Evidence map›Paper›PMID 38396674›Full record

ArticleInternational journal of molecular sciences2024

Application of Machine Learning Techniques to Assess Alpha-Fetoprotein at Diagnosis of Hepatocellular Carcinoma.

Sergio Gil-Rojas, Miguel Suárez, Pablo Martínez-Blanco, Ana M Torres, Natalia Martínez-García, Pilar Blasco, Miguel Torralba, Jorge Mateo

Abstract readMulticenter Study
In one paragraph

Article in International journal of molecular sciences, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 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

8 authors.

Sergio Gil-RojasGastroenterology Department, Virgen de la Luz Hospital, 16002 Cuenca, Spain.
Miguel SuárezGastroenterology Department, Virgen de la Luz Hospital, 16002 Cuenca, Spain.ORCID 0000-0002-9794-7449
Pablo Martínez-BlancoGastroenterology Department, Virgen de la Luz Hospital, 16002 Cuenca, Spain.ORCID 0000-0001-5807-9653
Ana M TorresMedical Analysis Expert Group, Institute of Technology, Universidad de Castilla-La Mancha, 16071 Cuenca, Spain.
Natalia Martínez-GarcíaInternal Medicine Unit, University Hospital of Guadalajara, 19002 Guadalajara, Spain.ORCID 0009-0008-3380-639X
Pilar BlascoDepartment of Pharmacy, General University Hospital, 46014 Valencia, Spain.
Miguel TorralbaInternal Medicine Unit, University Hospital of Guadalajara, 19002 Guadalajara, Spain.ORCID 0000-0003-2166-7405
Jorge MateoMedical Analysis Expert Group, Institute of Technology, Universidad de Castilla-La Mancha, 16071 Cuenca, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hepatocellular carcinoma (HCC) is the most common primary liver tumor and is associated with high mortality rates. Approximately 80% of cases occur in cirrhotic livers, posing a significant challenge for appropriate therapeutic management. Adequate screening programs in high-risk groups are essential for early-stage detection. The extent of extrahepatic tumor spread and hepatic functional reserve are recognized as two of the most influential prognostic factors. In this retrospective multicenter study, we utilized machine learning (ML) methods to analyze predictors of mortality at the time of diagnosis in a total of 208 patients. The eXtreme gradient boosting (XGB) method achieved the highest values in identifying key prognostic factors for HCC at diagnosis. The etiology of HCC was found to be the variable most strongly associated with a poorer prognosis. The widely used Barcelona Clinic Liver Cancer (BCLC) classification in our setting demonstrated superiority over the TNM classification. Although alpha-fetoprotein (AFP) remains the most commonly used biological marker, elevated levels did not correlate with reduced survival. Our findings suggest the need to explore new prognostic biomarkers for individualized management of these patients.

Indexed as

alpha-FetoproteinsCarcinoma, HepatocellularLiver NeoplasmsMachine LearningBiomarkers, TumorHumansNeoplasm StagingRetrospective Studiesalpha-FetoproteinsBiomarkers, Tumoralpha-fetoproteinhepatocellular carcinomaliver cirrhosismachine learningmortalityprognosis

Identifiers

PMID38396674
PMCPMC10888351

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.