Evidence map›Paper›PMID 41484243›Full record

ArticleNPJ digital medicine2026

Noninvasive evaluation and clinical value prediction of tumor-infiltrating neutrophil-to-T-cell ratio in pancreatic ductal adenocarcinoma.

Yiqun Fan, Bang Du, Kaiyue Pu, Yongji Sun, Changming Lv, Sien Hu, Tianyu Song, Ruijia Wu, Ying Chen, Jinlong Tang and 8 more

Registry-linked trialAbstract read
In one paragraph

Article in NPJ digital medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06760234 (Prediction of Pancreatic Cancer Prognosis Using a Multimodal Deep Learning Model Based on Intratumoral Immune Microenvironment), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06760234 completednot on this map

Prediction of Pancreatic Cancer Prognosis Using a Multimodal Deep Learning Model Based on Intratumoral Immune Microenvironment

TypeobservationalSponsorSecond Affiliated Hospital, Zhejiang University, School of MedicineRan2024 to 2026Enrolled247ConditionsPancreatic AdenocarcinomaArmsNo Interventions
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Yiqun Fan *Department of Surgery, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Bang Du *Liangzhu Laboratory and Transvascular Implantation Devices Research Institute, Hangzhou, Zhejiang, China.
Kaiyue Pu *Department of Surgery, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Yongji SunDepartment of Surgery, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Changming LvDepartment of General Surgery, The Fourth Affiliated Hospital, Zhejiang University School of Medicine, Yiwu, Zhejiang, China.
Sien HuDepartment of General Surgery, Hangzhou Hospital of Traditional Chinese Medicine, Hangzhou, Zhejiang Province, China.
Tianyu SongDepartment of General Surgery, Hangzhou Hospital of Traditional Chinese Medicine, Hangzhou, Zhejiang Province, China.
Ruijia WuAntai College of Economics and Management, Shanghai Jiao Tong University, Shanghai, China.
Ying ChenDepartment of Radiology, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Jinlong TangDepartment of Pathology, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Yuanli ZhongDepartment of Pathology, The Fourth Affiliated Hospital, Zhejiang University School of Medicine, Yiwu, Zhejiang, China.
Wangkun BianDepartment of General Surgery, The Fourth Affiliated Hospital, Zhejiang University School of Medicine, Yiwu, Zhejiang, China.
Jian WuDepartment of Surgery, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Hui ZhangDepartment of Pathology, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Yuan DingDepartment of Surgery, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China. dingyuan@zju.edu.cn.
Hongxia XuLiangzhu Laboratory and Transvascular Implantation Devices Research Institute, Hangzhou, Zhejiang, China. Einstein@zju.edu.cn.ORCID http://orcid.org/0000-0001-5384-4627
Yulian WuDepartment of Surgery, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China. yulianwu@zju.edu.cn.ORCID http://orcid.org/0000-0002-4090-0551
Xiawei LiDepartment of Surgery, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China. lixiawei@zju.edu.cn.

Funding

A Project Supported by Scientific Research Fund of Zhejiang University No. XY2024034National Natural Science Foundation of China No. 82202984National Natural Science Foundation of China No. 82272954National Natural Science Foundation of China No.82572303Zhejiang Key R&D Program of China No. 2023C03053
6 · The paper itself

Abstract

In pancreatic ductal adenocarcinoma (PDAC), the tumor immune microenvironment (TIME) is central to prognosis and therapeutic response, yet predictive biomarkers are still lacking. Here, we used PDAC patients from TCGA, CPTAC, and multiple centers to investigate and validate the relationship between the prognosis and tumor-infiltrating neutrophil-to-T-cell ratio (NTR) in the TIME, including the correlation of NTR with chemotherapy response in PDAC. We developed seven artificial intelligence models to evaluate NTR in the TIME, then evaluated their performance. The multi-modal ROI-model, designated PORCELAIN (Pancreatic Cancer Tumor-Infiltrating Neutrophil-to-T-Cell Ratio Evaluation with Artificial Intelligence), achieved superior external validation performance, demonstrating significant stratification of overall survival and recurrence-free survival. The NTR in the TIME is a potential biomarker for PDAC prognosis and treatment stratification. Importantly, PORCELAIN provides a noninvasive approach to assess NTR in the TIME, offering potential value for clinical management. Trial registration number: NCT06760234.

Identifiers

PMID41484243
PMCPMC12873292

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

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 Socratic graph.