Evidence map›Paper›PMID 42726133›Full record

ArticleAbdominal radiology (New York)2026

CT-derived extracellular volume fraction and AI-assisted body composition for predicting neoadjuvant therapy response and prognosis in colorectal cancer.

Ting Lu, Long Yuan, Chunyu Zhang, Haiting Yang, Shenglin Li, Junlin Zhou

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Article in Abdominal radiology (New York), 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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5 · Who and what money

Authors and funding

6 authors.

Ting LuDepartment of Interventional Radiology, Fudan University Shanghai Cancer Center, Shanghai, China.
Long YuanDepartment of Radiology, Lanzhou University Second Hospital, Lanzhou, China.
Chunyu ZhangDepartment of Radiology, Lanzhou University Second Hospital, Lanzhou, China.
Haiting YangDepartment of Radiology, Lanzhou University Second Hospital, Lanzhou, China. yht189@126.com.
Shenglin LiDepartment of Radiology, Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital, Chengdu, China. lishenglin@med.uestc.edu.cn.
Junlin ZhouDepartment of Radiology, Lanzhou University Second Hospital, Lanzhou, China. ery_zhoujl@lzu.edu.cn.ORCID https://orcid.org/0000-0001-8109-6347

Funding

Cuiying Science and Technology Innovation project of Lanzhou University Second Hospital CY2023-QN-B09Major Project of Joint Scientific Research Fund of Gansu Province 24JRRA921Research Fund of Natural Science Foundation of Sichuan Province 2025ZNSFSC1763Sichuan Academy of Medical Sciences and Sichuan Provincial People's Hospital 24QNPY014
6 · The paper itself

Abstract

objectivesTo develop a combined model integrating clinical parameters, quantitative parameters from contrast-enhanced computed tomography (CECT), and Artificial Intelligence-assisted body composition metrics for predicting treatment response and prognosis in colorectal cancer (CRC) patients receiving neoadjuvant therapy (NAT). MATERIALS AND

methodsThis retrospective study included CRC patients received NAT and surgery between January 2016 and June 2025. Quantitative CECT parameters (extracellular volume fraction [ECV] and arterial enhancement fraction), and body composition parameters (skeletal muscle index [SMI], skeletal muscle attenuation, and visceral-to-subcutaneous adipose tissue ratio) were measured before and after NAT, and their changes were calculated. Logistic regression analysis was used to identify independent predictors of treatment response. A multivariable logistic regression model was constructed, and evaluated using the area under the receiver operating characteristic curve (AUC). Patients were stratified into high- and low-risk groups based on risk score produced from the model. Cox regression analysis was used to assess association between risk score and prognosis.

resultsA total of 163 patients (age, 58.50 ± 10.55 years) were included. A combined model incorporating post-NAT carcinoembryonic antigen, ECV and SMI achieved an AUC of 0.836 (95% CI: 0.754-0.915) and 0.784 (95% CI: 0.583-0.947) in the training and validation cohorts. The risk score was significantly associated with prognosis. High-risk patients had shorter overall survival (Hazard ratio [HR]: 3.745, 95% CI: 1.014-13.836, P = 0.048) and disease-free survival (HR: 2.801, 95% CI: 1.050-7.475, P = 0.040).

conclusionThe combined model may help predict treatment response and survival outcomes in patients with CRC undergoing NAT.

Indexed as

Body compositionColorectal cancerExtracellular volume fractionNeoadjuvant therapyTreatment response

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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 Socratic graph.