Evidence map›Paper›PMID 42311172›Full record

ArticleAlimentary pharmacology & therapeutics2026

Development and Validation of a Machine Learning Model to Prognosticate Hepatocellular Carcinoma.

Ryan Yanzhe Lim, Vigneshwaran Selvakumar, Nicholas Syn, Gang Chen, Jie Li, Zin Myint Kyaw, Juequn Zhou, Beom Kyung Kim, Karn Wijarnpreecha, Hirokazu Takahashi and 2 more

Abstract readValidation Study
In one paragraph

Article in Alimentary pharmacology & therapeutics, 2026. 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

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

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

12 authors.

Ryan Yanzhe LimYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Vigneshwaran SelvakumarLee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.
Nicholas SynNational University of Singapore, Department of Biomedical Informatics, Yong Loo Lin School of Medicine, Singapore, Singapore.
Gang ChenDepartment of Hepatobiliary Surgery, The First Affiliated Hospital of Wenzhou Medical University, Zhejiang, China.ORCID https://orcid.org/0000-0001-6067-6959
Jie LiDepartment of Infectious Diseases, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, Jiangsu, China.ORCID https://orcid.org/0000-0003-0973-8645
Zin Myint KyawDivision of Gastroenterology and Hepatology, Department of Medicine, National University Hospital, Singapore, Singapore.
Juequn ZhouYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Beom Kyung KimDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea.
Karn WijarnpreechaDivision of Gastroenterology and Hepatology, Department of Medicine, University of Arizona College of Medicine, Phoenix, Arizona, USA.
Hirokazu TakahashiLiver Center, Saga University Hospital, Saga, Japan.ORCID https://orcid.org/0000-0002-2374-2889
Daniel Q HuangYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.ORCID https://orcid.org/0000-0002-5165-5061
Liver Cancer Research Network

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrognostic models for hepatocellular carcinoma (HCC) may have limited accuracy. We aimed to construct and validate a novel prognostic model for HCC that incorporates biomarkers for liver function and tumour characteristics.

methodsConsecutive participants (n = 1102) with HCC from five international tertiary institutions in Asia and the U.S. comprised the derivation (n = 627), internal validation (n = 270) and external validation (n = 205) cohorts. The Liver Cancer Risk predictioN (LCRN) Index was constructed using a gradient-boosted decision tree model based on the Cox proportional hazards framework. The discriminative performance of the LCRN Index was evaluated using Harrell's concordance index (C-index) and compared to the albumin bilirubin grade (ALBI), Barcelona Clinic for Liver Cancer (BCLC) staging and Cox regression model. Model calibration was assessed using the integrated Brier score and calibration plots.

resultsThe median (IQR) age was 66.0 (58.0-73.0) years, median (IQR) body mass index was 23.9 (22.1-26.1) kg/m

conclusionThe LCRN index is a promising tool for prognosticating HCC. If further validated, these data may have potential clinical implications for the management of HCC.

Indexed as

Carcinoma, HepatocellularLiver NeoplasmsMachine LearningAgedFemaleHumansMaleMiddle AgedPredictive Learning ModelsPrognosisProportional Hazards Modelsliver cancermachine learning modelprognostic systems

Identifiers

PMID42311172
PMCPMC13559483

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.