TRV-2026-1812Certified recordPeer-reviewed

Multimodal AI refines EAU risk stratification in patients undergoing radiotherapy for prostate cancer

Abstract The European Association of Urology (EAU) risk groups guide treatment decisions in prostate cancer using prostate-specific antigen (PSA), ISUP grade, and clinical stage, but do not incorporate histopathological image information. We evaluated a locked multimodal artificial intelligence (AI) model that integrates routinely available clinical variables (age, PSA, and ISUP grade) with deep-learning features extracted from diagnostic biopsy whole-slide images for predicting outcomes after radiotherapy (RT).…

Health · Good Space — documented gain · certified 2026-10-18 · v1 · article view · machine-readable

Current reading — gain

Adding a multimodal AI score to EAU classification improved model fit and separated outcomes within EAU risk groups in 353 radiotherapy-treated men.

What this doesn’t fix

The AI score's improvement over EAU groups was not statistically significant in paired C-index comparisons, the risk stratification was exploratory, and prospective validation is needed.

Evidence

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Truvace Impact Record TRV-2026-1812, v1: “Multimodal AI refines EAU risk stratification in patients undergoing radiotherapy for prostate cancer.” Truvace, 2026-10-18. /record/TRV-2026-1812 (accessed at citation time). sha256 6bd918047e4b184a…

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Every change to this record since certification, in the open. None yet — the reading has held since it entered the record.

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