highly significantP <0.001
This enhancement in predictive accuracy was further corroborated by likelihood ratio tests, which showed highly significant improvements when comparing the LRC_JM model to the TRV model (χ 2 (9)=38.584, P <0.001) and the PA/AO model (χ 2 (9)=258.273, P <0.001), confirming that the incorporation of radiomic features adds statistically significant incremental prognostic value beyond conventional parameters.