Postoperative recurrence has become the main obstacle in prognosis of HCC patients, even after successful curative therapy. Our study analyzed the radiomics features derived from peritumoral tissue on gadoxetic acid-enhanced MR images, combined with clinical characteristics and subjective imaging findings, to evaluate their ability to preoperatively predict early recurrence of HCC after surgical resection. An AUC of 0.882 for the radiomics signature and an improved AUC of 0.926 for integrated radiomics nomogram were obtained. These results suggest that radiomics features can accurately and objectively predict early recurrence of HCCs after curative resection from preoperative MR images.
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