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    • JCO 2022
    • Breast Cancer
    • ResNet AI

    AI-enabled identification prediction of homologous recombination deficiency (HRD) from histopathology images

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    Dr Gowhar S. (1Cell.Ai)

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    Lisa McShane

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    Florian Markowetz

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    Razelle Kurzrock

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    Olivier Elemento (Weill Cornell Medicine)

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    Summary

    AI-enabled analysis of histopathology images demonstrated the ability to accurately predict homologous recombination deficiency (HRD) without relying on traditional genomic testing. Advanced machine learning and deep learning models extracted image-derived features associated with DNA repair pathway deficiencies, enabling non-invasive inference of tumor molecular characteristics. This approach reduces dependency on costly molecular assays while accelerating diagnostic workflows. Integration of AI-driven digital pathology with clinical diagnostics enables scalable screening for HRD across large patient populations, supporting precision oncology and personalized treatment selection.
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    Key Findings:-

    • AI-based histopathology analysis can detect HRD directly from tissue images without genomic sequencing.
    • Image-derived features serve as indicators of DNA repair pathway deficiencies.
    • HRD prediction enables identification of patients suitable for PARP inhibitors and combination therapies.
    • AI-driven approaches improve efficiency and scalability of cancer diagnostics.
    • Image-based prediction reduces reliance on traditional molecular testing methods.

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