Scientific Reports,
Год журнала:
2022,
Номер
12(1)
Опубликована: Май 13, 2022
Abstract
With
modern
management
of
primary
liver
cancer
shifting
towards
non-invasive
diagnostics,
accurate
tumor
classification
on
medical
imaging
is
increasingly
critical
for
disease
surveillance
and
appropriate
targeting
therapy.
Recent
advancements
in
machine
learning
raise
the
possibility
automated
tools
that
can
accelerate
workflow,
enhance
performance,
increase
accessibility
artificial
intelligence
to
clinical
researchers.
We
explore
use
an
Tree-Based
Optimization
Tool
leverages
a
genetic
programming
algorithm
differentiation
two
common
cancers
multiphasic
MRI.
Manual
analyses
were
performed
select
optimal
model,
with
accuracy
73–75%
(95%
CI
0.59–0.85),
sensitivity
70–75%
0.48–0.89),
specificity
71–79%
0.52–0.90)
manual
optimization,
65–75%
0.43–0.89)
75–79%
0.56–0.90)
learning.
found
performance
was
similar
it
could
classify
hepatocellular
carcinoma
intrahepatic
cholangiocarcinoma
comparable
radiologists.
However,
poor
subset
scans
met
LI-RADS
criteria
LR-M.
Exploration
additional
feature
selection
classifier
methods
improve
LR-M
cases
as
well
prospective
validation
setting
are
needed
prior
implementation.
Advanced Science,
Год журнала:
2025,
Номер
unknown
Опубликована: Янв. 22, 2025
Abstract
Gaudichaudione
H
(GH)
is
a
naturally
occurring
small
molecular
compound
derived
from
Garcinia
oligantha
Merr
.
(Clusiaceae),
but
the
full
pharmacological
functions
remain
unclear.
Herein,
potential
of
GH
in
disulfidptosis
regulation,
novel
form
programmed
cell
death
induced
by
disulfide
stress
explored.
The
omics
results
indicated
that
NRF2
signaling
could
be
significantly
activated
GH.
targets
are
associated
with
hepatocarcinogenesis
and
death.
Moreover,
both
glutathione
(GSH)
metabolism
NADP
+
‐NADPH
affected
GH,
indicating
regulation.
It
also
observed
enhanced
sensitivity
hepatocellular
carcinoma
(HCC)
cells
to
disulfidptosis,
which
dependent
on
activation
NRF2‐SLC7A11
pathway.
increased
levels
promoted
transcription
target
gene,
SLC7A11,
through
autophagy‐mediated
non‐canonical
mechanism.
Under
condition
glucose
starvation,
GH‐induced
upregulation
SLC7A11
aggravated
uptake
cysteine,
disturbance
GSH
synthesis,
depletion
NADPH,
accumulation
molecules,
ultimately
leading
formation
bonds
between
different
cytoskeleton
proteins
eventually.
Collectively,
findings
underscore
role
promoting
cancer
thereby
offering
promising
avenue
for
treatment
drug‐resistant
HCC
clinical
settings.
Hepatology,
Год журнала:
2022,
Номер
unknown, С. n/a - n/a
Опубликована: Сен. 9, 2022
Abstract
Hepatocellular
carcinoma
(HCC)
mortality
remains
high
primarily
due
to
late
diagnosis
as
a
consequence
of
failed
early
detection.
Professional
societies
recommend
semi‐annual
HCC
screening
in
at‐risk
patients
with
chronic
liver
disease
increase
the
likelihood
curative
treatment
receipt
and
improve
survival.
However,
recent
dynamic
shift
etiologies
from
viral
metabolic
diseases
has
significantly
increased
potential
target
population
for
screening,
whereas
annual
incidence
rate
become
substantially
lower.
Thus,
contemporary
etiologies,
traditional
approach
might
not
be
practical
cost‐effective.
consists
(i)
definition
rational
population,
subsequent
(ii)
repeated
application
detection
tests
at
regular
intervals.
The
suboptimal
performance
currently
available
highlights
an
urgent
need
new
modalities
strategies
In
this
review,
we
overview
developments
clinical,
molecular,
imaging‐based
tools
address
current
challenge,
discuss
conceptual
framework
approaches
their
clinical
translation
implementation.
These
encouraging
progresses
are
expected
transform
“one‐size‐fits‐all”
into
individualized
precision
ultimately
poor
prognosis
foreseeable
future.
