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Peer-Reviewed Publication
medRxiv2026April 24, 2026Journal Article

Comparing Gleason Pattern 4 Measurement Approaches on Prostate Biopsy Using Machine Learning: A Proof-of-Principle Study.

Matei M Buzoianu1, Rebecca Yu1, Melissa Assel1, Alican Bozkurt2, Hamed Aghdam2, Samson W Fine3, Andrew J Vickers1
1Department of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center.
2PAIGE-AI.
3Department of Pathology & Laboratory Medicine, Memorial Sloan Kettering Cancer Center.

Abstract

OBJECTIVE: To demonstrate the proof of principle that machine learning (ML) can be used to quantify Gleason Pattern (GP) 4 on digitized biopsy slides using multiple measurement approaches, allowing direct comparison of their prognostic performance. METHODS: We assembled a convenience sample of 726 patients with grade group 2-4 prostate cancer on systematic biopsy who underwent radical prostatecto…

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