SNACOR Score
The SNACOR model comprise of following parameters: tumor Size, tumor Number, baseline serum AFP, Child-Pugh class, and Objective radiologic Response by mRECIST criteria after the first TACE session. All five components are well-known independent prognostic parameters representing tumor characteristics and liver functions.¹
| Parameters | Points |
|---|---|
| Radiological response after first TACE (mRECIST) Present (CR+PR) Absent (SD+PD) | 0 Point 3 points |
| AFP at baseline < 400 ng/ml ≥ 400 ng/mL | 0 Point 3 Point |
| Number of Lesion < 4 ≥ 4 | 0 Point 2 Point |
| Tumor Size < 5 cm ≥ 5 cm | 0 Point 2 Point |
| Child-Pugh Score at Baseline A B | 0 Point 1 Point |
| Total | 0 to 2 = Low risk 3 to 6 = Intermediate risk 7 to 10 = High risk |
- Kim BK, Shim JH, Kim SU, Park JY, Kim DY, Ahn SH, Kim KM, Lim YS, Han KH, Lee HC. Risk prediction for patients with hepatocellular carcinoma undergoing chemoembolization: development of a prediction model. Liver International. 2016 Jan;36(1):92-9.
- Karademir S. Staging of hepatocellular carcinoma. Hepatoma Res. 2018;4:58.
- Kinoshita, Akiyoshi et al. “Staging systems for hepatocellular carcinoma: Current status and future perspectives.” World journal of hepatology vol. 7,3 (2015): 406-24. doi:10.4254/wjh.v7.i3.406