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Publication Name World Journal of Gastroenterology
Manuscript ID 121708
Country China
Received
2026-03-31 02:37
Peer-Review Started
2026-03-31 02:40
First Decision by Editorial Office Director
2026-04-04 03:56
Return for Revision
2026-04-04 03:56
Revised
2026-04-08 18:13
Publication Fee Transferred
2026-04-09 09:21
Second Decision by Editor
2026-05-26 02:36
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-05-26 08:09
Articles in Press
2026-05-26 08:09
Edit the Manuscript by Language Editor
Typeset the Manuscript
2026-09-28 01:47
Publish the Manuscript Online
2026-10-20 03:52
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.
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 Oncology
Manuscript Type Retrospective Cohort Study
Article Title Inflammation-lipid metabolism biomarker-based machine learning models for predicting postoperative pulmonary metastasis in colorectal cancer
Manuscript Source Unsolicited Manuscript
All Author List Yan-Yuan Du, Yu-Ming Liu, Rui-Ying Fang and Hong-Gang Zheng
ORCID
Author(s) ORCID Number
Yan-Yuan Du http://orcid.org/0009-0004-7939-6593
Yu-Ming Liu http://orcid.org/0009-0006-1574-1540
Hong-Gang Zheng http://orcid.org/0009-0007-9082-6330
Funding Agency and Grant Number
Funding Agency Grant Number
Municipal Natural Science Foundation of Beijing of China 7252262
Beijing–Tianjin–Hebei Academic Inheritance and Promotion Program for Renowned Senior TCM Experts: Piao Bingkui GZY-GCS-2018-071
Central Government Program for Enhancing Clinical Research and Translational Capacity of High-Level TCM Hospitals - Special Project for Inheriting Academic Experience of Famous Senior TCM Experts HLCMHPP2023007
National Major Science and Technology Project 2023ZD0501700
Central Government Program for Enhancing Clinical Research and Translational Capacity of High-Level TCM Hospitals – Special Initiative for Evidence-Based Clinical Research in Traditional Chinese Medicine HLCMHPP2023085
Corresponding Author Hong-Gang Zheng, MD, PhD, Professor, Department of Oncology, Guang’anmen Hospital, China Academy of Chinese Medical Sciences, No. 5 Beixiange, Xicheng District, Beijing 100053, China. honggangzheng@126.com
Key Words Colorectal cancer; Pulmonary metastasis; Machine learning; Inflammatory biomarkers; Lipid metabolism; Prediction model
Core Tip No prior model predicts colorectal cancer pulmonary metastasis using only preoperative routine blood-derived inflammation and lipid metabolism biomarkers. In this 1246-patient, dual-center study, we systematically compared 14 machine learning algorithms and three ensemble strategies – the most extensive benchmark reported for this task. The optimal Weighted Voting ensemble achieved validated discrimination [internal area under the curve (AUC) = 0.7513; external AUC = 0.7112] using 16 readily obtainable predictors. SHapley Additive exPlanations interpretability analysis revealed the lymphocyte-to-C-reactive protein ratio and body mass index as dominant predictors, offering a practical risk-stratification tool before pathological staging becomes available.
Publish Date 2026-10-20 03:52
Citation

Du YY, Liu YM, Fang RY, Zheng HG. Inflammation-lipid metabolism biomarker-based machine learning models for predicting postoperative pulmonary metastasis in colorectal cancer. World J Gastroenterol 2026; 32(46): 121708

URL https://www.wjgnet.com/1007-9327/full/v32/i46/121708.htm
DOI https://doi.org/10.3748/wjg.121708
Full Article (PDF) WJG-32-121708-with-cover.pdf
STROBE Statement 121708-STROBE-statement.pdf
Manuscript File 121708_Auto_Edited_011114.docx
Answering Reviewers 121708-answering-reviewers.pdf
Audio Core Tip 121708-audio.wav
Biostatistics Review Certificate 121708-biostatistics-statement.pdf
Conflict-of-Interest Disclosure Form 121708-conflict-of-interest-statement.pdf
Copyright License Agreement 121708-copyright-assignment.pdf
Signed Informed Consent Form(s) or Document(s) 121708-informed-consent-statement.pdf
Institutional Review Board Approval Form or Document 121708-institutional-review-board-statement.pdf
Non-Native Speakers of English Editing Certificate 121708-non-native-speakers.pdf
Supplementary Material 121708-supplementary-material.pdf
Peer-review Report 121708-peer-reviews.pdf
Scientific Misconduct Check 121708-scientific-misconduct-check.png
CrossCheck Report 121708-crosscheck-report.pdf