Prognostic significance and model evaluation of the modified advanced lung cancer inflammation index in locally advanced resectable gastric cancer patients with neoadjuvant chemotherapy - Takeaways - MDSpire

Prognostic significance and model evaluation of the modified advanced lung cancer inflammation index in locally advanced resectable gastric cancer patients with neoadjuvant chemotherapy

  • By

  • Weidong Xie

  • Yaoyu Song

  • Zhaojie Yu

  • Huanhao Zhang

  • Shaoliang Han

  • June 4, 2026

  • 0 min

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  • 1

    This study evaluated the prognostic value of the modified Advanced Lung Cancer Inflammation Index (mALI) in gastric cancer patients undergoing neoadjuvant chemotherapy.

  • 2

    A total of 209 patients with locally advanced resectable gastric cancer were included, with mALI assessed using sex-specific quartiles.

  • 3

    High mALI was independently associated with improved overall survival (OS), with a hazard ratio of 0.52 (95% CI: 0.30-0.89, P=0.017).

  • 4

    The mALI-based nomogram demonstrated acceptable internal performance, with an apparent C-index of 0.765 and an optimism-corrected C-index of 0.750.

  • 5

    The study concluded that preoperative mALI after NAC is associated with OS, but external validation is needed before clinical implementation.

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