Methods, apparatus, and other embodiments predict tumor infiltrating lymphocyte (TIL) density from pre-surgical computed tomography images of a region of tissue demonstrating non-small cell lung cancer (NSCLC). One example apparatus includes a set of circuits that includes an image acquisition circuit that accesses a radiological image of a region of tissue demonstrating cancerous pathology, where the radiological image has a plurality of pixels, and where the radiological image includes an annotated region of interest (ROI), a feature extraction circuit that extracts a set of radiomic features from the ROI, where the set of radiomic features includes at least two texture features and at least one shape feature, and a classification circuit that comprises a machine learning classifier that classifies the ROI as high tumor infiltrating lymphocyte (TIL) density, or low TIL density, based, at least in part, on the set of radiomic features.
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