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العنوان
Multi-variant analysis of different prognostic factors affecting the response to transarterial chemoembolization for HCC patients /
الناشر
Ghada Hamed Omar Khalifa ,
المؤلف
Ghada Hamed Omar Khalifa
هيئة الاعداد
باحث / Ghada Hamed Omar Khalifa
مشرف / Reda Hasan Tabashy
مشرف / Salem Eid Salem Mohamed
مشرف / Shady Nabil Mashhour
تاريخ النشر
2019
عدد الصفحات
201 P. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
الأشعة والطب النووي والتصوير
تاريخ الإجازة
1/12/2019
مكان الإجازة
جامعة القاهرة - كلية الطب - Diagnostic and interventional radiology
الفهرس
Only 14 pages are availabe for public view

from 241

from 241

Abstract

Objectives: To identify clinical and imaging features associated with tumor response after one session of transarterial chemoembolization (TACE) in patients with hepatocellular carcinoma.Material and Methods: In this prospective cohort, 150 patients who received one TACE from July 2018 to June 2019 were studied. Imaging response was evaluated according to the modified Response Evaluation Criteria in Solid Tumors (mRECIST). Age, gender, etiology of cirrhosis, clinicopathological features: tumor location, nodule size, segmental portal vein invasion, hypervascularisation on CT/MRI scans, Eastern Cooperative Oncology group (ECOG) performance status, Child-Pugh stage; biochemical indexes: while blood cell, hemoglobin, platelet, albumin (ALB), total bilirubin, alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase, INR, alpha-fetoprotein (AFP) levels were analyzed.Results: After one session of TACE treatment, CR was observed in observed in 18.7 % of the 150 patients. As to CR achievement tumor size < 5 cm and supereselective approach are associated with greater possibility for CR achievement, while high AST and ALT >50 IU/L could predict less possibility for CR achievement. While ORR was observed in observed in 77.3 % of the 150 patients. As to ORR achievement, univariate analysis illuminated that tumor size <5 cm, tumor hypervascularity and supereselective approach are associated with greater possibility for ORR achievement, while segmental PV invasion and high ALT >50 IU/L could predict less possibility for ORR achievemen