Educational content on VJOncology is intended for healthcare professionals only. By visiting this website and accessing this information you confirm that you are a healthcare professional.

Share this video  

ASCO 2026 | Integrating H&E and molecular data to improve cancer prediction models

David Rimm, MD, PhD, Yale University, New Haven, CT, discusses a study assessing the role of H&E analysis to prognosticate and determine molecular markers such as estrogen receptor status. The study’s breakthrough is the use of both H&E and molecular information to increase the likelihood of accurate prediction of outcome, allowing for training of H&E models on H&E and molecular data rather than outcome data. This interview took place during the 2026 American Society of Clinical Oncology (ASCO) Meeting in Chicago, IL.

These works are owned by Magdalen Medical Publishing (MMP) and are protected by copyright laws and treaties around the world. All rights are reserved.

Transcript

The second abstract that I’m going to discuss today is from Gil Shamai and his group in Israel. And what they’ve done is take H&E analysis, or they analyze images of the H&E. That’s the hematoxylin and eosin pathology slide. And that’s the slide on which the pathologist made the original diagnosis. That is, nobody has cancer until the pathologist says so...

The second abstract that I’m going to discuss today is from Gil Shamai and his group in Israel. And what they’ve done is take H&E analysis, or they analyze images of the H&E. That’s the hematoxylin and eosin pathology slide. And that’s the slide on which the pathologist made the original diagnosis. That is, nobody has cancer until the pathologist says so. And the pathologist looks at that H&E slide, and that’s how they make their decision as to what the disease is. Well, that slide, that H&E slide contains a lot of other information as well. And it’s been harvested, and people have been doing H&E analysis and built foundation models, which is the sort of result of analysis of tens of thousands or even millions of H&E slides so that they can have a basis. And then they use that basis to further hone the value of the H&E. And this group that has used the H&E to be able to prognosticate, that is to be able to determine whether or not patients are low risk or high risk, and has used the H&E to determine whether their estrogen receptor is negative or positive, and other molecular markers that they can use the H&E instead of actually doing the molecular test. But what they find is neither one is perfect. That is, if you compare either the H&E or the molecular test to outcome, they don’t do that well. And their breakthrough this time is by using both informations, they can actually increase the likelihood of accurate prediction of outcome for whichever variable they’re looking at at this time. And so the breakthrough is that usually when you train H&Es, you needed the outcome to train the H&E. And now they would be training the H&E on the H&E and the molecular information as opposed to the outcome information.

This transcript is AI-generated. While we strive for accuracy, please verify this copy with the video.

Read more...