Evidence map›Paper›PMID 41281029›Full record

ReviewCureus2025

Optimizing Transarterial Chemoembolization in Hepatocellular Carcinoma: Current Strategies, Innovations, and Future Directions.

Jeraun Dolphin, Juan Zubillaga, Qazi Muhammad Jamal, Afrah Fathima Karimbanakkal Edakkattu, Bhavana Balakrishnan, Aarati Sapkota, Anum Naimat, Aye Nyein, Confidence Obianuju Okorie, Ahmad Mahmood and 1 more

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

11 authors.

Jeraun DolphinResearch, Virscio, New Haven, USA.
Juan ZubillagaGastroenterology and Hepatology, Universidad Central de Venezuela, Caracas, VEN.
Qazi Muhammad JamalInternal Medicine, University Hospitals of Leicester NHS Trust, Leicester, GBR.
Afrah Fathima Karimbanakkal EdakkattuGeneral Medicine, Government Medical College Manjeri, Kerala University of Health Sciences, Manjeri, IND.
Bhavana BalakrishnanGeneral Medicine, Kasturba Medical College, Manipal, Manipal, IND.
Aarati SapkotaOncology, Edinburgh Cancer Centre, NHS Lothian, Edinburgh, GBR.
Anum NaimatInternal Medicine, Fatima Memorial Hospital (FMH) College of Medicine and Dentistry, Lahore, PAK.
Aye NyeinAcute Medicine, University Hospital Birmingham, Birmingham, GBR.
Confidence Obianuju OkorieInternal Medicine, Royal Oldham Hospital, Northern Care Alliance NHS Foundation Trust, Oldham, GBR.
Ahmad MahmoodGeneral Surgery, Xinjiang Medical University, Xinjiang, CHN.
Aabind S DevDepartment of Diagnostic and Interventional Radiology, Lakeshore Hospital, Kochi, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hepatocellular carcinoma (HCC) remains a major global health challenge with high mortality, particularly in patients with intermediate-stage disease, where curative options are limited. Transarterial chemoembolization (TACE) is the mainstay of treatment in such cases, offering locoregional tumor control by combining targeted chemotherapy and embolization. This review explores current strategies to optimize TACE, including advancements in drug delivery systems such as drug-eluting beads and balloon-occluded techniques, and highlights the importance of patient selection based on Barcelona Clinic Liver Cancer (BCLC) staging, liver function, and performance status. Emerging combination therapies, such as TACE with systemic agents like sorafenib, lenvatinib, and apatinib, or immunotherapies like atezolizumab-bevacizumab, show promise in improving progression-free and overall survival. Additionally, TACE plays a critical role in bridging and downstaging patients for liver transplantation. Future directions focus on integrating radiomics, artificial intelligence, and inflammatory biomarkers to enhance treatment personalization and predict therapeutic response. Despite its established role, TACE is not without risks, including post-embolization syndrome and organ-specific ischemic complications. Continued research is essential to refine selection criteria, minimize adverse effects, and validate innovative approaches, ultimately improving outcomes for HCC patients across diverse clinical scenarios.

Indexed as

chemoembolizationlocoregional therapypostembolization syndromeradiomicstace refractoriness

Identifiers

PMID41281029
PMCPMC12635900

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.