The preoperative fusion model significantly improves the accuracy of N-staging in rectal cancer. By outperforming manual interpretation and demonstrating encouraging preliminary generalizability in an external cohort, this model shows potential as a clinical aid for identifying patients who will benefit from neoadjuvant therapy, thereby facilitating personalized clinical decision-making and reducing interobserver variability.
Neoadjuvant treatment response in rectal cancer is dependent on genomic alterations, immune activation and stromal interactions. AI-driven biomarkers hold promise for personalized treatment and organ-preservation. Prospective, multicenter validation is essential to enable further clinical implementation.
4 days ago
Journal
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KRAS (KRAS proto-oncogene GTPase) • BRAF (B-raf proto-oncogene) • TP53 (Tumor protein P53) • CD8 (cluster of differentiation 8) • SMAD4 (SMAD family member 4)
This study suggests that multimodal prehabilitation influences basal immune function, leading to a less inflammatory state. However, as no significant differences in immune function were observed between prehabilitation and control groups on POD1, the impact of prehabilitation on postoperative immune function may be limited.