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The METAL Score for Early Stratification of Radiological Response and Survival in Hepatocellular Carcinoma Treated with TACE and Immunotherapy Combinations.

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Title: The METAL Score for Early Stratification of Radiological Response and Survival in Hepatocellular Carcinoma Treated with TACE and Immunotherapy Combinations.
Authors: Chen Q; Center of Interventional Radiology & Vascular Surgery, Department of Radiology, Zhongda Hospital, Medical School, Southeast University, Nanjing, China (Q.C., L.W.L., Z.C.J., J.J.C., H.D.Z., G.J.T.); National Innovation Platform for Integration of Medical Engineering Education (NMEE) (Southeast University), Southeast University, Nanjing, China (Q.C., L.W.L., Z.C.J., H.D.Z., G.J.T.)., Lin LW; Center of Interventional Radiology & Vascular Surgery, Department of Radiology, Zhongda Hospital, Medical School, Southeast University, Nanjing, China (Q.C., L.W.L., Z.C.J., J.J.C., H.D.Z., G.J.T.); National Innovation Platform for Integration of Medical Engineering Education (NMEE) (Southeast University), Southeast University, Nanjing, China (Q.C., L.W.L., Z.C.J., H.D.Z., G.J.T.)., Jin ZC; Center of Interventional Radiology & Vascular Surgery, Department of Radiology, Zhongda Hospital, Medical School, Southeast University, Nanjing, China (Q.C., L.W.L., Z.C.J., J.J.C., H.D.Z., G.J.T.); National Innovation Platform for Integration of Medical Engineering Education (NMEE) (Southeast University), Southeast University, Nanjing, China (Q.C., L.W.L., Z.C.J., H.D.Z., G.J.T.)., Xiong B; Hepatobiliary and Pancreatic Interventional Treatment Center, Division of Hepatobiliary and Pancreatic Surgery, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China (B.X., G.H.Z.)., Hu HT; Department of Minimally invasive Intervention, The Affiliated Cancer Hospital of Zhengzhou University, Zhengzhou, China (H.T.H.)., Chen JJ; Center of Interventional Radiology & Vascular Surgery, Department of Radiology, Zhongda Hospital, Medical School, Southeast University, Nanjing, China (Q.C., L.W.L., Z.C.J., J.J.C., H.D.Z., G.J.T.)., Zhou GH; Hepatobiliary and Pancreatic Interventional Treatment Center, Division of Hepatobiliary and Pancreatic Surgery, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China (B.X., G.H.Z.)., Zhou HF; Department of Interventional Radiology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China (H.F.Z., H.B.S.)., Ding R; Department of Minimally Invasive Interventional Therapy, Yunnan Tumor Hospital, The Third Affiliated Hospital of Kunming Medical University, Kunming, China (R.D., M.H.)., Zhu XL; Department of Interventional Radiology, The First Affiliated Hospital of Soochow University, Soochow University, Suzhou, China (X.L.Z.)., Huang M; Department of Minimally Invasive Interventional Therapy, Yunnan Tumor Hospital, The Third Affiliated Hospital of Kunming Medical University, Kunming, China (R.D., M.H.)., Shi HB; Department of Interventional Radiology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China (H.F.Z., H.B.S.)., Zhao ZW; Department of Radiology, Key Laboratory of Imaging Diagnosis and Minimally Invasive Intervention Research, School of Medicine, Lishui Hospital of Zhejiang University, Lishui, China (Z.W.Z., J.S.J.)., Ji JS; Department of Radiology, Key Laboratory of Imaging Diagnosis and Minimally Invasive Intervention Research, School of Medicine, Lishui Hospital of Zhejiang University, Lishui, China (Z.W.Z., J.S.J.)., Yang WZ; Department of Interventional Radiology, Union Hospital of Fujian Medical University, Fuzhou, China (W.Z.Y.)., Xu GH; Department of Interventional Radiology, Sichuan Cancer Hospital and Institute, Chengdu, China (G.H.X.)., Xu AB; Department of Interventional Therapy, Nantong Tumor Hospital, Nantong, China (A.B.X.)., Hu ZC; Interventional Diagnosis and Treatment Center, Zhoushan Hospital, Wenzhou Medical University, Zhoushan, China (Z.C.H.)., Wang WD; Department of Interventional Radiology, The Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi, China (W.D.W.)., Zhao C; Department of Minimally Invasive Interventional Therapy, The Affiliated Tumor Hospital of Guangxi Medical University, Nanning, China (C.Z.)., Zhu HD; Center of Interventional Radiology & Vascular Surgery, Department of Radiology, Zhongda Hospital, Medical School, Southeast University, Nanjing, China (Q.C., L.W.L., Z.C.J., J.J.C., H.D.Z., G.J.T.); National Innovation Platform for Integration of Medical Engineering Education (NMEE) (Southeast University), Southeast University, Nanjing, China (Q.C., L.W.L., Z.C.J., H.D.Z., G.J.T.)., Teng GJ; Center of Interventional Radiology & Vascular Surgery, Department of Radiology, Zhongda Hospital, Medical School, Southeast University, Nanjing, China (Q.C., L.W.L., Z.C.J., J.J.C., H.D.Z., G.J.T.); National Innovation Platform for Integration of Medical Engineering Education (NMEE) (Southeast University), Southeast University, Nanjing, China (Q.C., L.W.L., Z.C.J., H.D.Z., G.J.T.). Electronic address: gjteng@seu.edu.cn.
