Evidence map›Paper›PMID 32655261›Full record

ReviewWorld journal of gastroenterology2020

Non-invasive tests for the prediction of primary hepatocellular carcinoma.

Giovanni Marasco, Antonio Colecchia, Giovanni Silva, Benedetta Rossini, Leonardo Henry Eusebi, Federico Ravaioli, Elton Dajti, Luigina Vanessa Alemanni, Luigi Colecchia, Matteo Renzulli and 2 more

Open access · bronzeAbstract readReview
In one paragraph

Review in World journal of gastroenterology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 5% of its field
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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Precision models in hepatocellular carcinoma.Nature reviews. Gastroenterology & hepatology · 2025
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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

12 authors at 5 institutions in 3 countries.

Giovanni MarascoDepartment of Medical and Surgical Sciences (DIMEC), University of Bologna, Bologna 40138, Italy. giovannimarasco89@gmail.com.
Antonio ColecchiaUnit of Gastroenterology, Borgo Trento University Hospital of Verona, Verona 37126, Italy.
Giovanni SilvaDepartment of Medical and Surgical Sciences (DIMEC), University of Bologna, Bologna 40138, Italy.
Benedetta RossiniDepartment of Medical and Surgical Sciences (DIMEC), University of Bologna, Bologna 40138, Italy.
Leonardo Henry EusebiDepartment of Medical and Surgical Sciences (DIMEC), University of Bologna, Bologna 40138, Italy.
Federico RavaioliDepartment of Medical and Surgical Sciences (DIMEC), University of Bologna, Bologna 40138, Italy.
Elton DajtiDepartment of Medical and Surgical Sciences (DIMEC), University of Bologna, Bologna 40138, Italy.
Luigina Vanessa AlemanniDepartment of Medical and Surgical Sciences (DIMEC), University of Bologna, Bologna 40138, Italy.
Luigi ColecchiaDepartment of Medical and Surgical Sciences (DIMEC), University of Bologna, Bologna 40138, Italy.
Matteo RenzulliRadiology Unit, Sant'Orsola Malpighi Hospital, University of Bologna, Bologna 40138, Italy.
Rita GolfieriRadiology Unit, Sant'Orsola Malpighi Hospital, University of Bologna, Bologna 40138, Italy.
Davide FestiDepartment of Medical and Surgical Sciences (DIMEC), University of Bologna, Bologna 40138, Italy.
Longhua Hospital Shanghai University of Traditional Chinese Medicine · CNShanghai University of Traditional Chinese Medicine · CNJackson and Tull (United States) · USUniversity of Bologna · ITUniversity of Verona · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hepatocellular carcinoma (HCC) is one of the most common malignancies in the world and it is one of the main complications of cirrhosis and portal hypertension. Even in the presence of a well-established follow-up protocol for cirrhotic patients, to date poor data are available on predictive markers for primary HCC occurrence in the setting of compensated advanced chronic liver disease patients (cACLD). The gold standard method to evaluate the prognosis of patients with cACLD, beyond liver fibrosis assessed with histology, is the measurement of the hepatic venous pressure gradient (HVPG). An HVPG ≥10 mmHg has been related to an increased risk of HCC in cACLD patients. However, these methods are burdened by additional costs and risks for patients and are mostly available only in referral centers. In the last decade increasing research has focused on the evaluation of several, simple, non-invasive tests (NITs) as predictors of HCC development. We reviewed the currently available literature on biochemical and ultrasound-based scores developed for the non-invasive evaluation of liver fibrosis and portal hypertension in predicting primary HCC. We found that the most reliable methods to assess HCC risk were the liver stiffness measurement, the aspartate aminotransferase to platelet ratio index score and the fibrosis-4 index. Other promising NITs need further investigations and validation for different liver disease aetiologies.

Indexed as

Carcinoma, HepatocellularElasticity Imaging TechniquesHypertension, PortalLiver NeoplasmsHumansLiver CirrhosisPortal PressureAlbiFibrosis-4 indexHepatocellular carcinomaLiver stiffness measurementNon-invasive testSpleen stiffness measurement

Identifiers

PMID32655261
PMCPMC7327793
OpenAlexW3037851514

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.