Current Oncology,
Год журнала:
2022,
Номер
29(6), С. 4267 - 4273
Опубликована: Июнь 15, 2022
Systemic
combination
therapy
of
immune
checkpoint
inhibitors
and
vascular
endothelial
growth
factors
have
provided
the
basis
for
improved
outcomes
in
select
patients
with
unresectable
or
metastatic
hepatocellular
carcinoma.
However,
resectable
disease,
surgery
alone
an
orthotopic
liver
transplant
remains
standard
care.
Within
realms
oncology,
neoadjuvant
systemic
is
currently
being
evaluated
as
a
potential
strategy
to
improve
HCC.
Here,
we
report
excellent
response
significant
downstaging
safe
manner
after
treatment
atezolizumab
bevacizumab
patient
diagnosed
poorly
differentiated
As
result
observed
outcomes,
was
listed
(OLT)
evaluation
transplanted
successfully.
Journal of Translational Medicine,
Год журнала:
2023,
Номер
21(1)
Опубликована: Авг. 4, 2023
Primary
liver
cancer
is
one
of
the
most
common
malignant
tumours
worldwide;
it
caused
approximately
830,000
deaths
in
2020.
Hepatocellular
carcinoma
(HCC)
type
primary
cancer,
accounting
for
over
80%
all
cases.
Various
methods,
including
surgery,
chemotherapy,
radiotherapy,
and
radiofrequency
ablation,
have
been
widely
used
treatment
HCC.
With
advancement
technology,
radiotherapy
has
become
increasingly
important
comprehensive
However,
due
to
insufficient
sensitivity
tumour
cells
radiation,
there
are
still
multiple
limitation
clinical
application
radiotherapy.
In
recent
years,
role
immunotherapy
revealed,
more
researchers
turned
their
attention
combined
hope
achieving
better
outcomes.
This
article
reviews
progress
on
radiation
therapy
HCC
current
status
its
with
immunotherapy,
discusses
prospects
value
radioimmunotherapy
European Radiology,
Год журнала:
2024,
Номер
34(4), С. 2127 - 2139
Опубликована: Фев. 21, 2024
Hepatocellular
carcinoma
(HCC)
is
the
most
common
primary
hepatic
malignancy
and
a
leading
cause
of
cancer
related
death
worldwide.
Current
guidelines
for
noninvasive
diagnosis
HCC
are
provided
by
European
Association
Study
Liver
(EASL),
American
Diseases
(AASLD)
which
endorsed
Imaging
Reporting
Data
System
(LI-RADS)
algorithm,
Korean
Cancer
Association-National
Center
(KLCA-NCC),
Asian-Pacific
(APASL).
These
allow
in
high-risk
patients
presence
typical
imaging
features
on
contrast-enhanced
CT,
MRI,
or
ultrasound.
Size,
non-rim
arterial
phase
hyperenhancement,
non-peripheral
washout,
enhancing
capsule,
growth
major
they
should
be
combined
HCC.
This
article
provides
concise
relevant
practice
recommendations
aimed
at
general
radiologist
audience,
summarizing
best
informing
essential
criteria
HCC,
while
also
discussing
population
criteria,
modalities,
according
to
current
guidelines.
KEY
POINTS:
•
Noninvasive
hepatocellular
can
only
high
risk.
Contrast-enhanced
CT
MRI
first-line
exams
Major
provide
definitive
American Journal of Roentgenology,
Год журнала:
2025,
Номер
unknown
Опубликована: Янв. 22, 2025
Background:
The
LI-RADS
Ultrasound
Surveillance
algorithm
was
updated
in
2024,
incorporating
alpha-fetoprotein
(AFP)
and
visualization
score
of
VIS-C
into
management
recommendations
after
nonpositive
results.
Objective:
This
study
aimed
to
compare
the
diagnostic
performance
version
2017
(v2017)
2024
(v2024)
for
hepatocellular
carcinoma
(HCC)
detection
at-risk
patients
identify
predictors
on
follow-up
surveillance
examinations.
Methods:
retrospective
analysis
included
407
(median
age,
56
years;
230
male,
177
female)
with
cirrhosis
who
underwent
rounds
semi-annual
ultrasound
as
part
a
prospective
trial
from
November
2011
December
2012.
Two
radiologists
independently
assigned
categories
round-1
examinations
scores
round-2
examinations;
third
radiologist
adjudicated
disagreements.
AFP
considered
positive
if
elevated
or
increasing
pre-enrollment
values,
per
v2024
criteria.
Reference
standard
HCC
biopsy
LR-5
observation
MRI.
Diagnostic
compared
between
v2017
v2024.
