单位:[1]Guizhou Prov Peoples Hosp, Dept Gen Surg, Guiyang, Peoples R China[2]Huazhong Univ Sci & Technol,Tongji Med Coll,Tongji Hosp,Dept Hepatopancreatobiliary Surg,Wuhan,Peoples R China华中科技大学同济医学院附属同济医院[3]Huazhong Univ Sci & Technol,Tongji Med Coll,Tongji Hosp,Dept Oncol,Wuhan,Peoples R China肿瘤科华中科技大学同济医学院附属同济医院[4]Sichuan Univ, Dept Liver Surg, West China Hosp, Chengdu, Peoples R China四川大学华西医院[5]Sichuan Univ, Dept State Key Lab Biotherapy & Pathol, West China Hosp, Chengdu, Peoples R China四川大学华西医院
Background: Advanced liver fibrosis can result in serious complications (even patient's death) after partial hepatectomy. Preoperatively percutaneous liver biopsy is an invasive and expensive method to assess liver fibrosis. We aim to establish a noninvasive model, on the basis of preoperative biomarkers, to predict liver fibrosis in hepatocellular carcinoma (HCC) patients with hepatitis B virus (HBV) infection. Methods: The HBV-infected liver cancer patients who had received hepatectomy were retrospectively and prospectively enrolled in this study. Univariate analysis was used to compare the variables of the patients with mild to moderate liver fibrosis and with severe liver fibrosis. The significant factors were selected into binary logistic regression analysis. Factors determined to be significant were used to establish a noninvasive model. Then the diagnostic accuracy of this novel model was examined based on sensitivity, specificity and area under the receiver-operating characteristic curve (AUC). Results: This study included 2,176 HBV-infected HCC patients who had undergone partial hepatectomy (1,682 retrospective subjects and 494 prospective subjects). Regression analysis indicated that total bilirubin and prothrombin time had positive correlation with liver fibrosis. It also demonstrated that blood platelet count and fibrinogen had negative correlation with liver fibrosis. The AUC values of the model based on these four factors for predicting significant fibrosis, advanced fibrosis and cirrhosis were 0.79-0.83, 0.83-0.85 and 0.85-0.88, respectively. Conclusion: The results showed that this novel preoperative model was an excellent noninvasive method for assessing liver fibrosis in HBV-infected HCC patients.
基金:
National Natural Science Foundation of China [81600482]
第一作者单位:[1]Guizhou Prov Peoples Hosp, Dept Gen Surg, Guiyang, Peoples R China[2]Huazhong Univ Sci & Technol,Tongji Med Coll,Tongji Hosp,Dept Hepatopancreatobiliary Surg,Wuhan,Peoples R China[4]Sichuan Univ, Dept Liver Surg, West China Hosp, Chengdu, Peoples R China
通讯作者:
通讯机构:[2]Huazhong Univ Sci & Technol,Tongji Med Coll,Tongji Hosp,Dept Hepatopancreatobiliary Surg,Wuhan,Peoples R China[4]Sichuan Univ, Dept Liver Surg, West China Hosp, Chengdu, Peoples R China
推荐引用方式(GB/T 7714):
Gao Hengyi,Zhu Feng,Wang Min,et al.Preoperatively staging liver fibrosis using noninvasive method in Hepatitis B virus-infected hepatocellular carcinoma patients[J].ONCOTARGET.2017,8(3):4289-4300.doi:10.18632/oncotarget.14024.
APA:
Gao, Hengyi,Zhu, Feng,Wang, Min,Zhang, Hang,Ye, Dawei...&Xiao, Guangqin.(2017).Preoperatively staging liver fibrosis using noninvasive method in Hepatitis B virus-infected hepatocellular carcinoma patients.ONCOTARGET,8,(3)
MLA:
Gao, Hengyi,et al."Preoperatively staging liver fibrosis using noninvasive method in Hepatitis B virus-infected hepatocellular carcinoma patients".ONCOTARGET 8..3(2017):4289-4300