Evidence map›Paper›PMID 41088022›Full record

ArticleBMC cancer2025

Machine learning predicts post-transplant muscle loss in hepatocellular carcinoma patients without sarcopenia.

Jinyan Chen, Zhihang Hu, Huigang Li, Renyi Su, Zuyuan Lin, Jianyong Zhuo, Chiyu He, Ruijie Zhao, Wei Shen, Yajie You and 5 more

Abstract read
In one paragraph

Article in BMC cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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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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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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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

15 authors.

Jinyan Chen *Institute of Translational Medicine, Zhejiang University School of Medicine, Hangzhou, 310058, China.
Zhihang Hu *Institute of Translational Medicine, Zhejiang University School of Medicine, Hangzhou, 310058, China.
Huigang Li *Institute of Translational Medicine, Zhejiang University School of Medicine, Hangzhou, 310058, China.
Renyi SuInstitute of Translational Medicine, Zhejiang University School of Medicine, Hangzhou, 310058, China.
Zuyuan LinInstitute of Translational Medicine, Zhejiang University School of Medicine, Hangzhou, 310058, China.
Jianyong ZhuoDepartment of Hepatobiliary and Pancreatic Surgery, Hangzhou First People's Hospital, Hangzhou, 310006, China.
Chiyu HeInstitute of Translational Medicine, Zhejiang University School of Medicine, Hangzhou, 310058, China.
Ruijie ZhaoInstitute of Translational Medicine, Zhejiang University School of Medicine, Hangzhou, 310058, China.
Wei ShenInstitute of Translational Medicine, Zhejiang University School of Medicine, Hangzhou, 310058, China.
Yajie YouSchool of Basic Medical Sciences and Forensic Medicine, Hangzhou Medical College, Hangzhou, 310014, China.
Shuhan JiangInstitute of Translational Medicine, Zhejiang University School of Medicine, Hangzhou, 310058, China.
Xuyong WeiDepartment of Hepatobiliary and Pancreatic Surgery, Hangzhou First People's Hospital, Hangzhou, 310006, China.
Shusen ZhengNHC Key Laboratory of Combined Multi-organ Transplantation, Hangzhou, 310003, China. shusenzheng@zju.edu.cn.
Xiao XuInstitute of Translational Medicine, Zhejiang University School of Medicine, Hangzhou, 310058, China. zjxu@zju.edu.cn.
Di LuSchool of Clinical Medicine, Hangzhou Medical College, Hangzhou, Zhejiang, 310014, China. zjuludi@zju.edu.cn.

Funding

National S&T Major Project 2017ZX10203205the Health Science & Technology Plan of Zhejiang Province 2022RC060the Key Research & Development Plan of Zhejiang Province 2019C03050the Major Research Plan of the National Natural Science Foundation of China 92159202the National Key Research and Development Program of China 2021YFA1100500
6 · The paper itself

Abstract

objectiveDeveloping a machine learning model to predict post-transplant muscle loss in hepatocellular carcinoma patients.

backgroundLiver transplantation is an effective treatment for selected HCC patients. However, severe muscle loss after liver transplantation is significantly associated with increased risk of mortality and recurrence. However, effective predictive methods remain inadequate.

methodsThis study collected data from hepatocellular carcinoma patients who underwent liver transplantation over the past 2015 to 2020 at two hospitals. Propensity score matching and Cox regression analysis were conducted to establish muscle loss as an independent risk factor for recurrence. To construct the optimal predictive model for post-transplant muscle loss, we compared 50 machine learning models and use Recursive Feature Elimination to identify the most relative features.

resultsData from a total of 248 patients were collected. Kaplan-Meier analysis revealed a significant difference in prognosis between patients with and without sarcopenia before surgery. For patients without sarcopenia, postoperative muscle loss was identified as an independent risk factor for recurrence (HR = 2.38, P = 0.005). The best model was identified as the Imbalanced Random Forest, achieving an AUC of 0.832 on the non-sarcopenia cohort.

conclusionsA highly efficient model based on machine learning was developed to predict postoperative muscle loss in hepatocellular carcinoma patients undergoing liver transplantation, providing a valuable reference for the early detection of adverse events following the procedure.

Indexed as

Carcinoma, HepatocellularLiver NeoplasmsLiver TransplantationMachine LearningPostoperative ComplicationsSarcopeniaAdultAgedFemaleHumansKaplan-Meier EstimateMaleMiddle AgedNeoplasm Recurrence, LocalPrognosisRetrospective StudiesHepatocellular carcinomaLiver transplantationMachine learningMuscle lossSarcopenia

Identifiers

PMID41088022
PMCPMC12522249

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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.