Evidence map›Paper›PMID 42215802›Full record

ArticleInternational journal of colorectal disease2026

The predictive value of contrast-enhanced CT characteristics combined with composite inflammatory markers for lymph node metastasis in T1 colorectal cancer.

Xiaoran Li, Xiaoming Fu, Chuanyang Zhang, Miaomiao Li, Dong Han, Guangdong Fu, Yumei Zhou

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Article in International journal of colorectal disease, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Xiaoran Li *Department of Radiology, Nanjing Gaochun People's Hospital, No.53, Maoshan Road, Nanjing, 211300, China.
Xiaoming Fu *Department of Radiology, Nanjing Gaochun People's Hospital, No.53, Maoshan Road, Nanjing, 211300, China.
Chuanyang ZhangDepartment of Radiology, Nanjing Gaochun People's Hospital, No.53, Maoshan Road, Nanjing, 211300, China.
Miaomiao LiDepartment of Radiology, Nanjing Gaochun People's Hospital, No.53, Maoshan Road, Nanjing, 211300, China.
Dong HanDepartment of Pathology, Nanjing Gaochun People's Hospital, Nanjing, China.
Guangdong FuDepartment of Radiology, Nanjing Gaochun People's Hospital, No.53, Maoshan Road, Nanjing, 211300, China. 569206533@qq.com.
Yumei ZhouThe Second Affiliated Hospital of Wannan Medical College, No.10, Kangfu Road, Wuhu, 241000, Anhui, China. 847076154@qq.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aimed to investigate the predictive value of contrast-enhanced computed tomography (CECT) characteristics of peritumoral lymph node (LN) combined with composite inflammatory markers in lymph node metastasis (LNM) for patients with T1 colorectal cancer (CRC), and evaluated their diagnostic efficacy.

methodsThis retrospective study included 212 patients with T1 CRC (non-LNM: n = 185; LNM: n = 27). The CECT characteristics of the peritumoral LN and inflammatory markers were analyzed. Variables with statistical significance were included in penalized logistic regression (the least absolute shrinkage and selection operator, LASSO) for further feature selection and coefficient shrinkage. The diagnostic performance of the prediction models was evaluated using the receiver operating characteristic curve. The net reclassification improvement (NRI) and integrated discrimination improvement (IDI) were calculated to quantify the incremental predictive value between the models, and the decision curve analysis was plotted to evaluate the clinical practicability.

results27/212 (12.74%) patients had LNM. Six CECT characteristics, three inflammatory markers and six clinical pathological parameters differed significantly between the two groups (all p < 0.05). Eight non-zero coefficient variables were retained. The preoperative prediction model based on CECT characteristics and inflammatory markers had the highest AUC (AUC = 0.830), with NRI and IDI both greater than 0, and had the optimal clinical decision-making value.

conclusionsPreoperative CECT characteristics of LN and composite inflammatory markers were significantly correlated with the occurrence of LNM in T1 CRC patients. The combined model may be useful for the early identification of LNM.

Indexed as

Biomarkers, TumorColorectal NeoplasmsContrast MediaInflammationTomography, X-Ray ComputedAgedArea Under CurveFemaleHumansLymphatic MetastasisLymph NodesMaleMiddle AgedNeoplasm StagingPredictive Value of TestsROC CurveBiomarkers, TumorContrast MediaColorectal cancerLymph node metastasisT1 stageTomographyX-ray computed

Identifiers

PMID42215802
PMCPMC13350133

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.