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Northwestern Medicine collaborates with Vizlitics to advance cancer clinical trial recruitment and real-world data

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Real-World Data

Guideline-grounded, interactive dashboards that turn fragmented EHR data into actionable insights across the entire care continuum.

The Vizlitics RWD platform delivers disease-specific clinical intelligence dashboards built on structured real-world patient data. Each dashboard spans a guideline-grounded module architecture from screening through outcomes, embedding guideline-directed metrics (NCCN, ASCO, ACC/AHA, GOLD, ISHLT), AI-powered natural-language queries, and data dictionaries aligned to CDISC/NCI/LOINC standards.

Powered by Record Retrieval — dashboards draw on the full retrieved corpus, faxes and scans included, so cohorts reflect the complete record.
Vizlitics RWD Lung Academic Medical Center · n=52
Lung Cancer — Overview

All histologies · 2014–2026 · n=52

Total patients
52
Active cohort
Median age
70 yrs
Range 36–86
Stage IV at Dx
17%
n=9
Median OS — all
25.4 mo
95% CI
Enrollment trend · patients / year
201420202026
Stage distribution · AJCC 8th Ed
Stage I (n=21)40%
Stage II (n=7)13%
Stage III (n=7)13%
Stage IV (n=9)17%
65%LDCT completion
118 dSymptom → Dx
33%NGS testing
51%IO utilization (1L)
Lung Cancer — Screening

USPSTF 2021 · NCCN 2024 · Low-Dose CT

Screening-eligible
5
USPSTF 2021
LDCT completion
65%
↑63pp since 2018
Cancer detection
10%
per 100 screens
Stage I/II — screened
100%
vs 45% unscreened
USPSTF 2021 eligibility · all three required
Age 50–80 yearsExpanded from 55–80 in 2013 guidelines
≥ 20 pack-years(cigarettes/day ÷ 20) × years smoked
Current or quit ≤ 15 years agoFormer >15 years ago do not qualify
NCCN 2024: Age ≥50 + ≥20 pack-years + ≥1 additional risk factor (COPD, radon, occupational, family Hx) may qualify even without all USPSTF criteria.
Lung-RADS distribution · ACR v2022 (n=7)
2 – Benign n=48%
4B – Very suspicious n=24%
4X – Additional features n=12%
Lung Cancer — Diagnosis

Tumor staging · WHO 2021 histology · biomarkers

Stage IV at Dx
17%
n=9; poorest prognosis
Stage I/II combined
53%
n=28; surgical candidates
NGS testing rate
33%
of eligible patients
Actionable mutation
8%
of NGS-tested
40%
Stage I · n=21
13%
Stage II · n=7
13%
Stage III · n=7
17%
Stage IV · n=9

TNM staging reference · AJCC 8th Ed

T classification

T1a/b/c≤1 / 1–2 / 2–3 cm; within visceral pleura
T2a/b3–4 / 4–5 cm; main bronchus or visceral pleura
T35–7 cm; chest wall, phrenic nerve, pericardium
T4>7 cm; mediastinum, heart, great vessels, trachea, carina

N classification

N0No regional lymph node metastasis
N1Ipsilateral peribronchial / hilar nodes
N2Ipsilateral mediastinal / subcarinal nodes
N3Contralateral mediastinal, hilar, supraclavicular

M classification

M0No distant metastasis
M1aMalignant pleural/pericardial effusion; contralateral nodule
M1bSingle extrathoracic metastasis
M1cMultiple extrathoracic metastases
Registry staging: 68% clinical, 32% pathologic (post-surgical). Brain MRI performed in 71% of Stage III–IV at diagnosis.
NSCLC Non-Small Cell Lung Cancer67%
Squamous cell carcinomaKeratinizing · Non-keratinizing · Basaloid · 8070/313%
AdenocarcinomaLepidic · Acinar · Papillary · Micropapillary · Solid · Mucinous · 8140/354%
NET Neuroendocrine Tumours10%
Small cell lung carcinoma (SCLC)4%
Carcinoid tumours6%
Other Salivary gland-type & rare4%
MALT lymphomaExtranodal marginal zone B-cell2%
Granulomatous lymphocytic ILD2%
WHO Classification of Tumours · Thoracic Tumours, 5th ed (2021). IHC panel: TTF-1, p40/p63, Napsin A, Synaptophysin, CgA, CD56.
25%PD-L1 tested
6%PD-L1 ≥ 50%
~8%TMB high
Biomarker prevalence
ALK4%
BRAF2%
EGFR8%
HER22%
KRAS15%
MET8%
PD-L125%
RET4%
ROS16%
TMB8%
KRAS mutation subtypes · n=9 · actionable with TKI
G12C — 33% G12D — 33% G12V (c.35G>T) — 11% Other — 22%
Lung Cancer — Treatment

Treatment patterns · line-of-therapy attribution

Median time to Tx
18 days
from diagnosis
IO utilization (1L)
51%
Stage IV NSCLC
Targeted therapy (1L)
16%
biomarker-driven
Trial enrollment
14%
242 patients
First-line treatment distribution
1L Chemotherapy23%
1L Chemo, Immunotherapy4%
1L Other4%
1L Chemo, Combination, Immuno2%
1L Chemo, Immuno, Targeted2%
1L Chemo, Targeted2%
1L Immunotherapy2%
1L Targeted therapy2%
Treatment by biomarker status
ALK17%
BRAF10%
EGFR15%
HER215%
KRAS13%
MET12%
NGS panel19%
NTRK19%
Lung Cancer — Survival

