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May 29, 2026Journal of Clinical Oncology

Clinical validation of an AI-based prognostic assay for stage I-II cutaneous melanoma.

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Authors

CKChristina KanaanCBCéline BossardSRSéverine Roy

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Overview

Randomized trial demonstrates superior risk stratification in early-stage melanoma, suggesting improved treatment outcomes.

Key Points

  • This research aims to validate DiaSurv, an AI-based prognostic assay, for identifying high-risk patients in stage I-II cutaneous melanoma.
  • Evaluated DiaSurv on a retrospective cohort of 456 stage I-II primary CM patients.
  • Analyzed whole-slide images (WSI) to classify risk based on tumor characteristics.
  • Performed Kaplan-Meier and multivariable Cox regression analyses to assess survival outcomes.
  • Low-risk patients had significantly better 5-year recurrence-free survival (92% vs 38%, HR = 7.71, p < 0.001).
  • In subgroup analysis, DiaSurv identified 23.4% of patients with high-risk profiles despite favorable AJCC staging.
  • Low-risk classification at 5 years showed a negative predictive value of 92.2% for RFS and 96.5% for OS.

Cite This Study

Kanaan et al. (2026) studied this question.

synapsesocial.com/papers/6a192df7fab5b468c4416f19https://doi.org/10.1200/jco.2026.44.16_suppl.9578
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