Image Driven Hepatocellular Carcinoma Invasiveness Evaluation Research

NCT ID: NCT06559761

Last Updated: 2024-08-19

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Total Enrollment

500 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-01-01

Study Completion Date

2029-12-31

Brief Summary

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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.

Detailed Description

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Conditions

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Hepatocellular Carcinoma Stage III

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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TYPE I

Gross classification of resected specimen: single nodule with distinct margin, usually round with complete tumour envelope

Hepatectomy

Intervention Type PROCEDURE

According to guideline recommended procedure of hepatectomy

TYPE II

Gross classification of resected specimen: single nodule with extranodular growth, no more than three extranodular points

Hepatectomy

Intervention Type PROCEDURE

According to guideline recommended procedure of hepatectomy

TYPE III

Gross classification of resected specimen: a unifocal lesion composed of confluent multiple nodules, distinct boundaries among the nodules

Hepatectomy

Intervention Type PROCEDURE

According to guideline recommended procedure of hepatectomy

TYPE IV

Gross classification of resected specimen: infiltrative nodule, with poor demarcated boundary and especially multiple extranodular points

Hepatectomy

Intervention Type PROCEDURE

According to guideline recommended procedure of hepatectomy

Interventions

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Hepatectomy

According to guideline recommended procedure of hepatectomy

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* 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.
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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The First Hospital of Jilin University

OTHER

Sponsor Role collaborator

Chinese PLA General Hospital

OTHER

Sponsor Role lead

Responsible Party

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Ping Liang

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Chinese PLA General Hospital

Beijing, Beijing Municipality, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Chuan Pang

Role: CONTACT

18910527022

Facility Contacts

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Ping Liang, Doctor

Role: primary

Other Identifiers

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S2024-423

Identifier Type: -

Identifier Source: org_study_id

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