
RlapsRisk™ BC is an AI diagnostic to help pathologists and oncologists assess the risk of relapse of early breast cancer patients.
Revolutionize breast cancer care management by democratizing access to actionable medical insights
The incidence of breast cancer is high and approximately 10% of all patients will relapse after their initial treatment each year. Once a patient has relapsed, their chance of survival decreases dramatically. Currently, clinicians lack the tools to identify these high-risk patients at an early stage. Current methods either lack robustness or accuracy or they are expensive and non-routine such as genomic sequencing.
Scientific question
Is it possible to identify high risk of relapse patients from HES Pathology Images with AI? (In the HER2-, ER+ Subgroup)
Development milestones
In July 2019, Owkin wins the ‘AI for Health’ challenge receiving a €1.2m grant from Region Île de France for a breast cancer & histology project.
Abstract presented
Abstract presented

Abstract presented
Accurately discriminate between low and high risk breast cancer patients (ER+/HER2) using digital pathology slides (HES) to determine the right treatment pathway.
Suitable for adults with primary invasive breast cancer (ER+/HER2-)
Cumulative sensitivity is significantly greater than those obtained by standard clinical scores




RlapsRisk BC achieves 78% sensitivity and 80% specificity for post-treatment time-dependent accuracy at 5 years, outperforming current clinical scores in practice¹
Score | Cumulative Sensitivity* | Dynamic Specificity |
---|---|---|
RlapsRisk BC | 0.78 | 0.80 |
PredictUK | 0.41 | 0.84 |
CTS0 | 0.70 | 0.79 |
Survival by Risk Group
Training Cohort

When run on our training cohort, RlapsRisk BC’s performance demonstrates strong discrimination between risk groups, better informing oncologists on the risk classification of their patients to aid in treatment decisions.
Blind Validation Cohort

Through blind validation on a separate cohort, RlapsRisk BC demonstrates that it is well calibrated with similar performances on data it was not trained on.
AI powered diagnostics that seamlessly integrate into the pathologist and oncologist workflow
The following is an example of an AI Dx optimized workflow

Due to variability across pathology labs, workflows may vary by institutions and disease indications
Workflow and IMS agnostic
PDF report with intuitive design
Thanks to the solution we now have a better understanding of the underlying mechanism of highly aggressive tumors and the treatment needs for these patients. Identifying very high-risk patients earlier will enable us to adjust the therapeutic strategy for more favorable patient outcomes.
Director of Research, Gustave Roussy

RlapsRisk BC is CE-IVD marked for diagnostic use in the EU, and registered for use by MHRA in the UK. In all other countries including the United States, the use of RlapsRisk BC is limited to research, not for use in diagnostic procedures. RlapsRisk BC is manufactured by Owkin France. It is intended for healthcare professionals for diagnostic use only where the products are authorized. For more detailed information, please read the instructions for use provided with the product and/or contact Owkin.
Images shown may represent the range of product, or be for illustration purposes only, and may not be an exact representation of the product.
(1) Garberis IJ, Gaury V, Drubay D, et al. Blind validation of an AI-based tool for predicting distant relapse from breast cancer HES stained slides. Poster presented at: European Society for Medical Oncology (ESMO); May 9th - 13th 2022; Paris France.
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