Evidence map›Paper›PMID 39941867›Full record

ArticleCancers2025

HepatoPredict Accurately Selects Hepatocellular Carcinoma Patients for Liver Transplantation Regardless of Tumor Heterogeneity.

Rita Andrade, Judith Perez-Rojas, Sílvia Gomes da Silva, Migla Miskinyte, Margarida C Quaresma, Laura P Frazão, Carolina Peixoto, Almudena Cubells, Eva M Montalvá, António Figueiredo and 10 more

Registry-linked trialAbstract read
In one paragraph

Article in Cancers, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06894524 (Retrospective Clinical Validation of HepatoPredict, a Prognostic Tool for Hepatic Surgery Based on a Molecular Signature), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT06894524 not yet recruitingnot on this map

Retrospective Clinical Validation of HepatoPredict, a Prognostic Tool for Hepatic Surgery Based on a Molecular Signature

TypeobservationalSponsorOphiomicsRan2025 to 2026Enrolled200ConditionsHepato Cellular Carcinoma (HCC), Liver Resection, Liver Transplantation
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

20 authors.

Rita AndradeSurgery Department, Centro Hospitalar e Universitário de Coimbra, 3004-561 Coimbra, Portugal.ORCID 0000-0003-3650-0640
Judith Perez-RojasPathology Service, Hospital Universitari i Politècnic La Fe, 46026 Valencia, Spain.ORCID 0000-0002-6091-0888
Sílvia Gomes da SilvaHepato-Biliary-Pancreatic and Transplantation Centre, Hospital Curry Cabral, Unidade Local de Saúde de São José, 1069-166 Lisbon, Portugal.
Migla MiskinyteOphiomics Precision Medicine, 1600-514 Lisbon, Portugal.
Margarida C QuaresmaOphiomics Precision Medicine, 1600-514 Lisbon, Portugal.
Laura P FrazãoOphiomics Precision Medicine, 1600-514 Lisbon, Portugal.
Carolina PeixotoOphiomics Precision Medicine, 1600-514 Lisbon, Portugal.ORCID 0000-0002-7958-850X
Almudena CubellsCentro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd), Instituto de Salud Carlos III, 28029 Madrid, Spain.ORCID 0009-0007-1210-4172
Eva M MontalváCentro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd), Instituto de Salud Carlos III, 28029 Madrid, Spain.
António FigueiredoPathology Service, Hospital Curry Cabral, Unidade Local de Saúde de São José, 1069-166 Lisbon, Portugal.ORCID 0009-0001-3130-9401
Augusta CiprianoPathology Department, Unidade Local de Saúde de Coimbra, 3004-561 Coimbra, Portugal.
Maria Gonçalves-ReisOphiomics Precision Medicine, 1600-514 Lisbon, Portugal.ORCID 0009-0004-9007-8238
Daniela ProençaOphiomics Precision Medicine, 1600-514 Lisbon, Portugal.
André FolgadoOphiomics Precision Medicine, 1600-514 Lisbon, Portugal.ORCID 0000-0003-1659-060X
José B Pereira-LealOphiomics Precision Medicine, 1600-514 Lisbon, Portugal.
Rui Caetano OliveiraFaculty of Medicine, University of Coimbra, 3004-504 Coimbra, Portugal.ORCID 0000-0002-7202-8059
Hugo Pinto-MarquesHepato-Biliary-Pancreatic and Transplantation Centre, Hospital Curry Cabral, Unidade Local de Saúde de São José, 1069-166 Lisbon, Portugal.
José Guilherme TralhãoSurgery Department, Centro Hospitalar e Universitário de Coimbra, 3004-561 Coimbra, Portugal.
Marina BerenguerCentro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd), Instituto de Salud Carlos III, 28029 Madrid, Spain.ORCID 0000-0001-9246-4264
Joana CardosoOphiomics Precision Medicine, 1600-514 Lisbon, Portugal.

Funding

CIBER -Consorcio Centro de Investigación Biomédica en Red CB06/04/0065European Innovation Council EIC Accelerator Scheme Contract Nº946364European Regional Development Fund 'A way to make Europe' PI23/00088 and INT24/00021Generalitat Valenciana CIPROM/2023/16Instituto de Salud Carlos III, Ministerio de Ciencia e Innovación and Unión Europea-European Regional Development Fund N/ASpanish Society of Liver Transplantation 2022/295
6 · The paper itself

Abstract

BACKGROUND/

objectivesHepatocellular carcinoma (HCC) is a major cause of cancer-related deaths rising worldwide. This is leading to an increased demand for liver transplantation (LT), the most effective treatment for HCC in its initial stages. However, current patient selection criteria are limited in predicting recurrence and raise ethical concerns about equitable access to care. This study aims to enhance patient selection by refining the HepatoPredict (HP) tool, a machine learning-based model that combines molecular and clinical data to forecast LT outcomes.

methodsThe updated HP algorithm was trained on a two-center dataset and assessed against standard clinical criteria. Its prognostic performance was evaluated through accuracy metrics, with additional analyses considering tumor heterogeneity and potential sampling bias.

resultsHP outperformed all clinical criteria, particularly regarding negative predictive value, addressing critical limitations in existing selection strategies. It also demonstrated improved differentiation of recurrence-free and overall survival outcomes. Importantly, the prognostic accuracy of HP remained largely unaffected by intra-nodule and intra-patient heterogeneity, indicating its robustness even when biopsies were taken from smaller or non-dominant nodules.

conclusionsThese findings support the usage of HP as a valuable tool for optimizing LT candidate selection, promoting fair organ allocation and enhancing patient outcomes through integrated analysis of molecular and clinical data.

Indexed as

HCCHepatoPredictliver biopsyliver transplantmulti-target genomic assayprognostic testtumor heterogeneity

Identifiers

PMID39941867
PMCPMC11816190

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Registered trials

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.