• circIARS is significantly upregulated in plasma and tissues of NSCLC patients, distinguishing them from healthy individuals, BPD, and SCLC patients.
• circIARS expression decreases after antitumor therapy and increases upon recurrence, indicating its potential for dynamic monitoring.
• ROC analysis shows circIARS has superior diagnostic efficiency compared to traditional markers.
• circIARS is a stable and specific plasma biomarker, offering a minimally invasive adjunct for early NSCLC diagnosis and prognosis.
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