatory.

Indexed as

artificial intelligencebladder cancerimmunohistochemistryPD-L1QuPathwhole slide imaging

Identifiers

PMID40566494
PMCPMC12194390

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.