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Updated: May 28, 2026

Comparison of Predictive Performance of Three Lymph Node Staging Systems in Colorectal Signet Ring Cell Carcinoma Based on Machine Learning Model
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Comparison of Predictive Performance of Three Lymph Node Staging Systems in Colorectal Signet Ring Cell Carcinoma Based on Machine Learning Model

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Machine Learning-Based Survival Prediction in Early-Stage Non-Small Cell Lung Cancer: Development and Cross-National

Nikhil Joshi1, Hari Ponnamma Rani1, Maxim Shevtsov2

  • 1Department of Mathematics, National Institute of Technology Warangal, Hanamkonda 506004, Telangana, India.

Journal of Clinical Medicine
|May 27, 2026
PubMed
Summary

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Cancer Survival Analysis

Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...

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This summary is machine-generated.

Machine learning models can predict lung cancer survival across different countries. The Random Survival Forest model showed stability, though long-term accuracy may vary with patient differences.

Area of Science:

  • Oncology
  • Biostatistics
  • Machine Learning in Healthcare

Background:

  • Lung cancer is a leading cause of cancer mortality globally.
  • Prognostic models may lack accuracy across diverse populations due to demographic and clinical variations.
  • Investigating cross-national applicability of machine learning (ML) survival models is crucial.

Purpose of the Study:

  • To assess the cross-national applicability of ML-based survival prediction models for lung cancer.
  • To validate models trained on US data using an independent Chinese cohort.
  • To compare the performance of different ML models in predicting survival across populations.

Main Methods:

  • Developed Cox proportional hazards, Random Survival Forest (RSF), and XGBoost-Cox models.
Keywords:
SEER databaseexternal validationlung cancermachine learningnon-small cell lung cancerrandom survival forestsurvival prediction

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Comparison of Predictive Performance of Three Lymph Node Staging Systems in Colorectal Signet Ring Cell Carcinoma Based on Machine Learning Model
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  • Externally validated models using US SEER database and a Chinese clinical cohort.
  • Evaluated model discrimination (C-index, AUC) and calibration, using cross-validation for tuning.
  • Main Results:

    • Models were trained on 13,260 US patients and validated on 505 Chinese patients.
    • The Chinese cohort had younger patients and more Stage IA disease.
    • RSF demonstrated the most stability across cohorts (C-index 0.740 US, 0.782 China) and timeframes, with good calibration at 1-3 years.

    Conclusions:

    • ML models, particularly RSF, show promise for predicting cross-population survival in early-stage non-small cell lung cancer (NSCLC).
    • Differences in patient characteristics and treatment can impact long-term model performance.
    • Rigorous external validation is essential for the reliable application of ML models in diverse oncology settings.