Source: Academic radiology [Acad Radiol] 2026 Jan; Vol. 33 (1), pp. 47-58. Date of Electronic Publication: 2025 Nov 04.
Publication Type: Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't
Journal Info: Publisher: Association Of University Radiologists Country of Publication: United States NLM ID: 9440159 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1878-4046 (Electronic) Linking ISSN: 10766332 NLM ISO Abbreviation: Acad Radiol Subsets: MEDLINE
Database: MEDLINE Ultimate
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  Data: The METAL Score for Early Stratification of Radiological Response and Survival in Hepatocellular Carcinoma Treated with TACE and Immunotherapy Combinations.
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  Data: <searchLink fieldCode="AU" term="%22Chen+Q%22">Chen Q</searchLink>; Center of Interventional Radiology & Vascular Surgery, Department of Radiology, Zhongda Hospital, Medical School, Southeast University, Nanjing, China (Q.C., L.W.L., Z.C.J., J.J.C., H.D.Z., G.J.T.); National Innovation Platform for Integration of Medical Engineering Education (NMEE) (Southeast University), Southeast University, Nanjing, China (Q.C., L.W.L., Z.C.J., H.D.Z., G.J.T.).<br /><searchLink fieldCode="AU" term="%22Lin+LW%22">Lin LW</searchLink>; Center of Interventional Radiology & Vascular Surgery, Department of Radiology, Zhongda Hospital, Medical School, Southeast University, Nanjing, China (Q.C., L.W.L., Z.C.J., J.J.C., H.D.Z., G.J.T.); National Innovation Platform for Integration of Medical Engineering Education (NMEE) (Southeast University), Southeast University, Nanjing, China (Q.C., L.W.L., Z.C.J., H.D.Z., G.J.T.).<br /><searchLink fieldCode="AU" term="%22Jin+ZC%22">Jin ZC</searchLink>; Center of Interventional Radiology & Vascular Surgery, Department of Radiology, Zhongda Hospital, Medical School, Southeast University, Nanjing, China (Q.C., L.W.L., Z.C.J., J.J.C., H.D.Z., G.J.T.); National Innovation Platform for Integration of Medical Engineering Education (NMEE) (Southeast University), Southeast University, Nanjing, China (Q.C., L.W.L., Z.C.J., H.D.Z., G.J.T.).<br /><searchLink fieldCode="AU" term="%22Xiong+B%22">Xiong B</searchLink>; Hepatobiliary and Pancreatic Interventional Treatment Center, Division of Hepatobiliary and Pancreatic Surgery, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China (B.X., G.H.Z.).<br /><searchLink fieldCode="AU" term="%22Hu+HT%22">Hu HT</searchLink>; Department of Minimally invasive Intervention, The Affiliated Cancer Hospital of Zhengzhou University, Zhengzhou, China (H.T.H.).<br /><searchLink fieldCode="AU" term="%22Chen+JJ%22">Chen JJ</searchLink>; Center of Interventional Radiology & Vascular Surgery, Department of Radiology, Zhongda Hospital, Medical School, Southeast University, Nanjing, China (Q.C., L.W.L., Z.C.J., J.J.C., H.D.Z., G.J.T.).<br /><searchLink fieldCode="AU" term="%22Zhou+GH%22">Zhou GH</searchLink>; Hepatobiliary and Pancreatic Interventional Treatment Center, Division of Hepatobiliary and Pancreatic Surgery, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China (B.X., G.H.Z.).<br /><searchLink fieldCode="AU" term="%22Zhou+HF%22">Zhou HF</searchLink>; Department of Interventional Radiology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China (H.F.Z., H.B.S.).<br /><searchLink fieldCode="AU" term="%22Ding+R%22">Ding R</searchLink>; Department of Minimally Invasive Interventional Therapy, Yunnan Tumor Hospital, The Third Affiliated Hospital of Kunming Medical University, Kunming, China (R.D., M.H.).<br /><searchLink fieldCode="AU" term="%22Zhu+XL%22">Zhu XL</searchLink>; Department of Interventional Radiology, The First Affiliated Hospital of Soochow University, Soochow University, Suzhou, China (X.L.Z.).