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Updated: Sep 13, 2025

Introduction of an Integrated Pathology Image Management, Artificial Intelligence, and Reporting System
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GPSai: A Clinically Validated AI Tool for Tissue of Origin Prediction during Routine Tumor Profiling.

Hassan Ghani1, Anthony Helmstetter1, Jennifer R Ribeiro1

  • 1Caris Life Sciences, Irving, Texas.

Cancer Research Communications
|July 31, 2025
PubMed
Summary

An artificial intelligence (AI) tool, Genomic Probability Score AI (GPSai™), accurately identifies cancer tissue of origin, aiding in diagnosing cancers of unknown primary (CUP) and improving treatment decisions.

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Area of Science:

  • Oncology
  • Bioinformatics
  • Artificial Intelligence in Medicine

Background:

  • A subset of cancers present with unclear or incorrect primary histopathologic diagnoses, posing challenges in diagnosis and treatment.
  • Cancers of Unknown Primary (CUP) represent a significant diagnostic dilemma, impacting patient management and therapeutic strategies.

Purpose of the Study:

  • To develop and validate an AI tool, Genomic Probability Score AI (GPSai™), for predicting tumor tissue of origin in CUP and identifying potential misdiagnoses.
  • To assess the clinical impact of integrating GPSai into routine molecular testing for improving diagnostic accuracy and guiding therapy.

Main Methods:

  • The GPSai model was trained on whole exome and transcriptome data from over 200,000 cases.
  • Retrospective and prospective validations were performed on over 97,000 cases.
  • Clinical utility was evaluated through 8 months of live testing and physician surveys.

Main Results:

  • GPSai demonstrated 95.0% accuracy in non-CUP cases and identified tumor origin in 84.0% of CUP cases.
  • The tool led to diagnosis changes in 0.88% of profiled cases, with changes supported by orthogonal evidence.
  • Diagnosis alterations prompted changes in targeted therapy eligibility in 86.1% of affected patients.

Conclusions:

  • GPSai accurately identifies tumor tissue of origin, aiding in the diagnosis of CUP and ambiguous tumors.
  • The AI tool has the potential for clinical impact by improving diagnostic accuracy and guiding subsequent therapeutic decisions.
  • Integration of GPSai into routine molecular testing can enhance diagnostic precision and optimize patient treatment strategies.