White paper of the Society of Abdominal Radiology hepatocellular carcinoma diagnosis disease-focused panel on LI-RADS v2018 for CT and MRI

被引：58

作者：

Elsayes, Khaled M. ^{[1
]}

Kielar, Ania Z. ^{[2
]}

Elmohr, Mohab M. ^{[1
]}

Chernyak, Victoria ^{[3
]}

Masch, William R. ^{[4
]}

Furlan, Alessandro ^{[5
]}

Marks, Robert M. ^{[6
]}

Cruite, Irene ^{[7
]}

Fowler, Kathryn J. ^{[8
]}

Tang, An ^{[9
]}

Bashir, Mustafa R. ^{[10
]}

Hecht, Elizabeth M. ^{[11
]}

Kamaya, Aya ^{[12
]}

Jambhekar, Kedar ^{[13
]}

Kamath, Amita ^{[14
]}

Arora, Sandeep ^{[15
]}

Bijan, Bijan ^{[16
]}

Ash, Ryan ^{[17
]}

Kassam, Zahra ^{[18
]}

Chaudhry, Humaira ^{[19
]}

McGahan, John P. ^{[16
]}

Yacoub, Joseph H. ^{[20
]}

McInnes, Matthew ^{[21
]}

Fung, Alice W. ^{[22
]}

Shanbhogue, Krishna ^{[23
]}

Lee, James ^{[24
]}

Deshmukh, Sandeep ^{[25
]}

Horvat, Natally ^{[26
,27
]}

Mitchell, Donald G. ^{[25
]}

Do, Richard K. G. ^{[28
]}

Surabhi, Venkateswar R. ^{[29
]}

Szklaruk, Janio ^{[1
]}

Sirlin, Claude B. ^{[8
]}

机构：

[1] Univ Texas MD Anderson Canc Ctr, Dept Diagnost Radiol, 1400 Pressler St, Houston, TX 77030 USA

[2] Univ Toronto, Dept Radiol, Toronto, ON, Canada

[3] Montefiore Med Ctr, Dept Radiol, 111 E 210th St, Bronx, NY 10467 USA

[4] Michigan Med, Dept Radiol, Ann Arbor, MI USA

[5] Univ Pittsburgh, Dept Radiol, Pittsburgh, PA 15260 USA

[6] Uniformed Serv Univ Hlth Sci, Naval Med Ctr San Diego, Dept Radiol, San Diego, CA USA

[7] Inland Imaging, Dept Radiol, Spokane, WA USA

[8] Univ Calif San Diego, Dept Radiol, San Diego, CA 92103 USA

[9] Univ Montreal, Ctr Hosp, Dept Radiol, Montreal, PQ, Canada

[10] Duke Univ, Med Ctr, Dept Radiol, Durham, NC 27710 USA

[11] Columbia Univ, Med Ctr, Dept Radiol, New York, NY USA

[12] Stanford Univ, Med Ctr, Dept Radiol, Stanford, CA 94305 USA

[13] Univ Arkansas Med Sci, Dept Radiol, Little Rock, AR 72205 USA

[14] Mt Sinai Hlth Syst, Dept Radiol, New York, NY USA

[15] Vanderbilt Univ, Med Ctr, Dept Radiol & Radiol Sci, Nashville, TN 37232 USA

[16] Univ Calif Davis, Med Ctr, Dept Radiol, Sacramento, CA 95817 USA

[17] Univ Kansas, Dept Radiol, Kansas City, KS USA

[18] Schulich Sch Med, Dept Diagnost Imaging & Oncol, London, ON, Canada

[19] Rutgers New Jersey Med Sch, Dept Radiol, Newark, NJ USA

[20] Georgetown Univ, Sch Med, Dept Radiol, Washington, DC USA

[21] Univ Ottawa, Dept Radiol, Ottawa, ON, Canada

[22] Oregon Hlth & Sci Univ, Dept Radiol, Portland, OR 97201 USA

[23] NYU, Dept Radiol, Langone Sch Med, 560 1St Ave, New York, NY 10016 USA

[24] Univ Kentucky, Dept Radiol, Lexington, KY USA

[25] Thomas Jefferson Univ, Dept Radiol, Philadelphia, PA USA

[26] Hosp Siriolibanes, Dept Radiol, Sao Paulo, Brazil

[27] Univ Sao Paulo, Sao Paulo, Brazil

[28] Mem Sloan Kettering Canc Ctr, Dept Radiol, 1275 York Ave, New York, NY 10021 USA

[29] Univ Texas HSC Houston, Dept Radiol, Houston, TX USA

来源：

ABDOMINAL RADIOLOGY | 2018年 / 43卷 / 10期

关键词：

LI-RADS; v2018; CT; MRI; HCC; EXTRACELLULAR AGENTS; FEATURES;

D O I：

10.1007/s00261-018-1744-4

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

The Liver Imaging and Reporting Data System (LI-RADS) is a comprehensive system for standardizing the terminology, technique, interpretation, reporting, and data collection of liver imaging with the overarching goal of improving communication, clinical care, education, and research relating to patients at risk for or diagnosed with hepatocellular carcinoma (HCC). In 2018, the American Association for the Study of Liver Diseases (AASLD) integrated LI-RADS into its clinical practice guidance for the imaging-based diagnosis of HCC. The harmonization between the AASLD and LI-RADS diagnostic imaging criteria required minor modifications to the recently released LI-RADS v2017 guidelines, necessitating a LI-RADS v2018 update. This article provides an overview of the key changes included in LI-RADS v2018 as well as a look at the LI-RADS v2018 diagnostic algorithm and criteria, technical recommendations, and management suggestions. Substantive changes in LI-RADS v2018 are the removal of the requirement for visibility on antecedent surveillance ultrasound for LI-RADS 5 (LR-5) categorization of 10-19 mm observations with nonrim arterial phase hyper-enhancement and nonperipheral washout, and adoption of the Organ Procurement and Transplantation Network definition of threshold growth (50% size increase of a mass in 6 months). Nomenclatural changes in LI-RADS v2018 are the removal of -us and -g as LR-5 qualifiers.

引用

页码：2625 / 2642

页数：18

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