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Abstract:
BACKGROUND AND AIM:The study aims to assess the influence of pretreatment tumor growth rate (TGR) on modified response evaluation criteria in solid tumors (mRECIST) objective response (OR) after a first session of selective transarterial chemoembolization (TACE) for the treatment of hepatocellular carcinoma (HCC). METHODS:One hundred fifteen patients (101 men [88%], mean 65.1 ± 10.5 years [range 26-87]) with 169 tumors (mean 34.2 ± 29.3 mm [10-160]), undergoing a first session of selective TACE for the treatment of HCC between 2011 and 2016, were included. TGR was calculated as the percentage change in tumor volume per month (%/month) on imaging before treatment. TGR cut-off for prediction of OR was identified by receiver operating characteristic curve analysis. RESULTS:Overall 88/189 (52%) and 46/189 (27%) tumors showed complete response (CR) and partial response (PR) (OR rate 79%), while 32/189 (19%) showed stable disease (SD), and 3/189 (2%) were progressive disease (PD) on computed tomography at 1-month post-TACE. The mean pretreatment TGR was 12.0 ± 15.4 (-3.2-90.4) %/month. TGR of tumors showing CR, PR, SD, and PD was a mean 13.2 ± 16.4%, 12.1 ± 15.1%, 5.3 ± 4.5%, and 44.8 ± 20.4%, respectively (P < 0.001). The three tumors showing PD had TGR values > 20%/month. TGR was significantly higher in tumors with OR (12.8 ± 15.9% vs 5.3 ± 4.5% in SD, P = 0.009). A cut-off value of 6.5%/month had the highest predictive value of OR (AUROC 0.65 ± 0.05, P = 0.009). CONCLUSION:Pretreatment TGR is highly variable in HCC before TACE with a U-shaped distribution for the prediction of tumor response. It provides insight into tumor biology that may be used during pretreatment workup to help stratify patients.
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最新影响因子:4.369 | 期刊ISSN:0815-9319 | CiteScore:N/A |
出版周期:Monthly | 是否OA:YES | 出版年份:1986 |
期刊官方网址:http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1440-1746
自引率:3.30% | 研究方向:医学-胃肠肝病学 |
出版地区:AUSTRALIA |
SCI期刊coverage:Science Citation Index Expanded(科学引文索引扩展)
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Official publication of the Asian Pacific Association for the Study of the Liver and the Asian Pacific Association of Gastroenterology. The Editors have developed Journal of Gastroenterology and Hepatology into an international journal of scientific excellence in the fields of gastroenterology hepatology and endoscopy with particular emphasis on clinical research and continuing education in the Asian Pacific region. Journal of Gastroenterology and Hepatology is taken by subscribers in more than 50 countries and for the past eight years has been ranked among the world''s top 25 gastrointestinal journals by the Science Citation Index.
亚太肝脏研究协会和亚太胃肠病学协会的官方出版物。编辑们已将《胃肠病学与肝病杂志》发展成为一份在胃肠病学、肝脏病学和内镜领域具有卓越科学水平的国际期刊,特别强调亚太地区的临床研究和继续教育。《胃肠病学与肝病杂志》在全球50多个国家拥有订阅用户,在过去的8年中,《胃肠病学杂志》一直被科学引文索引(Science Citation Index)评为全球前25大胃肠期刊之一。
大类(学科) | 小类(学科) | 学科排名 |
医学 |
GASTROENTEROLOGY & HEPATOLOGY (胃肠肝病学) 3区 |
27/80 |
年度总发文量 | 年度论文发表量 | 年度综述发表量 |
262 | 201 | 61 |
引文计数(2018)
文献(2015-2017)
N/A次引用
N/A篇文献
序号 | 类别 | 排名 | 百分位 |
1 |
大类(学科):Medicine
小类(学科):Gastroenterology
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研究方向:肝病
接受率: 比较困难(25%命中)
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研究方向:肝胆 消化系统
接受率: 中等(50%命中)
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研究方向:消化病
liting7111
研究方向:消化病 胃肠道
接受率: 非常困难(几乎不命中)
liting7111
研究方向:消化病 胃肠道
liting7111
研究方向:胃肠病
liting7111
研究方向:胃肠 肝病
liting7111
研究方向:肝癌
接受率: 比较困难(25%命中)
liting7111
研究方向:消化病 胃肠道
liting7111
研究方向:临床 肝脏 胃肠
接受率: 中等(50%命中)
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研究方向:肝纤维化
接受率: 比较困难(25%命中)
liting7111
研究方向:基础 临床
审稿时间: 3个月内 接受率: 比较困难(25%命中)
liting7111
研究方向:大肠癌
审稿时间: 3个月内
liting7111
研究方向:消化病 胃肠道
liting7111
研究方向:肝癌
审稿时间: 6个月内 接受率: 比较困难(25%命中)
影响因子:6.497
ISSN:1172-7047
研究方向:医学-精神病学
影响因子:1.297
ISSN:0028-2804
研究方向:医学-精神病学
影响因子:4.604
ISSN:1092-8529
研究方向:医学-精神病学
影响因子:5.345
ISSN:1398-5647
研究方向:医学-精神病学
影响因子:3.492
ISSN:1540-2002
研究方向:CLINICAL NEUROLOGY-PSYCHIATRY
影响因子:4.562
ISSN:0269-8811
研究方向:医学-精神病学
影响因子:6.533
ISSN:0165-0327
研究方向:医学-精神病学
影响因子:5.415
ISSN:0924-977X
研究方向:医学-精神病学
影响因子:2.493
ISSN:0925-4927
研究方向:医学-精神病学
发表一篇学和医学成像类SCI论文
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