Stage IV · First-line therapy · Kaplan-Meier estimate

mOS — IO + chemo
19.4 mo
n=78
mOS — Platinum doublet
11.8 mo
n=74
Hazard ratio
0.62
95% CI 0.42–0.91
Log-rank test
p=0.014
Significant
Overall survival · 36-month follow-up
Pembrolizumab + chemo Platinum doublet
100 75 50 25 0 0 6 12 18 24 30 36
Number at risk
061218243036
IO + chemo78604534261813
Platinum744932201385
Real-world evidence: Cox proportional-hazards model adjusted for age, ECOG PS, and stage at diagnosis. HR <1 favors Pembrolizumab + chemo — curves and at-risk counts are drawn from structured therapy and survival-status fields, not a trial endpoint.
Guideline-grounded cohorts — NCCN · ASCO · AJCC 8th Ed · USPSTF · WHO 2021.
7Dashboards built
400+Data variables defined
49Interactive modules
100%Guideline-grounded

Real-world data intelligence

Unlock the data hidden in every record.

Transform faxes, scans, and free-text notes into research-grade, analyzable cohorts with AI-driven extraction — powering quality reporting, precision trial matching, and confident point-of-care decisions. Anti-hallucination rules and value-level traceability keep every value accurate and audit-ready.

Quality governanceStructured cohorts feed real-time dashboards and analytics, so you can monitor compliance, surface care gaps, and standardize best practices across your network.
Automated quality reportingExtracted, standards-mapped data streamlines ASCO/QOPI-certified reporting workflows, cutting the manual abstraction burden on your clinical staff.
Clinical decision supportNormalized records deliver data-driven, NCCN-aligned insights back at the point of care, grounding confident treatment decisions in the full patient picture.
Accelerated trial matchingAnalyzable cohorts identify eligible patients faster, boosting clinical trial enrollment while reducing manual chart review.

Validation-first: human abstraction is subject to interpretation and drift. A standards-based, AI-enabled, domain-tuned pipeline with built-in validation makes every cohort research-grade and repeatable.

Challenges addressed

Why population-level insight is so hard today.

Fragmented clinical data

Patient data is scattered across EHR modules, registries, and tumor boards — making population-level analysis nearly impossible without structured RWD.

Guideline adherence gaps

Biomarker testing rates, NCCN-concordant therapy, GDMT optimization, and quality benchmarks stay invisible without continuous measurement against evidence-based standards.

Trial-to-RWD outcome gap

Real-world outcomes consistently trail clinical-trial benchmarks by 10–20% — understanding why requires structured, disease-specific analytics.

7-module architecture

Every dashboard follows the same care-continuum structure.

From prevention to long-term outcomes, each disease dashboard is built on a consistent, guideline-grounded module architecture — so metrics stay comparable across diseases and sites.

01

Screening & Risk

Early detection

LDCT (Lung-RADS), mammography (BI-RADS), Pap/HPV, ASCVD risk, and ISHLT candidacy — with risk calculators, screening-adherence trends, and risk-factor prevalence.

02

Symptom to Diagnosis

Patient journey

Milestone-level timeline with cumulative days, referral-source analysis, and presenting symptoms — plus bottleneck identification with root cause, intervention, and estimated impact.

03

Diagnosis

Staging & classification

AJCC/FIGO/GOLD/GINA/NYHA staging, WHO histology with ICD-O-3 codes, molecular classification, biomarker panels, genomic alteration tables, and metastatic-site distribution.

04

Treatment

Therapy & GDMT

Treatment patterns by subtype, line-attribution logic with edge cases, GDMT optimization, AE profiles by drug class, dose modifications, and guideline-directed therapy gap analysis.

05

Outcomes

Survival & benchmarks

KM survival curves by subtype/stage/biomarker, RWD-vs-clinical-trial benchmark tables, MACE, readmission, recurrence, PFS, OS, pCR, CLAD-free survival, and quality-gap scoring.

06

AI Query

Gen-AI powered

Natural-language analytics over full registry data with disease-specific system prompts, across five query categories — Clinical, Quality, Research, Molecular, and Prevention.

07

Data Dictionary

Standards & definitions

Every variable defined and standards-aligned — CDISC, NCI Thesaurus, LOINC, ICD-O-3, MedDRA, and AJCC 8th Ed — so cohorts are auditable and interoperable.

Research-grade oncology cohorts from unstructured records.

Real-World Data extracts structured, longitudinal oncology cohorts across cancer types and criteria categories — diagnosis, staging, biomarker, radiation, surgery, systemic therapy, and risk factors — with anti-hallucination guardrails and traceability to source. The same extraction engine also builds cohorts for nephrology, hepatology, pulmonology, and cardiology.

Longitudinal oncology cohorts

Patient journeys assembled from first diagnosis through each line of therapy.

  • Coverage across major cancer types
  • Seven criteria categories per patient
  • Every value traceable to source

Treatment & outcomes capture

Therapy, surgery, radiation, and response structured for analysis.

  • Lines of therapy with dates
  • Surgical and radiation events
  • Documented response and progression

Genomic & biomarker structuring

Molecular results normalized into analyzable tuples.

  • Gene · variant · result tuples
  • IHC and companion markers
  • mCODE-aligned representation

Registry-ready exports

Outputs shaped for registries and downstream research systems.

  • NAACCR-aligned data elements
  • OMOP-ready structuring
  • De-identified delivery options

Standards & frameworks

NAACCRICD-O-3mCODEOMOPSNOMED CTLOINC

Bring Real-World Data to your service line.

We start from complete records — retrieval and curation first, then Real-World Data on top.

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