<br /><searchLink fieldCode="AU" term="%22Huang+M%22">Huang M</searchLink>; Department of Minimally Invasive Interventional Therapy, Yunnan Tumor Hospital, The Third Affiliated Hospital of Kunming Medical University, Kunming, China (R.D., M.H.).<br /><searchLink fieldCode="AU" term="%22Shi+HB%22">Shi HB</searchLink>; Department of Interventional Radiology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China (H.F.Z., H.B.S.).<br /><searchLink fieldCode="AU" term="%22Zhao+ZW%22">Zhao ZW</searchLink>; Department of Radiology, Key Laboratory of Imaging Diagnosis and Minimally Invasive Intervention Research, School of Medicine, Lishui Hospital of Zhejiang University, Lishui, China (Z.W.Z., J.S.J.).<br /><searchLink fieldCode="AU" term="%22Ji+JS%22">Ji JS</searchLink>; Department of Radiology, Key Laboratory of Imaging Diagnosis and Minimally Invasive Intervention Research, School of Medicine, Lishui Hospital of Zhejiang University, Lishui, China (Z.W.Z., J.S.J.).<br /><searchLink fieldCode="AU" term="%22Yang+WZ%22">Yang WZ</searchLink>; Department of Interventional Radiology, Union Hospital of Fujian Medical University, Fuzhou, China (W.Z.Y.).<br /><searchLink fieldCode="AU" term="%22Xu+GH%22">Xu GH</searchLink>; Department of Interventional Radiology, Sichuan Cancer Hospital and Institute, Chengdu, China (G.H.X.).<br /><searchLink fieldCode="AU" term="%22Xu+AB%22">Xu AB</searchLink>; Department of Interventional Therapy, Nantong Tumor Hospital, Nantong, China (A.B.X.).<br /><searchLink fieldCode="AU" term="%22Hu+ZC%22">Hu ZC</searchLink>; Interventional Diagnosis and Treatment Center, Zhoushan Hospital, Wenzhou Medical University, Zhoushan, China (Z.C.H.).<br /><searchLink fieldCode="AU" term="%22Wang+WD%22">Wang WD</searchLink>; Department of Interventional Radiology, The Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi, China (W.D.W.).<br /><searchLink fieldCode="AU" term="%22Zhao+C%22">Zhao C</searchLink>; Department of Minimally Invasive Interventional Therapy, The Affiliated Tumor Hospital of Guangxi Medical University, Nanning, China (C.Z.).<br /><searchLink fieldCode="AU" term="%22Zhu+HD%22">Zhu HD</searchLink>; Center of Interventional Radiology & Vascular Surgery, Department of Radiology, Zhongda Hospital, Medical School, Southeast University, Nanjing, China (Q.C., L.W.L., Z.C.J., J.J.C., H.D.Z., G.J.T.); National Innovation Platform for Integration of Medical Engineering Education (NMEE) (Southeast University), Southeast University, Nanjing, China (Q.C., L.W.L., Z.C.J., H.D.Z., G.J.T.).<br /><searchLink fieldCode="AU" term="%22Teng+GJ%22">Teng GJ</searchLink>; Center of Interventional Radiology & Vascular Surgery, Department of Radiology, Zhongda Hospital, Medical School, Southeast University, Nanjing, China (Q.C., L.W.L., Z.C.J., J.J.C., H.D.Z., G.J.T.); National Innovation Platform for Integration of Medical Engineering Education (NMEE) (Southeast University), Southeast University, Nanjing, China (Q.C., L.W.L., Z.C.J., H.D.Z., G.J.T.). Electronic address: gjteng@seu.edu.cn.
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  Data: <searchLink fieldCode="JN" term="%229440159%22">Academic radiology</searchLink> [Acad Radiol] 2026 Jan; Vol. 33 (1), pp. 47-58. <i>Date of Electronic Publication: </i>2025 Nov 04.
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  Data: <i>Publisher: </i><searchLink fieldCode="PB" term="%22Association+Of+University+Radiologists%22">Association Of University Radiologists </searchLink><i>Country of Publication: </i>United States <i>NLM ID: </i>9440159 <i>Publication Model: </i>Print-Electronic <i>Cited Medium: </i>Internet <i>ISSN: </i>1878-4046 (Electronic) <i>Linking ISSN: </i><searchLink fieldCode="IS" term="%2210766332%22">10766332 </searchLink><i>NLM ISO Abbreviation: </i>Acad Radiol <i>Subsets: </i>MEDLINE
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