Evidence map›Paper›PMID 38926517›Full record

ArticleScientific reports2024

A novel radiomics approach for predicting TACE outcomes in hepatocellular carcinoma patients using deep learning for multi-organ segmentation.

Krzysztof Bartnik, Mateusz Krzyziński, Tomasz Bartczak, Krzysztof Korzeniowski, Krzysztof Lamparski, Tadeusz Wróblewski, Michał Grąt, Wacław Hołówko, Katarzyna Mech, Joanna Lisowska and 2 more

Abstract read
In one paragraph

Article in Scientific reports, 2024. 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.

  1. Review
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  3. Article
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  6. Article
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  10. Current State of Evidence for Use of MRI in LI-RADS.Journal of magnetic resonance imaging : JMRI · 2025
    Review
  11. Hepatocellular Carcinoma: A Comprehensive Review.Diseases (Basel, Switzerland) · 2025
    Review
  12. Article
  13. Article
  14. 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

12 authors.

Krzysztof BartnikSecond Department of Radiology, Medical University of Warsaw, Banacha 1a st., 02-097, Warsaw, Poland. krzysztof.bartnik@wum.edu.pl.
Mateusz KrzyzińskiFaculty of Mathematics and Information Science, Warsaw University of Technology, Koszykowa 75 st., Warsaw, Poland.
Tomasz BartczakFaculty of Mathematics and Information Science, Warsaw University of Technology, Koszykowa 75 st., Warsaw, Poland.
Krzysztof KorzeniowskiSecond Department of Radiology, Medical University of Warsaw, Banacha 1a st., 02-097, Warsaw, Poland.
Krzysztof LamparskiSecond Department of Radiology, Medical University of Warsaw, Banacha 1a st., 02-097, Warsaw, Poland.
Tadeusz WróblewskiDepartment of General, Transplant and Liver Surgery, Medical University of Warsaw, Banacha 1a st., Warsaw, Poland.
Michał GrątDepartment of General, Transplant and Liver Surgery, Medical University of Warsaw, Banacha 1a st., Warsaw, Poland.
Wacław HołówkoDepartment of General, Transplant and Liver Surgery, Medical University of Warsaw, Banacha 1a st., Warsaw, Poland.
Katarzyna MechDepartment of General, Gastroenterological and Oncological Surgery, Medical University of Warsaw, Banacha 1a st., Warsaw, Poland.
Joanna LisowskaDepartment of General, Gastroenterological and Oncological Surgery, Medical University of Warsaw, Banacha 1a st., Warsaw, Poland.
Magdalena JanuszewiczSecond Department of Radiology, Medical University of Warsaw, Banacha 1a st., 02-097, Warsaw, Poland.
Przemysław BiecekFaculty of Mathematics and Information Science, Warsaw University of Technology, Koszykowa 75 st., Warsaw, Poland.

Funding

Medical University of Warsaw and the Warsaw University of Technology No. 1W12/ INTEGRA.1.6/N/23
6 · The paper itself

Abstract

Transarterial chemoembolization (TACE) represent the standard of therapy for non-operative hepatocellular carcinoma (HCC), while prediction of long term treatment outcomes is a complex and multifactorial task. In this study, we present a novel machine learning approach utilizing radiomics features from multiple organ volumes of interest (VOIs) to predict TACE outcomes for 252 HCC patients. Unlike conventional radiomics models requiring laborious manual segmentation limited to tumoral regions, our approach captures information comprehensively across various VOIs using a fully automated, pretrained deep learning model applied to pre-TACE CT images. Evaluation of radiomics random survival forest models against clinical ones using Cox proportional hazard demonstrated comparable performance in predicting overall survival. However, radiomics outperformed clinical models in predicting progression-free survival. Explainable analysis highlighted the significance of non-tumoral VOI features, with their cumulative importance superior to features from the largest liver tumor. The proposed approach overcomes the limitations of manual VOI segmentation, requires no radiologist input and highlight the clinical relevance of features beyond tumor regions. Our findings suggest the potential of this radiomics models in predicting TACE outcomes, with possible implications for other clinical scenarios.

Indexed as

Carcinoma, HepatocellularChemoembolization, TherapeuticDeep LearningLiver NeoplasmsTomography, X-Ray ComputedAgedFemaleHumansMaleMiddle AgedRadiomicsTreatment Outcome

Identifiers

PMID38926517
PMCPMC11208561

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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.