AFP and Cirrhosis: The overall OR and corresponding 95% CI were calculated using the STATA software to assess the associations between ALRI and selected clinical characteristics, including sex (male vs. female), age (>60 years vs. ≤60 years), hepatitis B surface antigen (positive vs. negative), alpha-fetoprotein level (>400 vs. ≤400 ng/mL), cirrhosis (yes vs. no), tumor size (≥5 cm vs. <5 cm), tumor number (multiple vs. single), TNM stage (III-IV vs. I-II), portal vein tumor thrombus (yes vs. no), and distant metastasis (yes vs. no).