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March 21, 2026OncoTargets and TherapyOpen Access

Integrated CT Radiomics and Circulating Tumor Cell Analysis in Predicting Lung Adenocarcinoma Invasion: A Dual-Center Study with Implications for Personalized Treatment

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Authors

QZQingtao ZhaoHebei Medical UniversityRWRunzhe WangHebei Medical UniversityQZQingxin ZhaoHebei Medical University

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Implication

A dual-center study demonstrates improved prediction of lung adenocarcinoma invasiveness using radiomics and CTCs, suggesting enhanced personalized treatment strategies.

Key Points

  • This research aims to develop a predictive model integrating CT radiomics and circulating tumor cells to assess lung adenocarcinoma invasiveness.
  • Retrospective analysis of clinical, imaging, CTCs, and pathological data from 202 lung adenocarcinoma patients across two centers.
  • Development set and test set established using 146 cases from one center, with external validation from 56 cases from another center.
  • Machine learning techniques used to analyze CTC counts and radiomic features, followed by LASSO regression for feature selection.
  • 107 radiomic features extracted, categorized into several groups with varying percentages.
  • The composite clinical-radiomics-CTCs model achieved the highest predictive accuracy, with an AUC of 0.980, outperforming all other models.
  • Significant differences in clinical-imaging semantic features demonstrated critical predictors for model development.

Cite This Study

Zhao et al. (2026) studied this question.

synapsesocial.com/papers/69be34d16e48c4981c672e5bhttps://doi.org/10.2147/ott.s597565
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