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The predictive ability of the clinical model, the radiomics model, and the radiomics nomogram between LNM and non-LNM were 0.66 [95% CI 0.55-0.77], 0.82 [95% CI 0.74-0.90], and 0.85 [95% CI 0.77-0.93] in the training cohort, and 0.67 [95% CI 0.56-0.78], 0.81 [95% CI 0.72-0.90], and 0.83 [95% CI 0.74-0.92] in the test cohort, respectively. The decision curve analysis, NRI (1.06 [95% CI 0.81-1.32]), and IDI (0.05 [95% CI 0.03-0.07]) demonstrated the clinical usefulness of the radiomics nomogram. The predictive radiomics nomogram could be