Using deep-learning models with CT imaging can significantly improve prognostication for patients after hepatocellular carcinoma surgery.

• Postoperative recurrence rates within 2 and 5 years are 52.6% vs. 18.5% and 78.9% vs. 46.7% in high-risk vs. low-risk groups (p < 0.001).
• 5-year mortality rates are 45.1% vs. 9.2% and 10-year rates are 87.1% vs. 43.2% (p < 0.001).

This tool helps tailor patient selection and optimize treatment plans, enhancing surgical outcomes.

• Models achieved an AUC of 0.70 for 2 and 5-year recurrence and 0.80 for 5 and 10-year survival.