Evidence map›Paper›PMID 39708260›Full record

SynthesisDigestive diseases and sciences2025

Artificial Intelligence and Machine Learning Predicting Transarterial Chemoembolization Outcomes: A Systematic Review.

Elina En Li Cho, Michelle Law, Zhenning Yu, Jie Ning Yong, Claire Shiying Tan, En Ying Tan, Hirokazu Takahashi, Pojsakorn Danpanichkul, Benjamin Nah, Gwyneth Shook Ting Soon and 11 more

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Digestive diseases and sciences, 2025. 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.

  1. Review
  2. Article
  3. Article
  4. Review
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

21 authors.

Elina En Li Cho *Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.
Michelle Law *Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Zhenning YuYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Jie Ning Yong *Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Claire Shiying TanDivision of Gastroenterology and Hepatology, Department of Medicine, National University Hospital, Singapore, Singapore.
En Ying TanDivision of Gastroenterology and Hepatology, Department of Medicine, National University Hospital, Singapore, Singapore.
Hirokazu TakahashiLiver Center, Saga University Hospital, Saga, Japan.
Pojsakorn DanpanichkulImmunology Unit, Department of Microbiology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Benjamin NahYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Gwyneth Shook Ting SoonYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Cheng Han NgDivision of Gastroenterology and Hepatology, Department of Medicine, National University Hospital, Singapore, Singapore.
Darren Jun Hao TanDivision of Gastroenterology and Hepatology, Department of Medicine, National University Hospital, Singapore, Singapore.
Yuya SekoDepartment of Molecular Gastroenterology and Hepatology, Kyoto Prefectural University of Medicine Graduate School of Medical Science, Kyoto, Japan.
Toru NakamuraDepartment of Medicine, Division of Gastroenterology, Kurume University School of Medicine, Fukuoka, Japan.
Asahiro MorishitaDepartment of Gastroenterology and Neurology, Kagawa University School of Medicine, Kagawa, Japan.
Sakkarin ChirapongsathornDivision of Gastroenterology, Phramongkutklao Hospital and College of Medicine, Bangkok, Thailand.
Rahul KumarDepartment of Gastroenterology, Changi General Hospital, Singapore, Singapore.
Alfred Wei Chieh KowYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Daniel Q HuangDivision of Gastroenterology and Hepatology, Department of Medicine, National University Hospital, Singapore, Singapore.ORCID http://orcid.org/0000-0002-5165-5061
Mei Chin LimYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Jia Hao LawDivision of Hepatobiliary and Pancreatic Surgery, Department of Surgery, National University Hospital Singapore, Singapore, Singapore. law.jiahao@gmail.com.ORCID http://orcid.org/0000-0002-2059-3304

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMajor society guidelines recommend transarterial chemoembolization (TACE) as the standard of care for intermediate-stage hepatocellular carcinoma (HCC) patients. However, predicting treatment response remains challenging.

aimsAs artificial intelligence (AI) may predict therapeutic responses, this systematic review aims to assess the performance and effectiveness of radiomics and AI-based models in predicting TACE outcomes in patients with HCC.

methodsA systemic search was conducted on Medline and Embase databases from inception to 7th April 2024. Included studies generated a predictive model for TACE response and evaluated its performance by area under the curve (AUC), specificity, or sensitivity analysis. Systematic reviews, meta-analyses, case series and reports, pediatric, and animal studies were excluded. Secondary search of references of included articles ensured comprehensiveness.

results64 articles, with 13,412 TACE-treated patients, were included. AI in pre-treatment CT scans provided value in predicting the efficacy of TACE in HCC treatment. A positive association was observed for AI in pre-treatment MRI scans. Models incorporating radiomics had numerically better performance than those incorporating manual measured radiological variables. 39 studies demonstrated that combined predictive models had numerically better performance than models based solely on imaging or non-imaging features.

conclusionA combined predictive model incorporating clinical features, laboratory investigations, and radiological characteristics may effectively predict response to TACE treatment for HCC.

Indexed as

Artificial IntelligenceCarcinoma, HepatocellularChemoembolization, TherapeuticLiver NeoplasmsMachine LearningHumansPredictive Value of TestsTreatment OutcomeArtificial intelligenceHepatocellular carcinomaIntermediate stageTransarterial chemoembolization

Identifiers

What Socratic holds

Textmetadata
Read underepoch 390

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 Socratic graph.