Predicting post-surgery treatment for liver cancer using AI and whole-slide images
Official title: Construction and Clinical Validation of a Predictive Model for Postoperative Adjuvant Therapy in Hepatocellular Carcinoma Based on Whole-Slide Digital Pathological Images and Deep Learning
Run by Second Affiliated Hospital, Zhejiang University, School of Medicine · NCT07417800 · Data updated 2026-11-12
Aims to see if an AI model based on postoperative tissue images and imaging data can help decide if patients with hepatocellular carcinoma should receive adjuvant therapy after surgery.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 11000 (estimated) |
| Sponsor | Second Affiliated Hospital, Zhejiang University, School of Medicine Academic / other |
| Drugs / interventions | lenvatinib, immunotherapy |
| Locations | 1 site (Hangzhou, Zhejiang) |
| Status | Recruiting |
| Started | November 1, 2025 |
| Main results expected | January 1, 2029 |
| Study ends | December 1, 2029 |
| Registry record updated | June 10, 2026 |
| Trial ID | NCT07417800 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with histologically confirmed HCC who had R0 resection and have suitable digital pathology slides, complete clinical data, and high-quality pre- and post-operative imaging.
✕Probably not a fit
Patients without available tissue slides or imaging, or those with incomplete data, may not benefit from the AI-based approach.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational study tests a deep learning model that integrates whole-slide pathology images and radiologic data to predict response to adjuvant therapies after liver cancer resection. It focuses on hepatocellular carcinoma patients who have undergone curative resection and have complete tissue, imaging, and clinical data. The goal is to identify which patients may benefit from adjuvant transarterial chemoembolization or tyrosine kinase inhibitor therapy. The approach leverages tumor immune microenvironment and multimodal imaging features to guide personalized post-surgical treatment decisions. The study is conducted at Zhejiang University's Second Affiliated Hospital in Hangzhou, with a lead sponsor coordinating the effort.
Why it matters
Potential benefit: If successful, it could improve individualized post-surgical therapy decisions and potentially improve recurrence-free survival for high-risk HCC patients.
How similar studies have gone: Previous work in AI on radiomics and digital pathology has shown promise in predicting treatment response, but this exact predictive model for postoperative adjuvant therapy in HCC is a novel/untested approach.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Histopathologically confirmed hepatocellular carcinoma; * Aged more than 18 years; * Underwent radical resection of primary liver cancer (R0 resection); * Availability of postoperative H\&E-stained paraffin embedded tissue sections suitable for digital whole-slide imaging; * Had complete and accessible clinicopathological data and follow-up data; * Has complete and evaluable preoperative and postoperative contrast-enhanced CT or MRI imaging with standardized scanning parameters and no severe artifacts, meeting the quality requirements for radiomic and artificial intelligence analysis. Exclusion Criteria: * Significant missing clinical or follow-up data; * Concurrent primary malignancy in other organs; * Positive surgical margin (R1 or R2 resection); * Tissue sections of poor quality (e.g., severe fading, folding, damage) unsuitable for digital scanning or analysis;
Where it's running
-
the Second Affiliated Hospital Zhejiang University School of Medicine
Hangzhou, Zhejiang, China Recruiting
Study contacts
- Study coordinator: ding yuan, doctor
- Email: dingyuan@zju.edu.cn
- Phone: +86 18858101960
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.