Prognostic value of nuclear features based on tumor-associated collagen signatures in breast cancer
The prognostic value of nuclear features based on tumor-associated collagen signatures (TCMF2) is still unclear. In this paper, we extracted and quantified the TCMF2 from 941 invasive breast cancer patients in H&E images. The least absolute shrinkage and selection operator regression were used to build a TCMF2-score. The univariate and multivariate Cox proportional hazards regression analyses showed that the TCMF2-score is an independent prognostic factor with an advantage in the prognosis of early-stage invasive breast cancer. When the TCMF2, the microscopic features of TACS-based collagen (TCMF1) and the tumor-associated collagen signatures (TACS) were combined, they showed better accuracy in patient stratification than the clinical model (CLI) or the model based on TACS + TCMF1. Our results identify that TCMF2 improves the performance of the TACS-based prediction model, and the TACS-based full model (TACS + TCMF1 + TCMF2) may help us stratify patients more accurately and provide more appropriate adjuvant therapy.
Authors
- Lianhuang Li (ORCID: https://orcid.org/0000-0002-3531-6668)
- Shunwu Xu (ORCID: https://orcid.org/0000-0002-6161-2954)
- Lida Qiu
- Chuan Wang (ORCID: https://orcid.org/0000-0002-4451-0788)
- Deyong Kang (ORCID: https://orcid.org/0009-0001-7357-3016)
- Fangmeng Fu (ORCID: https://orcid.org/0000-0002-3065-5708)
- Gangqin Xi (ORCID: https://orcid.org/0000-0002-7888-4569)
- Xiahui Han (ORCID: https://orcid.org/0000-0002-5893-686X)
- Jianxin Chen (ORCID: https://orcid.org/0000-0002-2978-1248)
- Jianhua Chen (ORCID: https://orcid.org/0000-0002-4068-3956)
- Zhijun Li (ORCID: https://orcid.org/0000-0002-3909-488X)
- Qingyuan Zhang (ORCID: https://orcid.org/0000-0002-6794-1660)
- Shichao Zhang (ORCID: https://orcid.org/0000-0002-8760-3482)
- Wenhui Guo
- Liqin Zheng (ORCID: https://orcid.org/0000-0002-8994-423X)
- Jianli Ma (ORCID: https://orcid.org/0000-0003-2024-6238)
- Shuoyu Xu
Institutions
- Fujian Normal University (CN)
- Fujian Medical University (CN)
- Harbin Medical University (CN)
- Minjiang University (CN)
- Third Affiliated Hospital of Harbin Medical University (CN)
- Information Today (United States) (US)
- Union Hospital (CN)
Publication Details
- Journal
- npj Breast Cancer
- Published
- 2025-12-14
- DOI
- https://doi.org/10.1038/s41523-025-00860-6
- Primary Topic
- Radiomics and Machine Learning in Medical Imaging
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- National Natural Science Foundation of China
- Natural Science Foundation of Fujian Province