Natural Killer/T-cell Lymphoma
Conditions
Brief summary
This is a multicenter prospective study to develop and validate a multimodal, deep learning-based model for predicting treatment response in patients with extranodal natural killer/T-cell lymphoma (NKTCL) receiving first-line asparaginase-based therapy.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* 1\. Age ≥ 18 years. * 2\. Pathologically confirmed extranodal natural killer/T-cell lymphoma (NKTCL) according to the World Health Organization (WHO) classification. * 3\. Patients who are planned to receive first-line asparaginase-based chemotherapy or chemoradiotherapy. * 4\. Patients who have either contrast-enhanced MRI of the nasopharynx obtained as part of routine clinical care or pretreatment whole-slide images (WSI) of tumor tissue from hematoxylin and eosin (H\&E)-stained sections available for analysis. * 5\. Ability to understand the study and provide written informed consent (ICF).
Exclusion criteria
* 1\. History of other malignant tumors. * 2\. Patients with psychiatric disorders or those unable to provide informed consent.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Predictive accuracy of first-line treatment response (CR vs non-CR) according to Lugano 2014 criteria | From baseline to disease response and follow-up assessments, up to 3 years. | The primary outcome is the predictive performance of the multimodal deep learning model for first-line treatment response in patients with extranodal natural killer/T-cell lymphoma (NKTCL). Treatment response is assessed according to the Lugano 2014 criteria. Model performance will be evaluated by receiver operating characteristic (ROC) analysis and quantified using the area under the curve (AUC), accuracy, sensitivity, specificity, positive predictive value, and negative predictive value by comparing model predictions with observed clinical response. |