Description

Shin et al reported a model predictive of liver abscess following transarterial chemoembolization of a hepatocellular carcinoma (HCC). The authors are from Changwon Fatima Hospital and Sungkyunkwan University in South Korea.


Patient selection: hepatocellular carcinoma

 

Parameters:

(1) pneumobilia

(2) type 2 biliary abnormality (= prone to ascending biliary infection: bilioenteric anastomosis, endoscopic papillotomy, percutaneous transhepatic biliary drainage, T-tube choledochostomy)

(3) type 1 biliary abnormality (biliary invasion by HCC, biliary stricture, extrinsic compression of the bile duct, common bile duct stone without complications)

(4) diabetes

(5) number of tumors

(6) tumor necrosis

(7) maximum tumor diameter in cm

(8) vessel (arterial) injury during embolization

(9) gelfoam embolization

 

Parameters

Finding

Points

pneumobilia

no

0

 

yes

0.95327

type 2 biliary abnormality

no

0

 

yes

0.86510

type 1 biliary abnormality

no

0

 

yes

0.76789

diabetes

no

0

 

yes

0.63245

number of tumors

1 or 2

0

 

>= 3

0.60852

tumor necrosis

no

0

 

yes

0.45788

tumor diameter

< 3 cm

0

 

>= 3 cm

0.23804

vessel injury

no

0

 

yes

0.87273

gelfoam embolization

no

0

 

yes

0.60530

 

X =

= SUM(points for all 9 parameters)

 

probability of liver abscess =

= 1 / (1 + EXP((-1) * X))


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