Two-Trait Predictor of Venous Invasion on Contrast-Enhanced CT as a Preoperative Predictor of Outcomes for Early-Stage Hepatocellular Carcinoma After Hepatectomy
ObjectivesThis study aimed to assess the effectiveness of the two-trait predictor of venous invasion (TTPVI) on contrast-enhanced computed tomography (CECT) for the preoperative prediction of clinical outcomes in patients with early-stage hepatocellular carcinoma (HCC) after hepatectomy.MethodsThis...
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doaj-5123cf22907d4ab0972d1bbdca25515d2021-09-04T02:00:43ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2021-09-011110.3389/fonc.2021.688087688087Two-Trait Predictor of Venous Invasion on Contrast-Enhanced CT as a Preoperative Predictor of Outcomes for Early-Stage Hepatocellular Carcinoma After HepatectomyXinming Li0Xuchang Zhang1Zhipeng Li2Chuanmiao Xie3Shuping Qin4Meng Yan5Qiying Ke6Xuan Jin7Ting Lin8Muyao Zhou9Wen Liang10Zhendong Qi11Zhijun Geng12Xianyue Quan13Department of Radiology, Zhujiang Hospital, Southern Medical University, Guangzhou, ChinaDepartment of Radiology, Zhujiang Hospital, Southern Medical University, Guangzhou, ChinaDepartment of Radiology, Sun Yat-sen University Cancer Center, Guangzhou, ChinaDepartment of Radiology, Sun Yat-sen University Cancer Center, Guangzhou, ChinaDepartment of Radiology, Zhujiang Hospital, Southern Medical University, Guangzhou, ChinaDepartment of Radiology, Zhujiang Hospital, Southern Medical University, Guangzhou, ChinaDepartment of Radiology, Zhujiang Hospital, Southern Medical University, Guangzhou, ChinaDepartment of Radiology, Zhujiang Hospital, Southern Medical University, Guangzhou, ChinaDepartment of Radiology, Zhujiang Hospital, Southern Medical University, Guangzhou, ChinaDepartment of Radiology, Zhujiang Hospital, Southern Medical University, Guangzhou, ChinaDepartment of Radiology, Zhujiang Hospital, Southern Medical University, Guangzhou, ChinaDepartment of Radiology, Zhujiang Hospital, Southern Medical University, Guangzhou, ChinaDepartment of Radiology, Sun Yat-sen University Cancer Center, Guangzhou, ChinaDepartment of Radiology, Zhujiang Hospital, Southern Medical University, Guangzhou, ChinaObjectivesThis study aimed to assess the effectiveness of the two-trait predictor of venous invasion (TTPVI) on contrast-enhanced computed tomography (CECT) for the preoperative prediction of clinical outcomes in patients with early-stage hepatocellular carcinoma (HCC) after hepatectomy.MethodsThis retrospective study included 280 patients with surgically resected HCC who underwent preoperative CECT between 2012 and 2013. CT imaging features of HCC were assessed, and univariate and multivariate Cox regression analyses were used to evaluate the CT features associated with disease-free survival (DFS) and overall survival (OS). Subgroup analyses were used to summarized the hazard ratios (HRs) between patients in whom TTPVI was present and those in whom TTPVI was absent using a forest plot.ResultsCapsule appearance [HR, 0.504; 95% confidence interval (CI), 0.341–0.745; p < 0.001], TTPVI (HR, 1.842; 95% CI, 1.319–2.572; p < 0.001) and high level of alanine aminotransferase (HR, 1.620; 95% CI, 1.180–2.225, p = 0.003) were independent risk factors for DFS, and TTPVI (HR, 2.509; 95% CI, 1.518–4.147; p < 0.001), high level of alpha-fetoprotein (HR, 1.722; 95% CI, 1.067–2.788; p = 0.026), and gamma-glutamyl transpeptidase (HR, 1.787; 95% CI, 1.134–2.814; p = 0.026) were independent risk factors for OS. A forest plot revealed that the TTPVI present group had lower DFS and OS rates in most subgroups. Patients in whom TTPVI was present in stages I and II had a lower DFS and OS than those in whom TTPVI was absent. Moreover, there were significant differences in DFS (p < 0.001) and OS (p < 0.001) between patients classified as Barcelona Clinic Liver Cancer stage A in whom TTPVI was absent and in whom TTPVI was present.ConclusionsTTPVI may be used as a preoperative biomarker for predicting postoperative outcomes for patients with early-stage HCC.https://www.frontiersin.org/articles/10.3389/fonc.2021.688087/fullhepatocellular carcinomatomographyx-ray computedtwo-trait predictor of venous invasionhepatectomybiomarkers |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Xinming Li Xuchang Zhang Zhipeng Li Chuanmiao Xie Shuping Qin Meng Yan Qiying Ke Xuan Jin Ting Lin Muyao Zhou Wen Liang Zhendong Qi Zhijun Geng Xianyue Quan |