Logistic
regression
analyses
were
performed
VIS-C,
attention
risk
factors
described
Results:
diagnosed
28
(6.9%)
patients.
For
reader
1,
v2024,
v2017,
showed
greater
sensitivity
1
(64.3%
vs
42.9%,
p=.03)
2
39.3%,
p=.02),
lower
specificity
(82.0%
92.6%,
p<.001)
(82.3%
92.9%,
p<.001).
All
seven
detected
by
but
not
using
consensus
assessments
had
an
AFP;
two
also
AFP.
In
299
negative
results,
only
independent
predictor
(adjusted
OR=21.0,
[95%
CI,
10.8-40.8],
88
these
no
factor
significant
univariable
association
repeat
VIS-C.
Conclusion:
Compared
higher
detection,
related
primarily
increasing,
rather
than
elevated,
subsequent
initial
result.
Clinical
Impact:
findings
support
use
improve
Frontiers in Oncology,
Год журнала:
2024,
Номер
14
Опубликована: Фев. 26, 2024
Mounting
evidence
has
revealed
the
anti-cancer
activity
of
various
anti-viral
drugs.
Oseltamivir
phosphate
(OP),
namely
Tamiflu®,
is
routinely
used
to
combat
influenza
infections.
Although
indicated
effects
OP
in
vitro
and
vivo,
little
information
known
about
effect
use
on
cancers
humans.
A
nationwide
population-based
cohort
study
involving
13,977,101
cases
with
284,733
receiving
was
performed
examine
association
between
using
National
Health
Insurance
Research
Database
Taiwan
2009
2018.
The
found
that
users
showed
a
significantly
lower
incidence
lung
cancer,
colon
liver,
intrahepatic
bile
duct
oral
pancreas
esophagus
stomach
prostate
cancer.
Additionally,
exhibited
risk
cancer-related
mortality
(adjusted
HR=0.779;
95%
confidence
interval
[CI]
0.743-0.817;
p<0.001)
reduced
developing
liver
cancer
HR=0.895;
CI
0.824-0.972;
p=0.008),
HR=0.646;
0.522-0.799;
HR=0.587;
0.346-0.995;
p=0.048).
Notably,
had
significant
reduction
occurrence
over
10-year
period
follow-up
stage
at
diagnosis.
These
findings
first
suggest
beneficial
therapeutic
potential
for
certain
cancers,
especially
International Journal of Molecular Sciences,
Год журнала:
2024,
Номер
25(4), С. 1996 - 1996
Опубликована: Фев. 7, 2024
Hepatocellular
carcinoma
(HCC)
is
the
most
common
primary
liver
tumor
and
associated
with
high
mortality
rates.
Approximately
80%
of
cases
occur
in
cirrhotic
livers,
posing
a
significant
challenge
for
appropriate
therapeutic
management.
Adequate
screening
programs
high-risk
groups
are
essential
early-stage
detection.
The
extent
extrahepatic
spread
hepatic
functional
reserve
recognized
as
two
influential
prognostic
factors.
In
this
retrospective
multicenter
study,
we
utilized
machine
learning
(ML)
methods
to
analyze
predictors
at
time
diagnosis
total
208
patients.
eXtreme
gradient
boosting
(XGB)
method
achieved
highest
values
identifying
key
factors
HCC
diagnosis.
etiology
was
found
be
variable
strongly
poorer
prognosis.
widely
used
Barcelona
Clinic
Liver
Cancer
(BCLC)
classification
our
setting
demonstrated
superiority
over
TNM
classification.
Although
alpha-fetoprotein
(AFP)
remains
commonly
biological
marker,
elevated
levels
did
not
correlate
reduced
survival.
Our
findings
suggest
need
explore
new
biomarkers
individualized
management
these
International Journal of Molecular Sciences,
Год журнала:
2024,
Номер
25(20), С. 11091 - 11091
Опубликована: Окт. 15, 2024
Immune
checkpoint
inhibitors
(ICIs),
such
as
durvalumab,
tremelimumab,
and
atezolizumab,
have
emerged
a
significant
therapeutic
option
for
the
treatment
of
hepatocellular
carcinoma
(HCC).
In
fact,
efficacy
ICIs
single
agents
or
part
combination
therapies
has
been
demonstrated
in
practice-changing
phase
III
clinical
trials.
However,
confront
several
difficulties,
including
lack
predictive
biomarkers,
primary
secondary
drug
resistance,
treatment-related
side
effects.
Herein,
we
provide
an
overview
current
issues
future
challenges
this
setting.