A larger tumor size (p = 0.002), a higher serum level of AFP (p = 0.013), an irregular shape (p = 0.005), hemorrhage/hemosiderin (p = 0.036), intratumoral fat deposition (p = 0.014), upper abdominal lymphadenopathy (p = 0.012), arterial phase homogeneity enhancement (p = 0.044), and irregular arterial peritumoral enhancement (p < 0.001) were associated with MVI. Here, AFP is linked to neoplasm.