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Peer-Reviewed Publication
Cancers (Basel)2026;18(2)January 14, 2026Journal Article

Impact of Computational Histology AI Biomarkers on Clinical Management Decisions in Non-Muscle Invasive Bladder Cancer: A Multi-Center Real-World Study.

Vignesh T Packiam1, Saum Ghodoussipour1, Badrinath R Konety2, Hamed Ahmadi3, Gautum Agarwal4, Lesli A Kiedrowski5, Viswesh Krishna5, Anirudh Joshi5, Stephen B Williams6, Armine K Smith7
1Rutgers Cancer Institute, New Brunswick, NJ 08901, USA.
2Allina Health, Minneapolis, MN 55407, USA.
3Department of Urology, University of Minnesota, Minneapolis, MN 55455, USA.
4Mercy Clinic, St. Louis, MO 63141, USA.
5Valar Labs, Palo Alto, CA 94306, USA.
6Department of Surgery, Division of Urology, University of Texas Medical Branch, Galveston, TX 77555, USA.
7Brady Urological Institute, Johns Hopkins University, Washington, DC 21218, USA.

Abstract

Background/Objectives: Non-muscle invasive bladder cancer (NMIBC) management is increasingly complex due to conflicting guideline-based risk classifications, ongoing Bacillus Calmette-Guérin (BCG) shortages, and emerging alternative therapies. Computational Histology Artificial Intelligence (CHAI) tests are clinically available, providing insights from tumor specimens including predicting BCG resp…

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