Publication Name	World Journal of Gastrointestinal Oncology
Manuscript ID	113879
Country	China

Category	Radiology, Nuclear Medicine & Medical Imaging
Manuscript Type	Retrospective Study
Article Title	Neutrophil-albumin ratio and multi-phase computed tomography for lymph node metastasis in pancreatic cancer
Manuscript Source	Unsolicited Manuscript
All Author List	Huan Wang, Tian-Yu Fu, Fang Zhang, Fei-Chao Kang and Zhong-Wei Sun
Funding Agency and Grant Number
Corresponding Author	Zhong-Wei Sun, PhD, Surgery of Vascular and Abdominal Hernia, Affiliated Zhongshan Hospital of Dalian University, No.6 Jiefang Street,Zhongshan District,Dalian City,Liaoning Province, Dalian 116001, Liaoning Province, China. go904013705@163.com
Key Words	Neutrophil-albumin ratio; Multiphase enhanced computed tomography image; Pancreatic cancer; Lymph node metastasis; Predictive model
Core Tip	For the first time, we integrated systemic inflammation-nutrition indices [neutrophil-albumin ratio (NAR), platelet-albumin ratio (PAR)] with multi-phase computed tomography (CT) radiomics to predict lymph node metastasis of pancreatic cancer. The resulting four-marker model (NAR > 0.13, PAR > 6.35, hemangioma thrombosis, CT-positive nodes) achieved an area under the curve of 0.830, surpassing conventional imaging and offering a cost-free, pre-operative tool for personalized surgical planning and neoadjuvant selection.
Citation	Wang H, Fu TY, Zhang F, Kang FC, Sun ZW. Neutrophil-albumin ratio and multi-phase computed tomography for lymph node metastasis in pancreatic cancer. World J Gastrointest Oncol 2025; In press

Received	2025-09-09 09:12
Peer-Review Started	2025-09-09 09:12
To Make the First Decision
Return for Revision	2025-09-26 09:38
Revised	2025-10-11 03:53
Second Decision	2025-11-06 02:48
Accepted by Journal Editor-in-Chief
Accepted by Executive Editor-in-Chief	2025-11-06 08:05
Articles in Press	2025-11-06 08:05
Publication Fee Transferred
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1948-5204 (online)
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