Abstract: Embodiments predict early stage NSCLC recurrence, and include processors configured to access a pathology image of a region of tissue demonstrating early stage NSCLC; extract a set of pathomic features from the pathology image; access a radiological image of the region of tissue; extract a set of radiomic features from the radiological image; generate a combined feature set that includes at least one member of the set of pathomic features, and at least one member of the set of radiomic features; compute a probability that the region of tissue will experience NSCLC recurrence based, at least in part, on the combined feature set; and classify the region of tissue as recurrent or non-recurrent based, at least in part, on the probability. Embodiments may display the classification, or generate a personalized treatment plan based on the classification.