The ASAP score, evaluated in a cohort of 1,239 patients undergoing hepatic resection for hepatocellular carcinoma (HCC), revealed significant prognostic value. A cutoff of 4.8 classified patients into high and low-risk groups, showing that those with higher scores faced significantly greater 5-year recurrence rates (73.9% vs. 51.0%). The study establishes the ASAP score’s role in […]
Category: HPB & Spleen
Research highlights global trends in necrotizing pancreatitis studies
The analysis of 929 articles on necrotizing pancreatitis revealed China as the leading contributor, followed by the United States and India. Notable findings included a focus on minimally invasive treatments, with key publications in specialized journals like “Pancreatology.” Despite increased research efforts over the past decade, the mortality rate for pancreatic necrosis remains concerning, indicating […]
Explainable machine learning model predicts mortality in infected pancreatic necrosis
An explainable machine learning model for predicting 90-day mortality in patients with infected pancreatic necrosis (IPN) has shown promising results. The final model, developed from a cohort of 344 patients, achieved a c-index of 0.863 in internal validation and 0.857 in external validation, outperforming nine other models. Key mortality predictors included multiple organ failure and […]
KRAS mutations in duodenal fluid improve pancreatic cancer detection
KRAS mutations identified in duodenal lavage fluid after secretin stimulation demonstrated a high diagnostic accuracy for detecting resectable pancreatic ductal adenocarcinoma (pdac). With an area Under the Curve (AUC) of 0.934, the method achieved a sensitivity of 83.1% at 100% specificity, significantly outperforming traditional serum biomarkers. This innovative approach enhances early detection, which is crucial […]
Dual-time-point radiomic models enhance prognosis prediction for colorectal liver metastasis
The dual-time-point radiomic models, developed using pre- and post-neoadjuvant therapy MRI features, effectively stratified colorectal liver metastasis patients undergoing surgery. In a study with 100 cases, post-neoadjuvant therapy models showed superior predictive power in overall and disease-free survival compared to pre-neoadjuvant therapy models. Fong score models did not perform as well. The integration of radiomic […]
AI framework quantifies clinical influences on posthepatectomy length of stay
An innovative artificial intelligence framework was developed to quantify the impact of clinical factors on posthepatectomy length of stay (LOS), explaining 75% of its variability. The study analyzed 21,039 patients, revealing that clinical influences are significant while nonclinical factors account for the remaining 25%. Notably, major resections had a longer mean LOS of 6.9 days […]
Radiomics model predicts neoplastic gallbladder polyps accurately.
A new radiomics model utilizing contrast-enhanced ultrasound (CEUS) shows promising results for preoperative prediction of neoplastic gallbladder polyps over 10 mm. Analyzed data from 119 patients produced a logistic regression model that demonstrated an AUC of 0.95 in internal validation. This model enhances diagnostic precision, reduces unnecessary surgeries, and improves healthcare resource allocation, ultimately providing […]
Simultaneous curative resection enhances survival in colorectal liver metastases
A study involving 716 patients with colorectal liver metastases found that simultaneous curative resection significantly improves overall survival compared to palliative treatment. Curative resection emerged as an independent prognostic factor, with a hazard ratio of 1.95 indicating nearly double the survival benefit. The research also developed an overall survival nomogram with strong predictive performance, showing […]
Composite Endpoint of Liver Surgery Simplifies Clinical Trials
A novel Composite Endpoint of Liver Surgery (CELS) has been developed to enhance the feasibility of clinical trials in liver surgery by significantly reducing required sample sizes. Analyzing data from 1,958 patients, researchers found that 19.3% met CELS criteria, demonstrating strong predictive accuracy for surgery-related death with area under the curve values of 0.79 and […]
Tumor marker clustering predicts hepatocellular carcinoma outcomes.
A multi-institutional study analyzed 1,515 hepatocellular carcinoma patients, revealing distinct prognostic clusters based on preoperative alpha-fetoprotein (AFP) and des-gamma-carboxy prothrombin (DCP) levels. Notably, patients with concurrent elevated AFP and DCP faced a 5-year overall survival rate of 52.8% and a recurrence rate of 79.3%. In contrast, those with low levels of both markers showed better […]