Integrating the neutrophil-albumin ratio with multi-phase CT enhances lymph node metastasis detection in pancreatic cancer patients.

• A model combining a neutrophil-albumin ratio greater than 0.13 and certain CT findings accurately identifies patients at high risk for lymph node metastasis before surgery.
• Among 129 patients studied, factors like tumor size and hemangioma thrombosis also showed significant differences related to metastasis risk.

Using this predictive model can refine patient selection for curative surgery, potentially improving outcomes.