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A new model based on preoperative AFP, albumin, and tumor burden score for predicting microvascular invasion in early-stage HCC.

作者信息

Chang Yuan-Sheng, Tsai Mu-Jung, Tsai Chieh-Jui, Wang Chih-Chi, Lin Chih-Che, Yen Yi-Hao, Hung Chao-Hung, Kuo Yuan-Hung, Huang Ding-Sen, Tai Wei-Chen, Hu Tsung-Hui, Tsai Ming-Chao

机构信息

Division of Hepato-Gastroenterology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine Kaohsiung, Taiwan.

School of Medicine, Kaohsiung Medical University Hospital Kaohsiung, Taiwan.

出版信息

Am J Cancer Res. 2024 Oct 15;14(10):4979-4988. doi: 10.62347/ZGRJ7827. eCollection 2024.


DOI:10.62347/ZGRJ7827
PMID:39553207
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11560811/
Abstract

Microscopic vascular invasion (MVI) has been demonstrated as a strong risk factor associated with tumor recurrence and poor overall survival among hepatocellular carcinoma (HCC) patients after resection, but the preoperative prediction of MVI is still challenging. We aimed to build and validate a novel model to predict MVI in the preoperative setting. We retrospectively collected 857 patients with Barcelona Clinic Liver Cancer (BCLC) stage 0 or A HCC who underwent primary resection at Kaohsiung Chang Gung Hospital between January 2001 and June 2016. The patients were randomized into derivation (n = 648) and validation groups (n = 209). Logistic regression analysis was used to screen out independent risk factors for MVI and further constructed a predictive model for MVI. Prediction performance was compared by the area under the receiver operating characteristic curve (AUC). The multivariable logistic regression analysis of the training cohort found that alpha-fetoprotein (AFP) ≥ 20 ng/mL (OR = 1.96, 95% CI: 1.41-2.73, P < 0.001), albumin < 3.5 g/dL (OR = 1.48, 95% CI: 1.06-2.05, P = 0.019) and tumor burden score (TBS) ≥ 8.6 (OR = 2.54, 95% CI: 1.49-4.35, P = 0.001) to be independent risk factors for MVI. The three factors were chosen to build a model for prediction of MVI. The AUC for the training and validation group was 0.619 (95% CI: 0.575-0.663) and 0.642 (95% CI: 0.562-0.722), respectively, and the calibration plot showed good performance of the prediction model, with a low mean absolute error at 0.01. In conclusion, the new model comprised AFP, albumin, and TBS that can predict risk of MVI for early-stage HCC.

摘要

相似文献

[1]
A new model based on preoperative AFP, albumin, and tumor burden score for predicting microvascular invasion in early-stage HCC.

Am J Cancer Res. 2024-10-15

[2]
Risk Score Model for Microvascular Invasion in Hepatocellular Carcinoma: The Role of Tumor Burden and Alpha-Fetoprotein.

Cancers (Basel). 2021-8-31

[3]
Development and validation of a nomogram combining hematological and imaging features for preoperative prediction of microvascular invasion in hepatocellular carcinoma patients.

Ann Transl Med. 2021-3

[4]
Nomogram for Preoperative Estimation of Microvascular Invasion Risk in Hepatitis B Virus-Related Hepatocellular Carcinoma Within the Milan Criteria.

JAMA Surg. 2016-4

[5]
Preoperative prediction of microvascular invasion of hepatocellular carcinoma using F-FDG PET/CT: a multicenter retrospective cohort study.

Eur J Nucl Med Mol Imaging. 2017-11-22

[6]
Deep-learning-based analysis of preoperative MRI predicts microvascular invasion and outcome in hepatocellular carcinoma.

World J Surg Oncol. 2022-6-8

[7]
A model based on adipose and muscle-related indicators evaluated by CT images for predicting microvascular invasion in HCC patients.

Biomark Res. 2023-10-4

[8]
PIVKA-II combined with tumor burden score to predict long-term outcomes of AFP-negative hepatocellular carcinoma patients after liver resection.

Cancer Med. 2024-1

[9]
Preoperative MRI features to predict vessels that encapsulate tumor clusters and microvascular invasion in hepatocellular carcinoma.

Eur J Radiol. 2023-10

[10]
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Med Phys. 2024-7

本文引用的文献

[1]
A Novel Online Calculator to Predict Risk of Microvascular Invasion in the Preoperative Setting for Hepatocellular Carcinoma Patients Undergoing Curative-Intent Surgery.

Ann Surg Oncol. 2023-2

[2]
Influence of different region of interest sizes on CT-based radiomics model for microvascular invasion prediction in hepatocellular carcinoma.

Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2022-8-28

[3]
Preoperative prediction model of microvascular invasion in patients with hepatocellular carcinoma.

HPB (Oxford). 2023-1

[4]
Comparison of portal and capsular microscopic vascular invasion in the outcomes of early HCC after curative resection.

Am J Cancer Res. 2022-6-15

[5]
Using Systemic Inflammatory Markers to Predict Microvascular Invasion Before Surgery in Patients With Hepatocellular Carcinoma.

Front Surg. 2022-3-4

[6]
A New Tumor Burden Score and Albumin-Bilirubin Grade-Based Prognostic Model for Hepatocellular Carcinoma.

Cancers (Basel). 2022-1-27

[7]
Prediction of microvascular invasion in HCC by a scoring model combining Gd-EOB-DTPA MRI and biochemical indicators.

Eur Radiol. 2022-6

[8]
Updated efficacy and safety data from IMbrave150: Atezolizumab plus bevacizumab vs. sorafenib for unresectable hepatocellular carcinoma.

J Hepatol. 2022-4

[9]
Radiomics Models for Predicting Microvascular Invasion in Hepatocellular Carcinoma: A Systematic Review and Radiomics Quality Score Assessment.

Cancers (Basel). 2021-11-22

[10]
The Prognostic Impact of Tumor Differentiation on Recurrence and Survival after Resection of Hepatocellular Carcinoma Is Dependent on Tumor Size.

Liver Cancer. 2021-8-24

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