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Retrospective Study
©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Apr 7, 2023; 29(13): 2001-2014
Published online Apr 7, 2023. doi: 10.3748/wjg.v29.i13.2001
Preoperative prediction of macrotrabecular-massive hepatocellular carcinoma through dynamic contrast-enhanced magnetic resonance imaging-based radiomics
Lin-Lin Shi, Yu-Guo Wei, Jing Liu, Dong He, Yang Zhang
Yang Zhang, Dong He, Jing Liu, Cancer Center, Department of Radiology, Zhejiang Provincial People's Hospital, Affiliated People's Hospital, Hangzhou Medical College, Hangzhou 310014, Zhejiang Province, China
Yu-Guo Wei, Precision Health Institution, General Electric Healthcare, Hangzhou 310014, Zhejiang Province, China
Lin-Lin Shi, Department of Gastroenterology, Zhejiang Hospital of Integrated Traditional Chinese and Western Medicine, Hangzhou 310005, Zhejiang Province, China
Author contributions: Shi LL was the guarantor and designed the study; Zhang Y, He D, Liu J, and Shi LL participated in the acquisition, analysis, and interpretation of the data; Wei YG reviewed statistical methods; Zhang Y drafted the initial manuscript; Shi LL revised the article critically for important intellectual content; all authors have read and approve the final manuscript.
Supported by Zhejiang Provincial Natural Science Foundation of China, No. LTGY23H180017; and Medical Science and Technology Project of Zhejiang Province, No. 2023KY503.
Institutional review board statement: The study was reviewed and approved by the ethics committee at Zhejiang Provincial People’s Hospital (Approval No. QT2022339).
Informed consent statement: Written informed consent was not required for this study because of retrospective study.
Conflict-of-interest statement: There are no conflicts of interest to report.
Data sharing statement: No additional data are available.
Corresponding author: Lin-Lin Shi, MD, Doctor, Department of Gastroenterology, Zhejiang Hospital of Integrated Traditional Chinese and Western Medicine, No. 208 East Ring Road, Hangzhou 310005, Zhejiang Province, China. linlinshi2022@163.com
Received: December 12, 2022
Peer-review started: December 12, 2022
First decision: January 22, 2023
Revised: February 1, 2023
Accepted: March 20, 2023
Article in press: March 20, 2023
Published online: April 7, 2023
Processing time: 116 Days and 2.9 Hours
Core Tip

Core Tip: Radiomics features can be used to predict the macrotrabecular-massive hepatocellular carcinoma (MTM-HCC) subtype. The logistic regression algorithm can improve the accuracy and stability of predicting MTM-HCC. Age, alpha-fetoprotein, tumour size, tumour-to-liver apparent diffusion coefficient ratio, and radiomics score were significant independent predictors of MTM-HCC. The nomogram based on radiomics, clinical and radiological features can serve as a noninvasive biomarker to preoperatively identify MTM-HCC.