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. 2025 May 30;60(9):1053–1069. doi: 10.1007/s00535-025-02251-x

Table 4.

Imaging biomarkers

Modality Findings Therapeutic outcome Treatment n Study design PMID/DOI
EOB-MRI High RER Unfavorable Anti-PD-1/PD-L1 monotherapy 18 (68 lesions) Retrospectively PMID: 34950184
High RER Unfavorable Atezo + Bev 35 Retrospectively PMID: 35159095
Heterogeneous signal intensity
rim aphe, peritumoral enhancement in arterial phase, or intermediate intensity on HBP Favorable Atezo + Bev 27 (60 lesions) Retrospectively https://doi.org/10.1159/000542099
Chemical shift MR imaging Steatohepatic HCC Favorable Atezo + Bev 30 Retrospectively PMID: 35567547
FDG-PET CT High SUVmax Favorable Durva + Treme 21 Retrospectively PMID: 39527933
Contrast-enhanced CT Non simple nodular type Favorable Atezo + Bev 74 patients (95 lesions) Retrospectively PMID: 38353524
Tumor shape irregularity Unfavorable Atezo + Bev 395 Retrospectively PMID: 39714631
CEUS Low rising time ratio Favorable ICI + anti-angiogenic therapy 66 Prospectively PMID: 38072718

EOB-MRI gadoxetic acid-enhanced MRI, RER relative enhancement, APHE arterial phase hyperenhancement, HBP hepatobiliary phase, FDG-PET fluorodeoxyglucose positron emission tomography, SUVmax maximum standardized uptake value, CEUS contrast-enhanced ultrasound