RT Journal Article SR Electronic T1 Alternative Biomarkers to Predict Tumor Biology in Hepatocellular Carcinoma JF Anticancer Research JO Anticancer Res FD International Institute of Anticancer Research SP 6573 OP 6784 DO 10.21873/anticanres.14682 VO 40 IS 12 A1 PHILLIPE ABREU A1 RAPHAELLA FERREIRA A1 VICTOR MINELI A1 MAURICIO ALVES RIBEIRO A1 FABIO GONÇALVES FERREIRA A1 RODRIGO MARTINEZ DE MELLO VIANNA A1 FLAVIO DANIEL SAAVEDRA TOMASICH A1 LUIZ ARNALDO SZUTAN YR 2020 UL http://ar.iiarjournals.org/content/40/12/6573.abstract AB Hepatocellular carcinoma (HCC) is the most frequent primary malignant liver tumor, with more than 800,000 new cases diagnosed each year and with high mortality, ranking fourth in the world in cancer deaths. The worst prognosis is related to the late diagnosis, in which the tumor is at an advanced stage and curative treatments are not efficient in terms of increasing overall survival. Currently, screening and monitoring tests based on current guidelines have limited accuracy, which points to the need for the development of new biomarkers that improve HCC detection as well as its early diagnosis. This review will discuss the five phases of development of a biomarker, from its discovery to its application in clinical practice, and indicate the main biomarkers per development phase. Potential emerging technologies such as “Radiomics”, “Proteomics” and “Metabolomics” will also be discussed, which should serve as tools for the elucidation of tumor heterogeneity, as well as provide data for future studies on HCC biomarkers.