Evidence map›Paper›PMID 41430161›Full record

ArticleBMC medical imaging2025

Deep learning-based MRI model for predicting P53-mutated hepatocellular carcinoma.

Lulu Jia, Qing Yang, Hanchen Jiang, Gang Huang, Zhijun Wang, Xinxin Guo, Jinkui Li, Hao Xu, Junqiang Lei

Abstract read
In one paragraph

Article in BMC medical imaging, 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. Article
  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

9 authors.

Lulu Jia *The First Clinical Medical College of Lanzhou University, Lanzhou City, Gansu Province, China.
Qing Yang *Department of Medical Imaging, Anhui Medical University Anqing Medical Center (Anqing Municipal Hospital), Anqing, China.
Hanchen JiangDepartment of Statistics, University of California Los Angeles, Los Angeles, CA, USA.
Gang HuangDepartment of Radiology, Gansu Provincial Hospital, Lanzhou City, Gansu Province, China.
Zhijun WangDepartment of Radiology, General Hospital of Ningxia Medical University, Yinchuan City, Ningxia Province, China.
Xinxin GuoSchool of Clinical Medicine, Ningxia Medical University, Yinchuan City, Ningxia Province, China.
Jinkui LiDepartment of Radiology, The First Hospital of Lanzhou University, No. 1, Donggang West Road, Chengguan District, Gansu Province, Lanzhou City, 730000, China.
Hao XuDepartment of Medicine, Harvard Medical School, Boston, USA. haxu@bwh.harvard.edu.
Junqiang LeiDepartment of Radiology, The First Hospital of Lanzhou University, No. 1, Donggang West Road, Chengguan District, Gansu Province, Lanzhou City, 730000, China. leijq2011@126.com.

Funding

Chengguan District Science and Technology Bureau Project 2020-2-11-9Key Project of Natural Science Research of the Anhui Provincial Department of Education No. 2022AH050701
6 · The paper itself

Abstract

backgroundThe P53-mutated Hepatocellular Carcinoma (HCC) is an aggressive variant associated with vascular endothelial growth factor (VEGF) overexpression and increased microvascular density. This study aimed to develop an MRI-based deep learning model for predicting P53-mutated HCC.

methodsA total of 312 HCC patients who underwent gadolinium-enhanced MRI and were pathologically confirmed between January 2018 and December 2023 were retrospectively enrolled. Participants were randomly divided into training and test dataset at an 8:2 ratio. We developed an EfficientNetV2-based deep learning model, constructing arterial phase (AP) model, portal venous phase (VP), T2-weighted imaging (T2WI), hepatobiliary phase (HBP) single-sequence model, and combined models to predict P53 mutation status. Model performance was evaluated using the area under the curve (AUC), accuracy, sensitivity, specificity, precision, and F1 score as metrics. Differences in AUC values were compared using Delong's test.

resultsA total of 312 pathologically confirmed HCC patients (age: 56 ± 9 years; male = 240) were included, with a training dataset (n = 249) and test dataset (n = 63).Among single-sequence models, the HBP model demonstrated superior diagnostic performance (AUC = 0.715) compared to T2WI, AP, and VP models. The multiphase combined model (T2WI + AP + VP) significantly outperformed single-sequence models, achieving AUCs of 0.982 (95% CI: 0.959-1.000) in the training dataset and 0.914 (95% CI: 0.819-1.000) in the test dataset. However, incorporating the HBP sequence into the combined model (T2WI + AP + VP + HBP) did not further improve diagnostic performance (P > 0.05). ADVANCES IN KNOWLEDGE: The combined model incorporating AP, VP, T2WI, and HBP sequences demonstrated numerically highest performance in predicting P53-mutated HCC.

Indexed as

Carcinoma, HepatocellularDeep LearningLiver NeoplasmsMagnetic Resonance ImagingTumor Suppressor Protein p53AdultAgedFemaleHumansMaleMiddle AgedMutationRetrospective StudiesSensitivity and SpecificityTP53 protein, humanTumor Suppressor Protein p53Deep learningHepatocellular carcinomaMagnetic resonance imagingP53

Identifiers

PMID41430161
PMCPMC12723874

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.