spellingShingle |
Xinming Li Xuchang Zhang Zhipeng Li Chuanmiao Xie Shuping Qin Meng Yan Qiying Ke Xuan Jin Ting Lin Muyao Zhou Wen Liang Zhendong Qi Zhijun Geng Xianyue Quan Two-Trait Predictor of Venous Invasion on Contrast-Enhanced CT as a Preoperative Predictor of Outcomes for Early-Stage Hepatocellular Carcinoma After Hepatectomy Frontiers in Oncology hepatocellular carcinoma tomography x-ray computed two-trait predictor of venous invasion hepatectomy biomarkers |
author_facet |
Xinming Li Xuchang Zhang Zhipeng Li Chuanmiao Xie Shuping Qin Meng Yan Qiying Ke Xuan Jin Ting Lin Muyao Zhou Wen Liang Zhendong Qi Zhijun Geng Xianyue Quan |
author_sort |
Xinming Li |
title |
Two-Trait Predictor of Venous Invasion on Contrast-Enhanced CT as a Preoperative Predictor of Outcomes for Early-Stage Hepatocellular Carcinoma After Hepatectomy |
title_short |
Two-Trait Predictor of Venous Invasion on Contrast-Enhanced CT as a Preoperative Predictor of Outcomes for Early-Stage Hepatocellular Carcinoma After Hepatectomy |
title_full |
Two-Trait Predictor of Venous Invasion on Contrast-Enhanced CT as a Preoperative Predictor of Outcomes for Early-Stage Hepatocellular Carcinoma After Hepatectomy |
title_fullStr |
Two-Trait Predictor of Venous Invasion on Contrast-Enhanced CT as a Preoperative Predictor of Outcomes for Early-Stage Hepatocellular Carcinoma After Hepatectomy |
title_full_unstemmed |
Two-Trait Predictor of Venous Invasion on Contrast-Enhanced CT as a Preoperative Predictor of Outcomes for Early-Stage Hepatocellular Carcinoma After Hepatectomy |
title_sort |
two-trait predictor of venous invasion on contrast-enhanced ct as a preoperative predictor of outcomes for early-stage hepatocellular carcinoma after hepatectomy |
publisher |
Frontiers Media S.A. |
series |
Frontiers in Oncology |
issn |
2234-943X |
publishDate |
2021-09-01 |
description |
ObjectivesThis study aimed to assess the effectiveness of the two-trait predictor of venous invasion (TTPVI) on contrast-enhanced computed tomography (CECT) for the preoperative prediction of clinical outcomes in patients with early-stage hepatocellular carcinoma (HCC) after hepatectomy.MethodsThis retrospective study included 280 patients with surgically resected HCC who underwent preoperative CECT between 2012 and 2013. CT imaging features of HCC were assessed, and univariate and multivariate Cox regression analyses were used to evaluate the CT features associated with disease-free survival (DFS) and overall survival (OS). Subgroup analyses were used to summarized the hazard ratios (HRs) between patients in whom TTPVI was present and those in whom TTPVI was absent using a forest plot.ResultsCapsule appearance [HR, 0.504; 95% confidence interval (CI), 0.341–0.745; p < 0.001], TTPVI (HR, 1.842; 95% CI, 1.319–2.572; p < 0.001) and high level of alanine aminotransferase (HR, 1.620; 95% CI, 1.180–2.225, p = 0.003) were independent risk factors for DFS, and TTPVI (HR, 2.509; 95% CI, 1.518–4.147; p < 0.001), high level of alpha-fetoprotein (HR, 1.722; 95% CI, 1.067–2.788; p = 0.026), and gamma-glutamyl transpeptidase (HR, 1.787; 95% CI, 1.134–2.814; p = 0.026) were independent risk factors for OS. A forest plot revealed that the TTPVI present group had lower DFS and OS rates in most subgroups. Patients in whom TTPVI was present in stages I and II had a lower DFS and OS than those in whom TTPVI was absent. Moreover, there were significant differences in DFS (p < 0.001) and OS (p < 0.001) between patients classified as Barcelona Clinic Liver Cancer stage A in whom TTPVI was absent and in whom TTPVI was present.ConclusionsTTPVI may be used as a preoperative biomarker for predicting postoperative outcomes for patients with early-stage HCC. |
topic |
hepatocellular carcinoma tomography x-ray computed two-trait predictor of venous invasion hepatectomy biomarkers |
url |
https://www.frontiersin.org/articles/10.3389/fonc.2021.688087/full |
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