Advanced Lung Cancer Inflammation Index: Clinical Guide

Clinical guide to Advanced Lung Cancer Inflammation Index including formula, assumptions, units, interpretation, limitations and references.

Calculates the advanced lung cancer inflammation index from BMI, albumin and neutrophil-to-lymphocyte ratio.

Overview

Calculates the advanced lung cancer inflammation index from BMI, albumin and neutrophil-to-lymphocyte ratio.

Clinical Significance

A prognostic index developed in advanced lung cancer and studied in other conditions. Cut-offs vary and should not be universalised.

How It Is Calculated

  • ALI = BMI × albumin / NLR.

Interpretation

  • A prognostic index developed in advanced lung cancer and studied in other conditions. Cut-offs vary and should not be universalised.

Worked Example

Enter a clinically consistent set of values in the displayed units. MedicalC applies: ALI = BMI × albumin / NLR.

Limitations

  • This tool does not establish a diagnosis or mandate treatment.
  • Published cut-offs may vary between cohorts and measurement methods.
  • Calculation precision cannot compensate for poor source data.

Clinical Pearls

  • Trend the result over time where clinically appropriate.
  • Record the source values and units alongside the calculated result.

Common Mistakes

  • Using the wrong unit.
  • Combining measurements obtained at different times.
  • Applying a research-derived threshold as a universal treatment trigger.

Frequently Asked Questions

What does this calculator provide?

Calculates the advanced lung cancer inflammation index from BMI, albumin and neutrophil-to-lymphocyte ratio.

Can this result be used alone?

No. It must be interpreted with clinical context and appropriate investigations.

What equation is used?

ALI = BMI × albumin / NLR.

What is the main limitation?

The result depends on valid inputs and may not be calibrated for every population or setting.

References

  1. Jafri SH et al. Assessment of the inflammatory state in patients with advanced non-small cell lung cancer using ALI. Clin Med Insights Oncol. 2013. — Formula, physiological or validation reference.

Reviewed by: MedicalC Clinical Editorial Team
Last reviewed: July 2026

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