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Ma et al. Hepatoma Res. 2026;12:43                                               Page 17 of 22


















































































               Figure 2. Clinical decision algorithm for repeated TACE in HCC. TACE: Transarterial chemoembolization; HCC: hepatocellular carcinoma;
               mRECIST: modified Response Evaluation Criteria in Solid Tumors; ALBI: albumin-bilirubin grade; CP: Child-Pugh score; CR: complete
               response; PR: partial response; SD: stable disease; PD: progressive disease.


               survival benefit; (2) local and systemic synergy: TACE serves as a locoregional modality, while targeted
               therapy plus immunotherapy act systemically. Their combination not only enhances tumor remission rates
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