Evidence map›Paper›PMID 33668839›Full record

ReviewJournal of clinical medicine2021

Ultrasound or Sectional Imaging Techniques as Screening Tools for Hepatocellular Carcinoma: Fall Forward or Move Forward?

Zeno Sparchez, Rares Craciun, Cosmin Caraiani, Adelina Horhat, Iuliana Nenu, Bogdan Procopet, Mihaela Sparchez, Horia Stefanescu, Tudor Mocan

Abstract readReview
In one paragraph

Review in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–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

14 citing papers in PubMed.

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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

9 authors.

Zeno Sparchez3rd Medical Department, "Iuliu Hatieganu" University of Medicine and Pharmacy, 400162 Cluj-Napoca, Romania.
Rares Craciun3rd Medical Department, "Iuliu Hatieganu" University of Medicine and Pharmacy, 400162 Cluj-Napoca, Romania.ORCID 0000-0002-5872-8630
Cosmin CaraianiDepartment of Medical Imaging, "Iuliu Hatieganu" University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania.
Adelina Horhat3rd Medical Department, "Iuliu Hatieganu" University of Medicine and Pharmacy, 400162 Cluj-Napoca, Romania.
Iuliana Nenu3rd Medical Department, "Iuliu Hatieganu" University of Medicine and Pharmacy, 400162 Cluj-Napoca, Romania.
Bogdan Procopet3rd Medical Department, "Iuliu Hatieganu" University of Medicine and Pharmacy, 400162 Cluj-Napoca, Romania.
Mihaela SparchezPaediatric Department, "Iuliu Hatieganu" University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania.
Horia StefanescuRegional Institute of Gastroenterology and Hepatology, 400162 Cluj-Napoca, Romania.
Tudor Mocan3rd Medical Department, "Iuliu Hatieganu" University of Medicine and Pharmacy, 400162 Cluj-Napoca, Romania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hepatocellular carcinoma (HCC) is probably the epitome of a screening target, with a well-defined high-risk population, accessible screening methods, and multiple curative-intent treatments available for early disease. Per major societies guideline consensus, biannual ultrasound (US) surveillance of the at-risk patients is the current standard of care worldwide. Yet, despite its documented success in the past decades, this standard is far from perfect. While the whole community is working to further tighten the knots, a worrying number of cases still slip through this safety net. Consequently, these patients lose their chance to a curative solution which leads to a high disease burden with disproportionate mortality. While US will probably remain the fundamental staple in the screening strategy, key questions are seeking better answers. How can its caveats be addressed, and the technique be improved? When are further steps needed? How to increase accuracy without giving up on accessibility? This narrative review discusses the place of US surveillance in the bigger HCC picture, trying to navigate through its strengths and limits based on the most recent available evidence.

Indexed as

early detectionhepatocellular carcinomasectional imagingultrasound surveillance

Identifiers

PMID33668839
PMCPMC7956684

What OpenQuestion holds

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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.