Esophageal Cancer, Neoadjuvant Therapy
Conditions
Brief summary
The purpose of this clinical study is to conduct a multi-center, big data study to create a neural network decision model for predicting treatment efficacy and prognosis based on multi-modal, multi-temporal imaging features combined with tumor microenvironment scores. It will also use various model interpretation techniques to clarify the role and mechanism of key biomarkers or strongly associated biomarker groups in treatment efficacy and prognosis. Ultimately, it aims to achieve the research and application of AI treatment strategies combining multi-modal imaging and digital pathology to guide clinicians in the personalized treatment strategies for patients with esophageal squamous cell carcinoma.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
1. Aged 18-70 years; 2. Histologically confirmed esophageal carcinoma by biopsy; 3. No prior antitumor therapy received.
Exclusion criteria
1. Contraindications to MRI examination; 2. Poor compliance with antitumor therapy; 3. Unwillingness to participate in the study; 4. Image quality inadequate for diagnostic requirements.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pathological Complete Response (pCR) Rate | January 2025 - December 2027 | The proportion of patients achieving pathological complete response (ypT0 ypN0) after neoadjuvant therapy. |
| Overall Survival (OS) | January 2025 - December 2027 | The time from treatment initiation to death from any cause. |
| Event-Free Survival (EFS) | January 2025 - December 2027 | The time from treatment initiation to disease progression, recurrence, new primary cancer, or death. |
| Disease-Free Survival (DFS) | January 2025 - December 2027 | The time from curative-intent surgery to disease recurrence or death. |