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Volumetric Analysis of Hepatocellular Carcinoma After Transarterial Chemoembolization and its Impact on Overall Survival

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F65269705%3A_____%2F22%3A00076397" target="_blank" >RIV/65269705:_____/22:00076397 - isvavai.cz</a>

  • Alternative codes found

    RIV/00209805:_____/22:00079081 RIV/00216224:14110/22:00127050

  • Result on the web

    <a href="https://iv.iiarjournals.org/content/invivo/36/5/2332.full.pdf" target="_blank" >https://iv.iiarjournals.org/content/invivo/36/5/2332.full.pdf</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.21873/invivo.12964" target="_blank" >10.21873/invivo.12964</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    Volumetric Analysis of Hepatocellular Carcinoma After Transarterial Chemoembolization and its Impact on Overall Survival

  • Original language description

    Background/Aim: To evaluate the prognostic value of Response Evaluation Criteria In Solid Tumors (RECIST), modified RECIST and volumetric analysis in patients with hepatocellular carcinoma (HCC) treated by transarterial chemoembolization (TACE). Patients and Methods: This single-center prospective cohort study included a total of 61 patients with HCC treated by transarterial chemoembolization (TACE). The response of TACE was evaluated on preprocedural and postprocedural CT by two radiologists using RECIST/mRECIST and volumetric response to treatment. Each response assessment method was used to classify the response as progressive disease, stable disease, partial response and complete response. Kaplan -Meier analysis with log-rank test was performed for each method to evaluate its ability to help predict overall survival and progression free survival. Interobserver variability and reproducibility was determined by the Pearson and Spearman correlation coefficients. Results: The median overall survival was 17.1 months and the median progression-free survival was 11.1 months. Volumetric assessment was proved to be a prognostic factor for overall survival (p&lt;0.01) and progression-free survival (p&lt;0.001), contrasting with RECIST and mRECIST. All three methods featured very small interobserver variability (p&lt;0.001 for Pearson and Spearman correlation coefficients). The patients classified as having stable disease had a 3.8-fold higher risk of death than the patients classified as having a complete/partial response (HR=3.82; 95% Confidence Interval (CI)=1.32-11.02; p=0.013) and a 4.5-fold higher risk of progression (HR=4.46; 95% CI=1.72-11.61; p=0.002). Conclusion: The prognostic value of volumetric analysis in patients with HCC treated by TACE appears to be superior to RECIST and mRECIST, with a real impact in everyday practice.

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database

  • CEP classification

  • OECD FORD branch

    30100 - Basic medicine

Result continuities

  • Project

  • Continuities

    I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Others

  • Publication year

    2022

  • Confidentiality

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Data specific for result type

  • Name of the periodical

    In Vivo

  • ISSN

    0258-851X

  • e-ISSN

    1791-7549

  • Volume of the periodical

    36

  • Issue of the periodical within the volume

    5

  • Country of publishing house

    GR - GREECE

  • Number of pages

    10

  • Pages from-to

    2332-2341

  • UT code for WoS article

    000863324700016

  • EID of the result in the Scopus database

    2-s2.0-85138448914