Evidence map›Paper›PMID 42040612›Full record

ReviewFrontiers in medicine2026

Perioperative immunotherapy for hepatocellular carcinoma: adjuvant, neoadjuvant, and biomarker-guided strategies.

Kangrui Li

Abstract readReview
In one paragraph

Review in Frontiers in medicine, 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. 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

1 author.

Kangrui LiDepartment of Clinical Medicine, Xinjiang Medical University, Urumqi, Xinjiang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hepatocellular carcinoma (HCC) remains difficult to cure after resection or ablation, with high recurrence rates. Perioperative immunotherapy has rapidly evolved, but recent late-phase readouts highlight that benefit is not universal. In IMbrave050, adjuvant atezolizumab plus bevacizumab initially improved recurrence-free survival (RFS), yet longer follow-up suggests attenuation of effect, influencing guideline recommendations. By contrast, adjuvant single-agent checkpoint inhibitor programs have not shown consistent benefit, although selected high-risk subgroups [e.g., microvascular invasion (MVI)] may derive benefit from adjuvant PD-1 blockade in phase II data. Perioperative combinations are emerging, including camrelizumab plus rivoceranib with improved event-free survival, and locoregional-immunotherapy strategies such as transarterial chemoembolization combined with immunotherapy-antiangiogenic regimens. Biomarker-driven selection, circulating tumor DNA for minimal residual disease, resistance-associated alterations (e.g., CTNNB1), and etiology-linked immune phenotypes, will be central to optimizing patient selection and treatment sequencing.

Indexed as

adjuvantbiomarkerscirculating tumor DNAhepatocellular carcinomaneoadjuvantperioperative immunotherapy

Identifiers

PMID42040612
PMCPMC13106561

What OpenQuestion holds

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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.