Susanne Bonekamp1, Zhen Li2, Vivek Gowdra Halappa1, Celia Pamela Corona-Villalobos1, Jean-Francois H. Geschwind1, Ihab R. Kamel1
1Radiology, Johns Hopkins University, Baltimore, MD, United States; 2Radiology, Tongji Medical College, Wuhan, China
Patient survival is the gold standard for the assessment of treatment response. The purpose of this study was to evaluate if early multiparametric assessment of treatment response is associate with patient survival in patients with hepatocellular carcinoma (HCC). To this end, HCC index lesions were analyzed using proprietary software and response was assessed based on change in tumor size as well as changes in volumetric ADC, hepatic arterial enhancement and portal venous enhancement. The combination of early change in portal venous enhancement and ADC more consistently predicted survival times than a single measurement or change in tumor size.