Evidence map›Paper›PMID 41674892›Full record

ArticleJHEP reports : innovation in hepatology2026

Ultra-selective radiation segmentectomy for early-stage hepatocellular carcinoma.

Christopher D Malone, Tharun Alamuri, Sam Meiselman, Guilherme Ferreira, John Karageorgiou, J Daniel Giardina, Naganathan B Mani, Daniel A Braga, Darren Cullinan, Maria Bernadette Doyle and 4 more

Abstract read
In one paragraph

Article in JHEP reports : innovation in hepatology, 2026. 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

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

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

14 authors.

Christopher D MaloneMallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, MO, United States.
Tharun AlamuriRenaissance School of Medicine at Stony Brook University, New York, NY, United States.
Sam MeiselmanWashington University School of Medicine, St Louis, MO, United States.
Guilherme FerreiraDepartment of Radiation Oncology, Washington University School of Medicine, St Louis, MO, United States.
John KarageorgiouMallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, MO, United States.
J Daniel GiardinaMallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, MO, United States.
Naganathan B ManiMallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, MO, United States.
Daniel A BragaMallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, MO, United States.
Darren CullinanSection of Abdominal Transplant, Department of General Surgery, Washington University School of Medicine, St Louis, MO, United States.
Maria Bernadette DoyleSection of Abdominal Transplant, Department of General Surgery, Washington University School of Medicine, St Louis, MO, United States.
William ChapmanSection of Abdominal Transplant, Department of General Surgery, Washington University School of Medicine, St Louis, MO, United States.
Kevin KorenblatDivision of Gastroenterology, Department of Medicine, Washington University School of Medicine, St Louis, MO, United States.
Benjamin TanDivision of Medical Oncology, Department of Medicine, Washington University School of Medicine, St Louis, MO, United States.
M Allan ThomasMallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, MO, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background & Aims: Radiation segmentectomy (RS) is an emerging curative-intent therapy for early-stage hepatocellular carcinoma (HCC) when resection or ablation is not feasible. In this study, we evaluated the safety, efficacy, and dosimetric correlates of ultra-selective RS, defined as glass Methods: This retrospective study included 38 patients with 42 early-stage (BCLC 0-A) HCCs treated with ultra-selective RS from December 2022 to July 2024. All treatments used glass Results: The median tumor size was 2.4 cm with a median perfused treatment volume of 66.3 cc (4.5% of total liver volume). The median administered activity was 1.36 GBq (median absorbed dose 837 Gy). Complete response (CR) was achieved in 87% (n = 33), with only one local progression. Median local progression-free survival was not reached. Among 16 tumors with explant data, 69% showed complete necrosis and 25% extensive necrosis (median 88%). Tumor D Conclusions: Ultra-selective RS is a feasible and liver-sparing therapy for early-stage HCC. Voxel-based dosimetry confirms dose-response relationships and underscores the importance of tumor coverage. Impact and implications: This study demonstrates that ultra-selective radiation segmentectomy (uRS) with glass

Indexed as

early-stage hepatocellular carcinomaliver transplantpathologic responseradiation segmentectomyvoxel-based dosimetryYttrium-90 radioembolization

Identifiers

PMID41674892
PMCPMC12890445

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.