Evidence mapPaperPMID 42344442Full record

ArticleJournal of hepatocellular carcinoma2026

Machine Learning-Based Radiopatho-Clinical Model Integrating Ultrasound Radiomics and Kleiner Score for Prognosis Prediction in NAFLD-Related Hepatocellular Carcinoma.

Chang-Lei Li, Zhen Jia, Zhi-Yuan Yao, Xiao-Tong Cui, Ao Sun, Ao-Yun Hao, Zhong-Yi Chen, Fang Chen, Jing-Yu Cao, Zu-Sen Wang

Abstract read
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Article in Journal of hepatocellular carcinoma, 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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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Chang-Lei Li *Department of Hepatobiliary and Pancreatic Surgery, The Affiliated Hospital of Qingdao University, Qingdao, People's Republic of China.
Zhen Jia *Department of Hepatobiliary and Pancreatic Surgery, The Affiliated Hospital of Qingdao University, Qingdao, People's Republic of China.
Zhi-Yuan Yao *Qingdao Medical College, Qingdao University, Qingdao, Shandong, People's Republic of China.ORCID 0009-0001-3444-0704
Xiao-Tong CuiDepartment of Hepatobiliary and Pancreatic Surgery, The Affiliated Hospital of Qingdao University, Qingdao, People's Republic of China.ORCID 0009-0004-4365-6082
Ao SunDepartment of Hepatobiliary and Pancreatic Surgery, The Affiliated Hospital of Qingdao University, Qingdao, People's Republic of China.ORCID 0009-0009-9023-7565
Ao-Yun HaoDepartment of Hepatobiliary and Pancreatic Surgery, The Affiliated Hospital of Qingdao University, Qingdao, People's Republic of China.
Zhong-Yi ChenQingdao Medical College, Qingdao University, Qingdao, Shandong, People's Republic of China.
Fang ChenQingdao Medical College, Qingdao University, Qingdao, Shandong, People's Republic of China.
Jing-Yu CaoDepartment of Hepatobiliary and Pancreatic Surgery, The Affiliated Hospital of Qingdao University, Qingdao, People's Republic of China.
Zu-Sen WangDepartment of Hepatobiliary and Pancreatic Surgery, The Affiliated Hospital of Qingdao University, Qingdao, People's Republic of China.ORCID 0000-0002-6250-6264

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Nonalcoholic fatty liver disease (NAFLD) is an increasingly important etiologic factor in hepatocellular carcinoma (HCC), but the prognostic value of liver-background steatosis remains incompletely defined. We developed and internally validated an integrated machine learning model combining ultrasound radiomics, pathological steatosis grading, and clinicopathological variables for postoperative risk stratification in HCC. Methods: This retrospective study included 639 patients with HCC who underwent curative resection between 2010 and 2023. Radiomic features were extracted from preoperative ultrasound images, and a radiomics signature was generated using LASSO regression. Hepatic steatosis was graded using the Kleiner score, and clinicopathological variables were screened using the Boruta algorithm. A total of 101 machine learning models were developed and compared. Model performance was assessed using the concordance index, time-dependent area under the curve (AUC), Brier score, calibration, decision curve analysis, and SHapley Additive exPlanations. Results: The random survival forest model showed the best overall performance for predicting overall survival (OS) and recurrence-free survival (RFS). In the validation cohort, the 1-, 3-, and 5-year AUCs were 0.863, 0.794, and 0.804 for OS, and 0.828, 0.811, and 0.823 for RFS, respectively. Brier scores remained below 0.20. Compared with BCLC and CNLC staging systems, the integrated model showed improved discrimination, calibration, and net clinical benefit. SHAP analysis indicated that microvascular invasion, tumor size, AFP, INR, Kleiner score, and Radscore contributed to individualized risk prediction. Conclusion: This integrated radiopatho-clinical machine learning model showed favorable internal performance for predicting OS and RFS after curative resection. Steatosis-related features may provide complementary prognostic information, supporting individualized postoperative surveillance, although external validation is required.

Indexed as

hepatocellular carcinomamachine learningNAFLDprognosisrecurrenceultrasound radiomics

Identifiers

PMID42344442
PMCPMC13289783

What Socratic holds

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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.