Image Driven Hepatocellular Carcinoma Invasiveness Evaluation Research

Status: Recruiting
Location: See location...
Intervention Type: Procedure
Study Type: Observational
SUMMARY

Hepatocellular carcinoma (HCC) is a highly heterogeneous malignant tumor with significant differences in invasion, proliferation ability and patient prognosis. Currently, there is a lack of non-invasive and simple indicators to predict the prognosis of HCC patients and assist clinical decision-making. The identification of HCC macroscopic or histopathological classification requires large pathological specimens obtained through surgical resection, but only about 20% of patients are eligible for surgical treatment. Moreover, most liver cancer diagnoses can be confirmed by imaging examinations without relying on pathological results. For patients who have not undergone surgical resection, the lack of histopathological information during treatment means that there is no basis for judging tumor proliferation and obtaining rich prognostic information. Therefore, evaluating the invasion and proliferation ability of HCC based on macroscopic imaging assessment has important implications for guiding individualized diagnosis and treatment throughout the entire process including surgical strategy guidance, local treatment selection, systemic therapy planning as well as patient follow-up and prognosis evaluation. Ultrasound and MRI are ideal entry points as first-line imaging methods for liver cancer diagnosis. This study aims to evaluate HCC macroscopic or histopathological classification based on multimodal imaging (ultrasound, CT, MRI), thereby assessing its invasion and proliferation ability which has important implications for guiding individualized diagnosis and treatment throughout the entire process including surgical strategy guidance, local treatment selection, systemic therapy planning as well as patient follow-up and prognosis evaluation. By analyzing macroscopic image features we aim to explore their cross-scale correlations with HCC macroscopic classification,histopathological classification,and gene molecular typing.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Maximum Age: 80
Healthy Volunteers: f
View:

• According to the WHO classification, the pathological diagnosis is hepatocellular carcinoma.

• The initial treatment is curative-intent hepatectomy.

• There is no evidence of major vascular/hepatic portal invasion, extrahepatic/lymph node metastasis, or other malignant tumors.

• Age 18-80 years old.

Locations
Other Locations
China
Chinese PLA General Hospital
RECRUITING
Beijing
Contact Information
Primary
Chuan Pang
pcpang117@163.com
18910527022
Time Frame
Start Date: 2023-01-01
Estimated Completion Date: 2029-12-31
Participants
Target number of participants: 500
Treatments
TYPE I
Gross classification of resected specimen: single nodule with distinct margin, usually round with complete tumour envelope
TYPE II
Gross classification of resected specimen: single nodule with extranodular growth, no more than three extranodular points
TYPE III
Gross classification of resected specimen: a unifocal lesion composed of confluent multiple nodules, distinct boundaries among the nodules
TYPE IV
Gross classification of resected specimen: infiltrative nodule, with poor demarcated boundary and especially multiple extranodular points
Related Therapeutic Areas
Sponsors
Leads: Chinese PLA General Hospital
Collaborators: The First Hospital of Jilin University

This content was sourced from clinicaltrials.gov