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Value of Non-tumoral Liver Volume in the Prognosis of Large Hepatocellular Carcinoma Patients After R0 Resection
BACKGROUND AND AIMS: Hepatectomy is an effective treatment for selected patients with large hepatocellular carcinoma (HCC). This study aimed to develop a nomogram incorporating non-tumoral liver volume (non-TLV) and liver function markers to predict the patients’ overall survival (OS) and disease-fr...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
XIA & HE Publishing Inc.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10037504/ https://www.ncbi.nlm.nih.gov/pubmed/36969888 http://dx.doi.org/10.14218/JCTH.2022.00170 |
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author | Zuo, Dongliang Li, Yuntong Liu, Hongzhi Liu, Dongxu Fang, Qinliang Li, Pengtao Tu, Liang Xiong, Yu Zeng, Yongyi Liu, Pingguo |
author_facet | Zuo, Dongliang Li, Yuntong Liu, Hongzhi Liu, Dongxu Fang, Qinliang Li, Pengtao Tu, Liang Xiong, Yu Zeng, Yongyi Liu, Pingguo |
author_sort | Zuo, Dongliang |
collection | PubMed |
description | BACKGROUND AND AIMS: Hepatectomy is an effective treatment for selected patients with large hepatocellular carcinoma (HCC). This study aimed to develop a nomogram incorporating non-tumoral liver volume (non-TLV) and liver function markers to predict the patients’ overall survival (OS) and disease-free survival (DFS). METHODS: Data of 198 consecutive large HCC patients who underwent hepatectomy at the Zhongshan Hospital Xiamen University were collected. Another 68 patients from the Mengchao Hepatobiliary Surgery Hospital served as an external validation cohort. The nomograms were developed based on the independent prognostic factors screened by multivariate Cox regression analyses. Concordance index (C-index), calibration curves, and time-dependent receiver operating characteristic (ROC) curves were used to measure the discrimination and predictive accuracy of the models. RESULTS: High HBV DNA level, low non-TLV/ICG, vascular invasion, and a poorly differentiated tumor were confirmed as independent risk factors for both OS and DFS. The model established in this study predicted 5-year post-operative survival and DFS in good agreement with the actual observation confirmed by the calibration curves. The C-indexes of the nomograms in predicting OS and DFS were 0.812 and 0.823 in the training cohort, 0.821 and 0.846 in the internal validation cohort, and 0.724 and 0.755 in the external validation cohort. The areas under the ROC curves (AUCs) of nomograms for predicted OS and DFS at 1, 3, and 5 year were 0.85, 0.86, 0.83 and 0.76, 0.76, 0.63, respectively. CONCLUSIONS: Nomograms with non-TLV/ICG predicted the prognosis of single large HCC patients accurately and effectively. |
format | Online Article Text |
id | pubmed-10037504 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | XIA & HE Publishing Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-100375042023-03-25 Value of Non-tumoral Liver Volume in the Prognosis of Large Hepatocellular Carcinoma Patients After R0 Resection Zuo, Dongliang Li, Yuntong Liu, Hongzhi Liu, Dongxu Fang, Qinliang Li, Pengtao Tu, Liang Xiong, Yu Zeng, Yongyi Liu, Pingguo J Clin Transl Hepatol Original Article BACKGROUND AND AIMS: Hepatectomy is an effective treatment for selected patients with large hepatocellular carcinoma (HCC). This study aimed to develop a nomogram incorporating non-tumoral liver volume (non-TLV) and liver function markers to predict the patients’ overall survival (OS) and disease-free survival (DFS). METHODS: Data of 198 consecutive large HCC patients who underwent hepatectomy at the Zhongshan Hospital Xiamen University were collected. Another 68 patients from the Mengchao Hepatobiliary Surgery Hospital served as an external validation cohort. The nomograms were developed based on the independent prognostic factors screened by multivariate Cox regression analyses. Concordance index (C-index), calibration curves, and time-dependent receiver operating characteristic (ROC) curves were used to measure the discrimination and predictive accuracy of the models. RESULTS: High HBV DNA level, low non-TLV/ICG, vascular invasion, and a poorly differentiated tumor were confirmed as independent risk factors for both OS and DFS. The model established in this study predicted 5-year post-operative survival and DFS in good agreement with the actual observation confirmed by the calibration curves. The C-indexes of the nomograms in predicting OS and DFS were 0.812 and 0.823 in the training cohort, 0.821 and 0.846 in the internal validation cohort, and 0.724 and 0.755 in the external validation cohort. The areas under the ROC curves (AUCs) of nomograms for predicted OS and DFS at 1, 3, and 5 year were 0.85, 0.86, 0.83 and 0.76, 0.76, 0.63, respectively. CONCLUSIONS: Nomograms with non-TLV/ICG predicted the prognosis of single large HCC patients accurately and effectively. XIA & HE Publishing Inc. 2023-06-28 2022-08-30 /pmc/articles/PMC10037504/ /pubmed/36969888 http://dx.doi.org/10.14218/JCTH.2022.00170 Text en © 2023 Authors. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-Noncommercial 4.0 International License (CC BY-NC 4.0), permitting all non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Zuo, Dongliang Li, Yuntong Liu, Hongzhi Liu, Dongxu Fang, Qinliang Li, Pengtao Tu, Liang Xiong, Yu Zeng, Yongyi Liu, Pingguo Value of Non-tumoral Liver Volume in the Prognosis of Large Hepatocellular Carcinoma Patients After R0 Resection |
title | Value of Non-tumoral Liver Volume in the Prognosis of Large Hepatocellular Carcinoma Patients After R0 Resection |
title_full | Value of Non-tumoral Liver Volume in the Prognosis of Large Hepatocellular Carcinoma Patients After R0 Resection |
title_fullStr | Value of Non-tumoral Liver Volume in the Prognosis of Large Hepatocellular Carcinoma Patients After R0 Resection |
title_full_unstemmed | Value of Non-tumoral Liver Volume in the Prognosis of Large Hepatocellular Carcinoma Patients After R0 Resection |
title_short | Value of Non-tumoral Liver Volume in the Prognosis of Large Hepatocellular Carcinoma Patients After R0 Resection |
title_sort | value of non-tumoral liver volume in the prognosis of large hepatocellular carcinoma patients after r0 resection |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10037504/ https://www.ncbi.nlm.nih.gov/pubmed/36969888 http://dx.doi.org/10.14218/JCTH.2022.00170 |
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