Evidence map›Paper›PMID 38908918›Full record

Observational studyAcademic radiology2024

Evaluation of the Contrast-Enhanced Ultrasound Nonradiation Treatment Response Assessment LI-RADS v2024 Using Data From a Multi-Center Transarterial Chemoembolization Study.

Cristina M Kuon Yeng Escalante, Tania Siu Xiao, Rohit U Nagaraj, Esika Savsani, Amr Mohammed, Joy Li, Andrej Lyshchik, Ji-Bin Liu, Corinne E Wessner, Aylin Tahmasebi and 3 more

Abstract readObservational StudyMulticenter Study
In one paragraph

Observational study in Academic radiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
  4. Review
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

13 authors.

Cristina M Kuon Yeng EscalanteDepartment of Radiology, Thomas Jefferson University, Philadelphia, PA, USA.
Tania Siu XiaoDepartment of Radiology, Thomas Jefferson University, Philadelphia, PA, USA.
Rohit U NagarajSidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA.
Esika SavsaniSidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA.
Amr MohammedDepartment of Radiology, Thomas Jefferson University, Philadelphia, PA, USA.
Joy LiDepartment of Radiology, Thomas Jefferson University, Philadelphia, PA, USA.
Andrej LyshchikDepartment of Radiology, Thomas Jefferson University, Philadelphia, PA, USA.
Ji-Bin LiuDepartment of Radiology, Thomas Jefferson University, Philadelphia, PA, USA.
Corinne E WessnerDepartment of Radiology, Thomas Jefferson University, Philadelphia, PA, USA.
Aylin TahmasebiDepartment of Radiology, Thomas Jefferson University, Philadelphia, PA, USA.
Michael C SoulenDepartment of Radiology, University of Pennsylvania, Philadelphia, PA, USA.
Yuko KonoDepartment of Medicine, Gastroenterology and Hepatology, University of California, San Diego, California, USA.
John R EisenbreyDepartment of Radiology, Thomas Jefferson University, Philadelphia, PA, USA. Electronic address: John.Eisenbrey@jefferson.edu.

Funding

2D and 3D Contrast-enhanced Ultrasound Evaluation of HCC ChemoembolizationR01CA194307 · NCI · THOMAS JEFFERSON UNIVERSITY · PI John Eisenbrey · 2016 to 2026
$5.3M
NCI NIH HHS R01 CA194307
6 · The paper itself

Abstract

RATIONALE AND

objectiveHepatocellular carcinoma (HCC) locoregional treatment response is commonly evaluated using the Modified Response Evaluation Criteria in Solid Tumors and the American College of Radiology (ACR) Liver Reporting and Data System (LI-RADS) Treatment Response Assessment (TRA) for MRI/CT. This study aims to evaluate the diagnostic performance of the new ACR contrast-enhanced ultrasound (CEUS) Nonradiation TRA LI-RADS v2024 in HCC treated with transarterial chemoembolization (TACE). MATERIALS AND

methodsThis retrospective observational study included 87 patients treated with TACE from a previously reported cohort. At 15- and 30-days post-treatment, 68 and 72 HCC lesions were evaluated. Three blinded radiologists with different levels of CEUS experience interpreted the images independently. According to CEUS Nonradiation TRA LI-RADSv2024, both intralesional and perilesional tumor viability were evaluated and final TRA categories were as follows: TR-Nonviable, TR-Equivocal, and TR-Viable. The reference standard used was a composite of histology and imaging.

results140 HCC lesions were analyzed. At 15 days post-treatment, the sensitivity (SN), specificity (SP), positive predictive value (PPV), negative predictive value (NPV), and accuracy of TR-Viable classification ranged from 72.5-94.3%, 72.2-86.4%, 86.8-91.4%, 65.6-86.7%, 76.9-86.8%, respectively. At 30 days post-treatment, the SN, PPV, and NPV of TR-Viable classification decreased, ranging from 65.9-84.2%, 85.7-90.6%, and 59.5-73.9%, respectively, while the SP increased, ranging from 80.0-88.0%. Kappa values ranged from 0.557-0.730, indicating moderate to substantial agreement.

conclusionCEUS Nonradiation TRA LI-RADS is a reliable tool for the detection of viable tumors in lesions treated with TACE and demonstrates reproducibility across readers.

Indexed as

Carcinoma, HepatocellularChemoembolization, TherapeuticContrast MediaLiver NeoplasmsSensitivity and SpecificityUltrasonographyAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedReproducibility of ResultsResponse Evaluation Criteria in Solid TumorsRetrospective StudiesContrast MediaCEUSContrast-enhanced ultrasoundHepatocellular CarcinomaLI-RADSTransarterial chemoembolizationTreatment Response Algorithm

Identifiers

PMID38908918
PMCPMC11606786

What OpenQuestion holds

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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.