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This study demonstrates that integrating liver stiffness measurement with tumour-based criteria refines the identification of patients at high biological risk of recurrence after curative resection for hepatocellular carcinoma. By addressing the limitations of purely tumour-centric selection strategies (i.e IMbrave050 criteria), it highlights the prognostic relevance of the underlying liver disease in shaping post-resection outcomes. Incorporation of this approach into clinical research and trial design could improve risk stratification and patient selection for adjuvant therapies, while avoiding overgeneralisation given the retrospective, single-centre nature of the study.
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Matteo Serenari
Matteo Cescon
Chiara Bonatti
JHEP Reports
University of Bologna
Azienda USL di Bologna
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Serenari et al. (Wed,) studied this question.
www.synapsesocial.com/papers/69ec00e2a3cc042b1cc2fc5b — DOI: https://doi.org/10.1016/j.jhepr.2026.101825