Evidence map›Paper›PMID 40889566›Full record

SynthesisJournal of the American College of Radiology : JACR2026

Performance of Artificial Intelligence Models in Predicting Responsiveness of Hepatocellular Carcinoma to Transarterial Chemoembolization (TACE): A Systematic Review and Meta-Analysis.

Iman Kiani, Iman Razeghian, Parya Valizadeh, Yasmin Esmaeilian, Payam Jannatdoust, Bardia Khosravi

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Journal of the American College of Radiology : JACR, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

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

6 authors.

Iman KianiStudents' Scientific Research Center, Tehran University of Medical Sciences, Tehran, Iran; School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Iman RazeghianRadiology and Biomedical Imaging, Yale University, New Haven, Connecticut.
Parya ValizadehSchool of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Yasmin EsmaeilianSchool of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Payam JannatdoustSchool of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Bardia KhosraviRadiology and Biomedical Imaging, Yale University, New Haven, Connecticut; Department of Radiology, Mayo Clinic, Rochester, Minnesota. Electronic address: bardia.khosravi@yale.edu.

Funding

Investigating the Effect of Synthetic Medical Images on Fairness in Medical Deep Learning ResearchR21MD019360 · NIMHD · MAYO CLINIC ROCHESTER · PI ERICKSON, BRADLEY J., KHOSRAVI, BARDIA · 2024 to 2025
$415k
NIMHD NIH HHS R21 MD019360
6 · The paper itself

Abstract

backgroundHepatocellular carcinoma (HCC) remains a leading cause of cancer-related mortality worldwide. Handcrafted radiomics (HCR) and deep learning (DL) models have emerged as promising predictive tools extracting granular insights from images.

objectiveThis systematic review and meta-analysis aims to evaluate the predictive performance of these artificial intelligence models in predicting treatment efficacy in patients with HCC who are undergoing transarterial chemoembolization (TACE).

methodsA comprehensive search was conducted on PubMed, Embase, Web of Science, and Cochrane Library databases up to June 15, 2024. Inclusion criteria encompassed studies involving patients with confirmed HCC undergoing TACE. Random-effects diagnostic test accuracy meta-analyses were performed using bivariate modeling. Methodological quality was assessed using the Prediction model Risk of Bias Assessment Tool.

resultsTwenty-seven studies were included in this review. The overall meta-analysis of models for TACE treatment response included 11 studies. The pooled area under the receiver operating characteristic curve was 0.89 (95% confidence interval: 0.81-0.93) for internal validation and 0.81 (95% confidence interval: 0.80-0.92) for external validation, with no significant differences (P = .66). Moreover, no significant differences were found between DL and HCR models (P = .21) or between models with and without clinical data (P = .78).

conclusionArtificial intelligence models, including DL and HCR, show potential for predicting treatment outcomes in patients with HCC who are undergoing TACE. However, the observed heterogeneity stresses the need for further research.

Indexed as

Artificial IntelligenceCarcinoma, HepatocellularChemoembolization, TherapeuticLiver NeoplasmsDeep LearningHumansTreatment OutcomeDeep learninghepatocellular carcinomaradiomicstransarterial chemoembolization

Identifiers

PMID40889566
PMCPMC12681979

What OpenQuestion holds

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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.