Evidence map›Paper›PMID 42394831›Full record

ArticleWorld journal of gastrointestinal pathophysiology2026

Liver stiffness at baseline as a marker of hepatocellular carcinoma in cirrhosis: A matched analysis.

Varun Mehta, Manjeet Kumar Goyal, Yogesh Kumar Gupta, Abhinav Gupta, Manisha Khubber, Tanisha Sehgal, Prabhav Mehta, Omesh Goyal

Abstract read
In one paragraph

Article in World journal of gastrointestinal pathophysiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Varun MehtaDepartment of Gastroenterology, Dayanand Medical College and Hospital, Ludhiana 141001, Punjab, India.
Manjeet Kumar GoyalDepartment of Internal Medicine, Cleveland Clinic Akron General Hospital, Akron, OH 44308, United States. manjeetgoyal@gmail.com.
Yogesh Kumar GuptaDepartment of Gastroenterology, Dayanand Medical College and Hospital, Ludhiana 141001, Punjab, India.
Abhinav GuptaDepartment of Gastroenterology, Dayanand Medical College and Hospital, Ludhiana 141001, Punjab, India.
Manisha KhubberDepartment of Gastroenterology, Dayanand Medical College and Hospital, Ludhiana 141001, Punjab, India.
Tanisha SehgalDepartment of Internal Medicine, Dayanand Medical College and Hospital, Ludhiana 141001, Punjab, India.
Prabhav MehtaDepartment of Gastroenterology, Dayanand Medical College and Hospital, Ludhiana 141001, Punjab, India.
Omesh GoyalDepartment of Gastroenterology, Dayanand Medical College and Hospital, Ludhiana 141001, Punjab, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEarly hepatocellular carcinoma (HCC) detection in cirrhosis remains suboptimal despite semi-annual ultrasound and alpha-fetoprotein surveillance. Advanced fibrosis is a central driver of hepatocarcinogenesis, and liver stiffness measurement (LSM) is a non-invasive measure of liver stiffness that may be associated with HCC risk.

aimTo evaluate whether LSM by transient elastography (TE) is associated with the presence of HCC among patients with established cirrhosis.

methodsA retrospective, matched case-control study at a tertiary liver center including adults with cirrhosis and a valid TE (≥ 10 valid acquisitions, interquartile range < 30%, success rate > 60%) was conducted. Cirrhotic patients with diagnosed HCC per standard guidelines were frequency matched for age, sex, etiology, and Child-Pugh class with controls (cirrhotic patients without HCC). Multivariable logistic regression tested the association between LSM and HCC. Discrimination and cut-off points were assessed using receiver operating characteristic (ROC) analysis and Youden's index.

resultsA total of 262 patients (133 with HCC; 129 controls) were enrolled. Median LSM was higher in the HCC cohort than in controls (31.7 kPa

conclusionA liver stiffness threshold of approximately 47 kPa may serve as a marker associated with risk of HCC, justifying intensified screening in high-risk cirrhosis; prospective validation, integration with multivariable risk models, and cost-effectiveness analyses remain essential.

Indexed as

CirrhosisElastographyHepatocellular carcinomaLiver cirrhosisLiver fibrosisLiver stiffnessLiver stiffness measurementPortal hypertensionRisk stratification

Identifiers

PMID42394831
PMCPMC13323955

What Socratic holds

Textmetadata
LicenceCC BY-NC
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.