Evidence map›Paper›PMID 41253792›Full record

ArticleNature communications2025

Multimodal AI and tumour microenvironment integration predicts metastasis in cutaneous melanoma.

Tom W Andrew, Marc Combalia, Carlos Hernandez, Sydney Grant, Gyorgy Paragh, Susanna Puig, Grant Mc Arthur, Grant Richardson, Phil Sloan, Sophia Z Shalhout and 2 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 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Review
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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

12 authors.

Tom W AndrewTranslation and Clinical Research Institute, Newcastle University, Newcastle Upon Tyne, UK. tom.andrew@nhs.net.ORCID http://orcid.org/0000-0002-2297-0003
Marc CombaliaAMLo Biosciences, Newcastle Upon Tyne, UK.
Carlos HernandezAMLo Biosciences, Newcastle Upon Tyne, UK.
Sydney GrantAMLo Biosciences, Newcastle Upon Tyne, UK.ORCID http://orcid.org/0000-0003-1849-5921
Gyorgy ParaghDepartment of Dermatology, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA.ORCID http://orcid.org/0000-0002-6612-9267
Susanna PuigDermatology Department, Hospital Clinic of Barcelona, University of Barcelona, IDIBAPS & CIBERER, Instituto de Salud Carlos III, Barcelona, Spain.ORCID http://orcid.org/0000-0003-1337-9745
Grant Mc ArthurSir Peter MacCallum Department of Oncology, University of Melbourne, Melbourne, Victoria, Australia.ORCID http://orcid.org/0000-0001-8908-6071
Grant RichardsonTranslation and Clinical Research Institute, Newcastle University, Newcastle Upon Tyne, UK.
Phil SloanTranslation and Clinical Research Institute, Newcastle University, Newcastle Upon Tyne, UK.
Sophia Z ShalhoutMike Toth Head and Neck Cancer Research Center, Division of Surgical Oncology, Department of Otolaryngology-Head and Neck Surgery, Mass Eye and Ear, Boston, MA, USA.ORCID http://orcid.org/0000-0002-2783-5265
Ruth PlummerTranslation and Clinical Research Institute, Newcastle University, Newcastle Upon Tyne, UK.ORCID http://orcid.org/0000-0003-0107-1444
Penny E LovatTranslation and Clinical Research Institute, Newcastle University, Newcastle Upon Tyne, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Accurate prognostication is essential to guide clinical management in localised cutaneous melanoma (CM), the form of skin cancer with the highest mortality. While the tumour microenvironment (TME) plays a key role in disease progression, current staging systems rely on limited tumour features and exclude key clinicopathological prognostic features. Here we show that MelanoMAP, a multimodal AI model integrating TME-derived digital biomarkers and clinicopathological features from over 3,500 histology slides, improves prognostication of localised CM. MelanoMAP achieved a C-index of 0.82, a 24% improvement over traditional AJCC staging (0.66) and consistently outperformed clinicopathological-only models across six international patient cohorts. SHAP analysis identified TME-derived digital biomarkers, alongside traditional clinicopathological factors including age, mitotic count, and Breslow depth, were critical determinants of metastatic risk. MelanoMAP establishes a potential foundation for precision oncology in CM, demonstrating how AI-driven digital biomarkers can advance personalised prognostication and inform clinical-decision making.

Indexed as

Artificial IntelligenceMelanomaSkin NeoplasmsTumor MicroenvironmentAdultAgedBiomarkers, TumorCutaneous Malignant MelanomaFemaleHumansMaleMiddle AgedNeoplasm MetastasisNeoplasm StagingPrognosisBiomarkers, Tumor

Identifiers

PMID41253792
PMCPMC12627701

What Socratic holds

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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.