From associations to clinical practice: translating inflammatory-nutritional indices into a machine learning-driven model for breast cancer risk stratification with cross-ethnic validation - Report - MDSpire

From associations to clinical practice: translating inflammatory-nutritional indices into a machine learning-driven model for breast cancer risk stratification with cross-ethnic validation

  • By

  • Yue Li

  • Ting Ding

  • Xiaoyan Zhou

  • Chao Lu

  • Yue Zhang

  • Qian He

  • Jiangbo Ding

  • July 15, 2026

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Clinical Report: Translating Inflammatory-Nutritional Indices into a Machine Learning Model for Breast Cancer Risk Assessment

Overview

This study evaluates inflammatory-nutritional indices related to breast cancer risk and mortality, developing a machine learning model validated across ethnicities.

Background

Breast cancer is the most prevalent cancer among women and a leading cause of cancer-related mortality worldwide. Inflammatory conditions are significant determinants of survival, necessitating the exploration of inflammatory-nutritional indices in breast cancer risk assessment.

Data Highlights

IndexAssociationOdds Ratio (OR)Hazard Ratio (HR)
Advanced Lung Cancer Inflammation Index (ALI)Inversely associated with BC risk0.64 (95% CI 0.45–0.91)0.41 (95% CI 0.18–0.90)
Neutrophil Percentage-to-Albumin Ratio (NPAR)Positively associated with BC risk--
Systemic Inflammation Response Index (SIRI)Positively associated with BC risk--
Neutrophil-to-Lymphocyte Ratio (NLR)Positively associated with BC risk--

Key Findings

  • ALI was inversely associated with breast cancer risk and all-cause mortality.
  • NPAR, SIRI, and NLR showed positive associations with breast cancer risk.
  • ALI outperformed other indices in predicting mortality.
  • The machine learning model achieved an AUC of 0.832 on the test set.
  • External validation yielded AUCs of 0.781 (NHANES) and 0.730 (Chinese cohort).

Clinical Implications

The findings indicate that inflammatory-nutritional indices can serve as predictors of breast cancer risk and mortality.

Conclusion

The study demonstrates the use of machine learning approaches leveraging inflammatory-nutritional indices for breast cancer risk assessment.

Related Resources & Content

  1. Frontiers in Immunology, 2026 -- Machine learning-driven identification and immunohistochemical validation of an integrated immune-inflammatory phenotype for disease-free survival stratification in breast cancer
  2. Frontiers in Medicine, 2026 -- Integrating Machine Learning and Clinicopathological Data to Stratify Survival Risk in Young Women with Localized Breast Cancer
  3. Frontiers in Oncology, 2026 -- Prognostic Evaluation Using Nutrition-Inflammation Biomarkers from Routine Blood Tests in Metastatic Breast Cancer: A Boruta Algorithm-Optimized Feature Selection Study
  4. Frontiers in Medicine, 2026 -- Development and validation of an interpretable machine learning model for predicting 5-year recurrence in breast cancer
  5. ACR Appropriateness Criteria® Female Breast Cancer Screening: 2025 Update - PubMed
  6. Risk-Based vs Annual Breast Cancer Screening: The WISDOM Randomized Clinical Trial | Trials | JAMA | JAMA Network
  7. ACR Appropriateness Criteria® Female Breast Cancer Screening: 2025 Update - PubMed
  8. Risk-Based vs Annual Breast Cancer Screening: The WISDOM Randomized Clinical Trial | Trials | JAMA | JAMA Network
  9. https://www.journalofoncology.org/pdf/50c58720-e50d-4950-b386-1d4e1867ef9a/articles/jos.galenos.2025.2025-5-5/145-160.pdf

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