Evidence map›Paper›PMID 26455721›Full record

ArticleEuropean radiology2016

Predictive factors for complete response of chemoembolization with drug-eluting beads (DEB-TACE) for hepatocellular carcinoma.

Guillaume Vesselle, Camille Quirier-Leleu, Stéphane Velasco, Florian Charier, Christine Silvain, Samy Boucebci, Pierre Ingrand, Jean-Pierre Tasu

Abstract read
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In one paragraph

Article in European radiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

59 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Guillaume VesselleDiagnostic, Functional and Therapeutic Imaging Department, Poitiers University Hospital, 2 rue de la Milétrie, 86021, Poitiers Cedex, France. guillaumevesselle@gmail.com.
Camille Quirier-LeleuDepartment of Gastroenterology, Poitiers University Hospital, 2 rue de la Milétrie, 86021, Poitiers Cedex, France.
Stéphane VelascoDiagnostic, Functional and Therapeutic Imaging Department, Poitiers University Hospital, 2 rue de la Milétrie, 86021, Poitiers Cedex, France.
Florian CharierDepartment of Gastroenterology, Poitiers University Hospital, 2 rue de la Milétrie, 86021, Poitiers Cedex, France.
Christine SilvainDepartment of Gastroenterology, Poitiers University Hospital, 2 rue de la Milétrie, 86021, Poitiers Cedex, France.
Samy BoucebciDiagnostic, Functional and Therapeutic Imaging Department, Poitiers University Hospital, 2 rue de la Milétrie, 86021, Poitiers Cedex, France.
Pierre IngrandEpidemiology and Biostatistics, Clinical Investigation Center INSERM CIC-P 802, Poitiers University Hospital, 2 rue de la Milétrie, 86021, Poitiers Cedex, France.
Jean-Pierre TasuDiagnostic, Functional and Therapeutic Imaging Department, Poitiers University Hospital, 2 rue de la Milétrie, 86021, Poitiers Cedex, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo identify clinical and imaging features associated with complete response (CR) to first session of transarterial chemoembolization (TACE) with drug-eluting beads (DEB) in patients with hepatocellular carcinoma.

methodsIn this prospective historical cohort, 172 patients with 315 tumours who received at least one DEB-TACE from 2007 to 2013 were studied. Imaging response was evaluated according to the modified Response Evaluation Criteria in Solid Tumours (mRECIST). Age, gender, aetiology of cirrhosis, Child and BCLC scores, particles size, location in the liver, size of the tumour, presence of a capsule, hypervascularisation on DSA and CT/MRI scans, and blush extinction were analysed.

resultsAfter one session of treatment, CR was observed in 36 % of the 315 tumours treated. Nodule size, location in the liver, and complete blush extinction on DSA was statistically correlated to complete response, whereas capsule aspect on imaging and demographic criteria were not. In multivariate analysis only, location in the liver and nodule size were significant features.

conclusionsTumour location in the segments 1 and 4 is a pejorative factor for CR, whereas tumour size <5 cm is a positive predictive factor. These criteria could, therefore, be taken into consideration to improve the selection of patients for DEB-TACE. KEY POINTS: • Literature on predictive factors of complete response after DEB-TACE is under-studied. • Tumour size <5 cm is associated with complete response. • Location in segments 1 or 4 is a pejorative factor for response. • No demographic parameter influences complete response.

Indexed as

AdultAgedAged, 80 and overCarcinoma, HepatocellularChemoembolization, TherapeuticCohort StudiesFemaleHumansLiverLiver NeoplasmsMagnetic Resonance ImagingMaleMiddle AgedProspective StudiesTomography, X-Ray ComputedTreatment OutcomeChemoembolizationDEB - TACEHepatocellular carcinoma (HCC)Predictive factorsTreatment response

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.