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Fig 1.

Study workflow for development and validation of the miRNA-based diagnostic model.

Data preprocessing, feature selection, machine learning model development, external validation, interpretability analysis, and functional enrichment were performed sequentially using independent training and validation cohorts.

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Table 1.

Characteristics of Study Cohorts.

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Fig 2.

Study Overview and Data Processing.

(A) Sample distribution across different cohorts and platforms. (B) Principal component analysis before and after batch correction demonstrating successful removal of platform-specific batch effects while preserving biological signal separation.

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Fig 3.

Differential Expression Analysis.

(A) Volcano plots showing differentially expressed miRNAs across datasets. (B) Expression heatmap of top dysregulated miRNAs between cancer and control groups.

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Table 2.

Top Differentially Expressed miRNAs (Expression-Level Analysis).

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Table 2 Expand

Table 3.

Machine Learning Model Performance Comparison.

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Fig 4.

Machine Learning Model Performance.

(A) ROC curves comparing different algorithms. (B)Calibration plots showing predicted vs observed probabilities.

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Fig 5.

SHAP summary plot showing feature importance rankings.

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