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Tumor characteristics, including an IDRF4, vascular IDRF, and infiltrative IDRF, were strong indicators for a poor prognosis. Our study's outcome indicates a relationship between a rise in INRG stages, determined using IDRF, and multiple unfavorable clinical attributes in neuroblastoma. At the time of diagnosis, the existence of metastatic disease in neuroblastoma is a more potent predictor of survival than IDRF alone. IDRF characteristics, encompassing both their count and classif


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