Ablation, Contrast-enhanced Ultrasound, Hepatocellular Carcinoma, Prognosis, Surgery
Conditions
Brief summary
Developing a deep learning model based on contrast-enhanced ultrasound (CEUS) to predict the prognosis of hepatocellular carcinoma (HCC) and aid choose operation decisions
Detailed description
Collecting CEUS and clinical data of HCC from different institutions retrospectively. Developing a deep learning model based on CEUS to predict the prognosis of HCC. Developing a deep learning model based on CEUS to choose a better operation (ablation or surgery) of HCC patients. Then, validating the deep learning model in the prospective data.
Interventions
hepatectomy
image-guided ablation
Sponsors
Study design
Eligibility
Inclusion criteria
* patients with HCC (Ia, Ib, IIa stage) China liver cancer staging who underwent resection or ablation * without macro-vascular invasion * Child-Pugh A/B grade * HCC is proved by pathological examination or two enhanced imaging * CEUS (Sonovue or Sonozoid) images are performed two weeks before the operation * Invasive biomarker or prognosis of HCC available * CEUS images are included in at least three stages (Arterial phase, Portal phase, and Late phase)
Exclusion criteria
* postop follow-up loss or expired less than 3 months * patients with co-malignancy * poor images quality for analyzing
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Recurrence-free survival (RFS) | Immediately after the surgery or ablation | Recurrence-free survival is defined as the time elapsed between a predefined point in time (the date of diagnosis, randomization or the intervention) and any recurrence (local, regional, or distant) or death due to any cause (death is an event). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Recurrence | Immediately after the surgery or ablation | Recurrence included local tumor progression, regional recurrence, or distant recurrence. |
Countries
China