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1/5/2026 3:46:24 AM | Browse: 6 | Download: 38
Publication Name World Journal of Gastroenterology
Manuscript ID 112090
Country China
Received
2025-07-17 02:34
Peer-Review Started
2025-07-17 02:34
First Decision by Editorial Office Director
2025-07-24 09:03
Return for Revision
2025-07-24 09:03
Revised
2025-07-30 03:33
Publication Fee Transferred
2025-07-31 02:57
Second Decision by Editor
2025-11-27 02:37
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2025-11-27 07:24
Articles in Press
2025-11-27 07:24
Edit the Manuscript by Language Editor
Typeset the Manuscript
2025-12-25 11:25
Publish the Manuscript Online
2026-01-05 03:46
ISSN 1007-9327 (print) and 2219-2840 (online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Copyright © The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
Article Reprints For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
Permissions For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com
Category Gastroenterology & Hepatology
Manuscript Type Retrospective Study
Article Title Predicting lymph node metastasis in colorectal cancer using case-level multiple instance learning
Manuscript Source Unsolicited Manuscript
All Author List Ling-Feng Zou, Xuan-Bing Wang, Jing-Wen Li, Xin Ouyang, Yi-Ying Luo, Yan Luo and Cheng-Long Wang
ORCID
Author(s) ORCID Number
Yan Luo http://orcid.org/0009-0002-7952-4298
Cheng-Long Wang http://orcid.org/0000-0002-8366-9329
Funding Agency and Grant Number
Funding Agency Grant Number
Chongqing Medical Scientific Research Project (Joint Project of Chongqing Health Commission and Science and Technology Bureau) 2023MSXM060
Corresponding Author Cheng-Long Wang, MD, PhD, Department of Pathology, Chongqing Traditional Chinese Medicine Hospital, No. 6 Panxi 7 Branch Road, Jiangbei District, Chongqing 400021, China. qq171909771@gmail.com
Key Words Colorectal cancer; Lymph node metastasis; Deep learning; Multiple instance learning; Histopathology
Core Tip To better predict lymph node metastasis (LNM) in advanced colorectal cancer, this pilot study developed a case-level deep learning framework. By analysing the pathology slides of all patients and emulating a pathologist's workflow, the model achieved a high area under the curve of 0.899, outperforming traditional methods. Integrating the clinical data further increased the accuracy to 0.904. This interpretable approach is a promising tool for refining LNM risk assessments and guiding adjuvant therapy decisions.
Publish Date 2026-01-05 03:46
Citation

Zou LF, Wang XB, Li JW, Ouyang X, Luo YY, Luo Y, Wang CL. Predicting lymph node metastasis in colorectal cancer using case-level multiple instance learning. World J Gastroenterol 2026; 32(1): 112090

URL https://www.wjgnet.com/1007-9327/full/v32/i1/112090.htm
DOI https://dx.doi.org/10.3748/wjg.v32.i1.112090
Full Article (PDF) WJG-32-112090-with-cover.pdf
Manuscript File 112090_Auto_Edited_062649.docx
Answering Reviewers 112090-answering-reviewers.pdf
Audio Core Tip 112090-audio.m4a
Biostatistics Review Certificate 112090-biostatistics-statement.pdf
Conflict-of-Interest Disclosure Form 112090-conflict-of-interest-statement.pdf
Copyright License Agreement 112090-copyright-assignment.pdf
Signed Informed Consent Form(s) or Document(s) 112090-informed-consent-statement.pdf
Institutional Review Board Approval Form or Document 112090-institutional-review-board-statement.pdf
Non-Native Speakers of English Editing Certificate 112090-non-native-speakers.pdf
Supplementary Material 112090-supplementary-material.pdf
Peer-review Report 112090-peer-reviews.pdf
Scientific Misconduct Check 112090-scientific-misconduct-check.png
Scientific Editor Work List 112090-scientific-editor-work-list.pdf
CrossCheck Report 112090-crosscheck-report.pdf