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Fig 1.

Histopathological samples of two patients showing comparable tissue morphology in H&E staining (A,C) but a KRT81+ subtype (B) in one patient and KRT81- subtype (D) in the other patient.

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Fig 2.

Patients with a KRT81+ subtype experienced significantly diminished overall survival.

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Table 1.

Multivariate Cox proportional hazards analysis results of clinical parameters.

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Table 2.

Distribution of clinical parameters between the cohorts with KRT81+ and KRT81- tumor subtypes alongside crosstabulation results.

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Fig 3.

ROC curves (colored) and average ROC-curve (black dotted) over 10 random stratified shuffle-splits of the dataset.

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Table 3.

Radiomic features alongside their importance as ranked by the algorithm.

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Fig 4.

Exemplary Kaplan-Meier disease-free survival curve drawn from the 10 cross-validation folds representing the median hazard ratio.

Patients with a high risk radiomic phenotype experienced significantly diminished survival (7.90 vs. 24.20 months median DFS, log-rank-test p = 0.004, HR = 3.17, N = 17).

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Fig 5.

Exemplary Kaplan-Meier overall survival curve drawn from the 10 cross-validation folds representing the median hazard ratio.

Patients with a high risk radiomic phenotype experienced significantly diminished survival (10.97 vs. 25.70 months median OS, log-rank-test p = 0.006, HR = 3.03, N = 17).

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Fig 6.

Exemplary Kaplan-Meier plot of patients with a predicted KRT81+/ high risk radiomic signature drawn from the 10 cross-validation folds and representing the median hazard ratio.

Patients who received gemcitabine experienced improved survival, although no statistical significance is observed in this case (median survival 4.70 vs 9.30 months, p = 0.23, HR = 1.03, N = 7).

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Fig 7.

Exemplary Kaplan-Meier plot of patients with a predicted KRT81-/ low risk radiomic signature drawn from the 10 cross-validation folds and representing the median hazard ratio.

Patients who received FOLFIRINOX experienced significantly improved survival, (median survival 17.83 vs 30.10 months, p = 0.01, HR = 2.57, N = 10).

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Fig 8.

Patients with KRT81+ subtype experience longer overall survival under palliative gemcitabine chemotherapy.

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Fig 9.

Patients with KRT81- subtype experience improved survival under palliative FOLFIRINOX chemotherapy.

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