Evidence map›Paper›PMID 40537682›Full record

ArticleMedical oncology (Northwood, London, England)2025

Revolutionizing early HCC detection: groundbreaking validation of the HCC-check index for small tumors in Egyptian patients using CLIP and BCLC staging systems.

Kareem A Attallah, Khaled Farid, Mohamed S Albannan

Abstract readValidation Study
In one paragraph

Article in Medical oncology (Northwood, London, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the 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

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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

1 citing paper in PubMed.

  1. 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

3 authors.

Kareem A AttallahClinical Research Department, Damietta Directorate for Health Affairs, Egyptian Ministry of Health and Population, Damietta, Egypt. k.a.m.attallah@gmail.com.ORCID http://orcid.org/0000-0002-5886-1466
Khaled FaridFaculty of Medicine, Mansoura University, Mansoura, Egypt.
Mohamed S AlbannanResearch and Development Department, Biotechnology Research Center, 23 July St., Industrial Zone, New Damietta, 34517, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hepatocellular carcinoma (HCC) is often associated with better treatment options for small asymptomatic tumors if HCC is caught early. A year ago, the "Technology in Cancer Research and Treatment" Journal published a report on the highly sensitive HCC-Check for the early diagnosis of HCC. Here, we examine and confirm the applicability of HCC-Check in 486 liver-diseased patients with earlier stages of HCC based on two widely used Cancer of the Liver Italian Program (CLIP) and Barcelona Clinic Liver Cancer (BCLC) staging systems for the identification of small tumors. Our results showed that HCC-Check produced 0.90 AUC with 78.26% sensitivity and 83.89% specificity, when used to distinguish small HCCs from cirrhotic patients. Our findings showed that HCC-Check increased with disease progression according to the CLIP and BCLC systems, producing significant (p < 0.0001) Spearman correlation coefficients of 0.633 and 0.458, respectively. HCC-Check yielded 0.85 (0.78-0.92) AUC, 66.67% (47.19-82.71) sensitivity, and 83.89% (77.69-88.94) specificity for identifying CLIP (0-1) while producing 0.87 (0.79-0.94) AUC, 65% (40.78-84.61) sensitivity, and 83.89% (77.69-88.94) specificity for identifying BCLC A. Additionally, HCC-Check yielded 0.90 (0.83-0.97) AUC, 78.26% (56.30-92.54) sensitivity, and 83.89% (77.69-88.94) specificity for discriminating small tumors < 3 cm. Simplified HCC-Check still competes with HCC-Check, providing 0.89 (0.83-0.95) AUC with 73.91% (51.60-89.77) sensitivity and 82.51% (76.22-87.72) specificity for identifying small-sized HCC. All these results were superior to those obtained by AFP. In conclusion, the study findings support that HCC-Check and its simplified version could be a useful tool for early detection of HCC, aiding definitive treatment.

Indexed as

Carcinoma, HepatocellularEarly Detection of CancerLiver NeoplasmsAdultAgedEgyptFemaleHumansMaleMiddle AgedNeoplasm StagingSensitivity and SpecificityBCLCCLIPHCC-CheckLiverNodule size

Identifiers

PMID40537682
PMCPMC12178962

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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.