OncoTree: A cancer classification system for precision oncology Journal Article


Authors: Kundra, R.; Zhang, H.; Sheridan, R.; Sirintrapun, S. J.; Wang, A.; Ochoa, A.; Wilson, M.; Gross, B.; Sun, Y.; Madupuri, R.; Satravada, B. A.; Reales, D.; Vakiani, E.; Al-Ahmadie, H. A.; Dogan, A.; Arcila, M.; Zehir, A.; Maron, S.; Berger, M. F.; Viaplana, C.; Janeway, K.; Ducar, M.; Sholl, L.; Dogan, S.; Bedard, P.; Surrey, L. F.; Sanchez, I. H.; Syed, A.; Rema, A. B.; Chakravarty, D.; Suehnholz, S.; Nissan, M.; Iyer, G. V.; Murali, R.; Bouvier, N.; Soslow, R. A.; Hyman, D.; Younes, A.; Intlekofer, A.; Harding, J. J.; Carvajal, R. D.; Sabbatini, P. J.; Abou-Alfa, G. K.; Morris, L.; Janjigian, Y. Y.; Gallagher, M. M.; Soumerai, T. A.; Mellinghoff, I. K.; Hakimi, A. A.; Fury, M.; Huse, J. T.; Bagrodia, A.; Hameed, M.; Thomas, S.; Gardos, S.; Cerami, E.; Mazor, T.; Kumari, P.; Raman, P.; Shivdasani, P.; MacFarland, S.; Newman, S.; Waanders, A.; Gao, J.; Solit, D.; Schultz, N.
Article Title: OncoTree: A cancer classification system for precision oncology
Abstract: PURPOSE: Cancer classification is foundational for patient care and oncology research. Systems such as International Classification of Diseases for Oncology (ICD-O), Systematized Nomenclature of Medicine Clinical Terms (SNOMED-CT), and National Cancer Institute Thesaurus (NCIt) provide large sets of cancer classification terminologies but they lack a dynamic modernized cancer classification platform that addresses the fast-evolving needs in clinical reporting of genomic sequencing results and associated oncology research. METHODS: To meet these needs, we have developed OncoTree, an open-source cancer classification system. It is maintained by a cross-institutional committee of oncologists, pathologists, scientists, and engineers, accessible via an open-source Web user interface and an application programming interface. RESULTS: OncoTree currently includes 868 tumor types across 32 organ sites. OncoTree has been adopted as the tumor classification system for American Association for Cancer Research (AACR) Project Genomics Evidence Neoplasia Information Exchange (GENIE), a large genomic and clinical data-sharing consortium, and for clinical molecular testing efforts at Memorial Sloan Kettering Cancer Center and Dana-Farber Cancer Institute. It is also used by precision oncology tools such as OncoKB and cBioPortal for Cancer Genomics. CONCLUSION: OncoTree is a dynamic and flexible community-driven cancer classification platform encompassing rare and common cancers that provides clinically relevant and appropriately granular cancer classification for clinical decision support systems and oncology research.
Journal Title: JCO Clinical Cancer Informatics
Volume: 5
ISSN: 2473-4276
Publisher: American Society of Clinical Oncology  
Date Published: 2021-02-24
Start Page: 221
End Page: 230
Language: English
DOI: 10.1200/cci.20.00108
PUBMED: 33625877
PROVIDER: scopus
PMCID: PMC8240791
DOI/URL:
Notes: Article -- Export Date: 1 April 2021 -- Source: Scopus
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  1. Meera Hameed
    284 Hameed
  2. David Solit
    781 Solit
  3. James Joseph Harding
    252 Harding
  4. Paul J Sabbatini
    262 Sabbatini
  5. Ghassan Abou-Alfa
    571 Abou-Alfa
  6. Yelena Yuriy Janjigian
    400 Janjigian
  7. Gopakumar Vasudeva Iyer
    350 Iyer
  8. Robert Soslow
    797 Soslow
  9. Luc Morris
    281 Morris
  10. Snjezana Dogan
    190 Dogan
  11. Ahmet Zehir
    344 Zehir
  12. Rajmohan Murali
    220 Murali
  13. Nancy Bouvier
    70 Bouvier
  14. Michael Forman Berger
    768 Berger
  15. Maria Eugenia Arcila
    669 Arcila
  16. Efsevia Vakiani
    265 Vakiani
  17. Jianjiong Gao
    132 Gao
  18. Nikolaus D Schultz
    491 Schultz
  19. Benjamin E Gross
    44 Gross
  20. Moriah Gabrielle Heller Nissan
    17 Nissan
  21. Manda E Wilson
    18 Wilson
  22. Abraham Ari Hakimi
    327 Hakimi
  23. Stuart M Gardos
    21 Gardos
  24. Aijazuddin Syed
    53 Syed
  25. Yichao Sun
    19 Sun
  26. Ahmet Dogan
    469 Dogan
  27. Stacy Bridget Thomas
    6 Thomas
  28. Ritika   Kundra
    89 Kundra
  29. Hongxin Zhang
    47 Zhang
  30. Dalicia Nicole Reales
    10 Reales
  31. Angelica Ochoa
    30 Ochoa
  32. Avery J Wang
    12 Wang
  33. Steven Maron
    106 Maron