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Abstract #4150

MRI-based Prediction of the Need for Wide Resection Margins in Patients With Single Hepatocellular Carcinomas

Yanshu Wang1, Yali Qu1, Chongtu Yang1, Bin Song1, and Hanyu Jiang1
1Department of Radiology, West China Hospital of Sichuan University, Chengdu, China

Synopsis

Keywords: Liver, Liver, Hepatocellular Carcinomas resection

Motivation: Individualized selection between wide (≥1 cm) and narrow (<1 cm) resection margins may help improve the postoperative survivals of hepatocellular carcinoma (HCC).

Goal(s): To develop an MRI-based model to support the selection between narrow and wide resection margins based on the prediction of postoperative early recurrence-free survival (RFS, ≤2 years) in patients with single HCC.

Approach: In patients with narrow resection margins, a predictive score (named “MARGIN”) was developed for early RFS rate with Cox regression analyses.

Results: Improved early RFS rate was observed for wide resection margins for the MARGIN-predicted high-risk patients.

Impact: In patients with single HCC, the MARGIN score may serve as a promising decision-making too to inform the need for wide resection margins.

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