ArticleAbdominal radiology (New York)2026
Reduced visceral adipose tissue area linked to early recurrence in HCC patients with HBV: a parallel mediation analysis.
Article in Abdominal radiology (New York), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundThis study aims to evaluate the relationship between abdominal fat, as quantified by magnetic resonance imaging (MRI), and early postoperative recurrence (≤ 2 years) in patients with hepatitis B virus (HBV)-related hepatocellular carcinoma (HCC), with an emphasis on identifying potential mediators.
methodWe enrolled HCC patients with HBV infection who underwent preoperative MRI and hepatectomy between January 2015 and October 2021. The visceral adipose tissue (VAT) and subcutaneous adipose tissue (SAT) areas were measured at the third lumbar vertebra plane on T1-weighted images and compared between patients with and without early recurrence. Multivariate logistic regression models identified risk factors for early recurrence, which were then visualized in a nomogram. Mediation analysis assessed whether mediators explained the relationship between abdominal fat and early recurrence.
resultThe study included 146 HBV-related HCC patients from institution A (internal cohort) and 76 from institution B (external validation cohort). Results showed that patients with early recurrence had smaller VAT areas (P
conclusionReduced VAT areas influence early recurrence in HBV-related HCC, with MVI and tumor size acting as mediators.
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