ArticlePhysics and imaging in radiation oncology2026
Computed tomography-based prediction of early recurrence risks with estimating individual times to recurrence for lung cancer patients prior to radiotherapy.
Article in Physics and imaging in radiation oncology, 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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Abstract
Background and Purpose: Current radiomics approaches have limitations in predicting recurrence with the time gap between radiomic features prior to treatment and individual recurrence risks following treatment. This study aimed to develop computed tomography (CT)-based prediction models of early recurrence risks by estimating individual times to recurrence (TTRs) in patients with non-small cell lung cancer (NSCLC) prior to stereotactic ablative radiotherapy (SABR). Materials and methods: A total of 143 patients with stage I-II NSCLC treated with SABR were enrolled. Planning CT images were used to construct internal ( Results: The best prediction models achieved AUCs of 0.926 and 0.763 for 1-year and 0.869 and 0.883 for 2-year recurrence in the internal and external tests, respectively. Conclusion: The proposed CT-based model demonstrated improved performance for predicting 1- and 2-year recurrences by directly predicting TTRs. This study could bridge the time gap between pretreatment radiomic features and individual recurrence risks.
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