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Publication Name World Journal of Gastroenterology
Manuscript ID 121223
DOI 10.3748/wjg.121223
Country China
Category Oncology
Manuscript Type Retrospective Study
Article Title Predicting three-year risk of incident colorectal precancerous conditions using non-invasive predictors and machine-learning algorithms: A multi-center retrospective study
Manuscript Source Unsolicited Manuscript
All Author List Xiao-Yang Huang, Li Zhao, Hui He, Rui Peng, Han Xue, Si-Min Lai, Wei-Xing Wu, Xiang-Xiang Qiu, Xu-Hao Cai, Jia-Hui He, Wen-Jian Qin, Wen-Ting Zhou, Wei-Qing Wu and Yong-Ping Lin
Funding Agency and Grant Number
Funding Agency Grant Number
Sanming Project of Medicine in Shenzhen No. SZSM202311002
Shenzhen Longhua District 2024 Science and Technology Innovation Special Fund No. 2548A20241107A140254
Shenzhen Health Economics Society No. 202675
Corresponding Author Wei-Qing Wu, Director, MD, PhD, Professor, Department of Health Management, Shenzhen People’s Hospital (The First Affiliated Hospital, Southern University of Science and Technology, The Second Clinical Medical College, Jinan University), No. 1017 Dongmenbei Street, Shenzhen 518020, Guangdong Province, China. wweiqing007@sina.com
Key Words Early detection of cancer; Precancerous conditions; Colorectal neoplasms; Machine learning; Retrospective study
Core Tip This retrospective study developed and validated a machine learning model using seven non-invasive predictors, serum thymidine kinase 1 protein, cytokeratin 19 fragment, carbohydrate antigen 19-9, age, diastolic blood pressure, fecal immunochemical test, and sex, to predict the three-year risk of incident advanced adenoma (AA) in patients with non-AA. The model achieved high discriminative performance [area under the receiver operating characteristic: (1) 0.988 in training; and (2) 0.767 in external validation] and superior clinical utility over traditional methods. An open-access web application was deployed to enable precise detection of patients at high-risk of developing AA, offering a novel tool to guide more intensive follow-up for this high-risk subgroup.
Citation Huang XY, Zhao L, He H, Peng R, Xue H, Lai SM, Wu WX, Qiu XX, Cai XH, He JH, Qin WJ, Zhou WT, Wu WQ, Lin YP. Predicting three-year risk of incident colorectal precancerous conditions using non-invasive predictors and machine-learning algorithms: A multi-center retrospective study. World J Gastroenterol 2026; In press
PDF 121223-in-press.pdf
Received
2026-03-24 03:27
Peer-Review Started
2026-03-24 03:28
First Decision by Editorial Office Director
2026-04-13 09:34
Return for Revision
2026-04-13 09:34
Revised
2026-04-29 06:37
Publication Fee Transferred
2026-04-30 06:12
Second Decision by Editor
2026-06-04 02:54
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-06-04 06:42
Articles in Press
2026-06-04 06:42
Edit the Manuscript by Language Editor
Typeset the Manuscript
ISSN 1007-9327 (print) and 2219-2840 (online)
Open Access This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
Copyright ©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
Permissions For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
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