From associations to clinical practice: translating inflammatory-nutritional indices into a machine learning-driven model for breast cancer risk stratification with cross-ethnic validation - Scorecard - 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 Scorecard: Translating Inflammatory-Nutritional Indices into a Machine Learning Model for Breast Cancer Risk Assessment: A Cross-Ethnic Validation Approach

At a Glance

CategoryDetail
ConditionBreast Cancer
Key MechanismsInflammatory-nutritional indices and their association with breast cancer risk and mortality.
Target PopulationFemale patients with breast cancer and matched healthy controls.
Care SettingCancer risk assessment and prognostic stratification.

Key Highlights

  • Advanced Lung Cancer Inflammation Index (ALI) inversely associated with breast cancer risk and mortality.
  • Neutrophil percentage-to-albumin ratio (NPAR), systemic inflammation response index (SIRI), and neutrophil-to-lymphocyte ratio (NLR) positively associated with risk.
  • Machine learning model achieved an AUC of 0.832 for predicting breast cancer risk.
  • Cross-ethnic validation indicated the need for population-specific calibration.
  • Web-based dynamic nomogram developed for risk prediction.

Guideline-Based Recommendations

Diagnosis

  • Evaluate inflammatory-nutritional indices for breast cancer risk assessment.

Management

  • Consider inflammatory indices in prognostic stratification and clinical decision-making.

Monitoring & Follow-up

  • Monitor inflammatory status in breast cancer management.

Risks

  • Increased risk associated with high NPAR, SIRI, and NLR.

Patient & Prescribing Data

Female breast cancer patients and healthy controls.

Inflammatory indices may inform targeted interventions to mitigate inflammatory processes.

Clinical Best Practices

  • Utilize machine learning approaches for risk stratification.
  • Incorporate a comprehensive panel of inflammatory indices in assessments.

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