Evidence map›Paper›PMID 40135830›Full record

ArticleAdvanced science (Weinheim, Baden-Wurttemberg, Germany)2025

Cost-Effective Identification of Hepatocellular Carcinoma from Cirrhosis or Chronic Hepatitis Virus Infection Using Eight Methylated Plasma DNA Markers.

Tian Yang, Mingda Wang, Nanya Wang, Mingxin Pan, Yu Xu, Qiancheng You, Lanqing Yao, Jiahao Xu, Lihui Gu, Xiaodong Sun and 7 more

Abstract read
In one paragraph

Article in Advanced science (Weinheim, Baden-Wurttemberg, Germany), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Review
  5. Article
  6. Article
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

17 authors.

Tian YangDepartment of Hepatobiliary Surgery, Eastern Hepatobiliary Surgery Hospital, Naval Medical University, Shanghai, 200438, China.ORCID https://orcid.org/0000-0003-1544-0976
Mingda WangDepartment of Hepatobiliary Surgery, Eastern Hepatobiliary Surgery Hospital, Naval Medical University, Shanghai, 200438, China.
Nanya WangDepartment of Hepatobiliary and Pancreatic Surgery, General Surgery Center, First Hospital of Jilin University, Changchun, Jilin, 130021, China.
Mingxin PanDepartment of Hepatobiliary Surgery II, General Surgery Center, Zhujiang Hospital, Southern Medical University, Guangzhou, 510280, China.
Yu XuBurning Rock Biotech, Guangzhou, 510300, China.
Qiancheng YouBurning Rock Biotech, Guangzhou, 510300, China.
Lanqing YaoDepartment of Hepatobiliary Surgery, Eastern Hepatobiliary Surgery Hospital, Naval Medical University, Shanghai, 200438, China.
Jiahao XuDepartment of Hepatobiliary Surgery, Eastern Hepatobiliary Surgery Hospital, Naval Medical University, Shanghai, 200438, China.
Lihui GuDepartment of Hepatobiliary Surgery, Eastern Hepatobiliary Surgery Hospital, Naval Medical University, Shanghai, 200438, China.
Xiaodong SunDepartment of Hepatobiliary and Pancreatic Surgery, General Surgery Center, First Hospital of Jilin University, Changchun, Jilin, 130021, China.
Lei ZhangBurning Rock Biotech, Guangzhou, 510300, China.
Jiayue XuBurning Rock Biotech, Guangzhou, 510300, China.
Bingsi LiBurning Rock Biotech, Guangzhou, 510300, China.
Guoqiang WangBurning Rock Biotech, Guangzhou, 510300, China.
Shangli CaiBurning Rock Biotech, Guangzhou, 510300, China.
Guoyue LvDepartment of Hepatobiliary and Pancreatic Surgery, General Surgery Center, First Hospital of Jilin University, Changchun, Jilin, 130021, China.
Feng ShenDepartment of Hepatobiliary Surgery, Eastern Hepatobiliary Surgery Hospital, Naval Medical University, Shanghai, 200438, China.

Funding

Dawn Project Foundation of Shanghai 21SG36Key Research and Development Plan of Guangzhou 2024B03J1381National Natural Science Foundation of China 81972726National Natural Science Foundation of China 82273074National Natural Science Foundation of China 82372813National Natural Science Foundation of China U20A20360Natural Science Foundation of Shanghai 22ZR1477900Shanghai Health and Hygiene Discipline Leader Project 2022XD001Shanghai Outstanding Academic Leader Program 23XD1424900Shanghai Science and Technology Committee Rising-Star Program 22QA1411600
6 · The paper itself

Abstract

Early detection of hepatocellular carcinoma (HCC) in patients with liver cirrhosis (LC) and/or hepatitis virus B/C infection (HVI) improves survival, highlighting the need for accurate, affordable diagnostic tools. Here, 11 methylated DNA markers (MDMs) are identified during marker discovery. In phase I, each selected MDM is validated in 175 plasma samples (HCC, n = 85; LC/HVI, n = 72) by the CO-methylation aMplification rEal-Time PCR (COMET) assay. Of these, 8 MDMs are qualified for phase II study, where a logistic regression model (COMET-LR) is trained and validated with 336 plasma samples (HCC, n = 211; LC/HVI, n = 113; training vs validation, 2:1). In the validation, the COMET-LR achieved 90.0% sensitivity at 97.4% specificity. Notably, sensitivity in patients with TNM stage I, diameter<3 cm, AFP-negative (<20 ng mL

Indexed as

Biomarkers, TumorCarcinoma, HepatocellularDNA MethylationHepatitis B, ChronicHepatitis C, ChronicLiver CirrhosisLiver NeoplasmsAdultAgedCost-Benefit AnalysisEarly Detection of CancerFemaleHumansMaleMiddle AgedSensitivity and SpecificityBiomarkers, Tumorchronic hepatitis virus infectionearly detectionhepatocellular carcinomaliver cirrhosismethylated plasma DNA marker

Identifiers

PMID40135830
PMCPMC12097027

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Registered trials

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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.