CT/MR LI-RADS 2018: clinical implications and management recommendations

Amita Kamath, Alexandra Roudenko, Elizabeth Hecht, Claude Sirlin, Victoria Chernyak, Kathryn Fowler, Donald G. Mitchell

Research output: Contribution to journalArticle

Abstract

Unique among solid organ tumors, hepatocellular carcinoma (HCC), may be diagnosed by imaging alone, without the need for biopsy. The Liver Imaging Reporting and Data System (LI-RADS) was developed to provide high-specificity diagnosis of HCC based on imaging while also standardizing the assessment and reporting of the entire spectrum of lesions and pseudolesions encountered in patients at risk for this malignancy. In this pictorial review, we discuss management recommendations associated with CT/MR LI-RADS observations. We emphasize the rationale for the recommendations and the role of multidisciplinary management discussion, and we provide a framework for standardized reporting. Management of patients who undergo ultrasound (US) for screening and surveillance or those who undergo diagnostic contrast-enhanced ultrasound (CEUS) is beyond the scope of this paper.

Original languageEnglish (US)
JournalAbdominal Radiology
DOIs
StateAccepted/In press - Jan 1 2019

Fingerprint

Information Systems
Hepatocellular Carcinoma
Liver
Neoplasms
Biopsy

Keywords

  • HCC
  • Imaging
  • LI-RADS
  • Standardized reporting

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology
  • Radiology Nuclear Medicine and imaging
  • Gastroenterology
  • Urology

Cite this

Kamath, A., Roudenko, A., Hecht, E., Sirlin, C., Chernyak, V., Fowler, K., & Mitchell, D. G. (Accepted/In press). CT/MR LI-RADS 2018: clinical implications and management recommendations. Abdominal Radiology. https://doi.org/10.1007/s00261-018-1868-6

CT/MR LI-RADS 2018 : clinical implications and management recommendations. / Kamath, Amita; Roudenko, Alexandra; Hecht, Elizabeth; Sirlin, Claude; Chernyak, Victoria; Fowler, Kathryn; Mitchell, Donald G.

In: Abdominal Radiology, 01.01.2019.

Research output: Contribution to journalArticle

Kamath, Amita ; Roudenko, Alexandra ; Hecht, Elizabeth ; Sirlin, Claude ; Chernyak, Victoria ; Fowler, Kathryn ; Mitchell, Donald G. / CT/MR LI-RADS 2018 : clinical implications and management recommendations. In: Abdominal Radiology. 2019.
@article{ef520dd9704a43708d67cd91ff962d9b,
title = "CT/MR LI-RADS 2018: clinical implications and management recommendations",
abstract = "Unique among solid organ tumors, hepatocellular carcinoma (HCC), may be diagnosed by imaging alone, without the need for biopsy. The Liver Imaging Reporting and Data System (LI-RADS) was developed to provide high-specificity diagnosis of HCC based on imaging while also standardizing the assessment and reporting of the entire spectrum of lesions and pseudolesions encountered in patients at risk for this malignancy. In this pictorial review, we discuss management recommendations associated with CT/MR LI-RADS observations. We emphasize the rationale for the recommendations and the role of multidisciplinary management discussion, and we provide a framework for standardized reporting. Management of patients who undergo ultrasound (US) for screening and surveillance or those who undergo diagnostic contrast-enhanced ultrasound (CEUS) is beyond the scope of this paper.",
keywords = "HCC, Imaging, LI-RADS, Standardized reporting",
author = "Amita Kamath and Alexandra Roudenko and Elizabeth Hecht and Claude Sirlin and Victoria Chernyak and Kathryn Fowler and Mitchell, {Donald G.}",
year = "2019",
month = "1",
day = "1",
doi = "10.1007/s00261-018-1868-6",
language = "English (US)",
journal = "Abdominal Radiology",
issn = "2366-004X",
publisher = "Springer New York",

}

TY - JOUR

T1 - CT/MR LI-RADS 2018

T2 - clinical implications and management recommendations

AU - Kamath, Amita

AU - Roudenko, Alexandra

AU - Hecht, Elizabeth

AU - Sirlin, Claude

AU - Chernyak, Victoria

AU - Fowler, Kathryn

AU - Mitchell, Donald G.

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Unique among solid organ tumors, hepatocellular carcinoma (HCC), may be diagnosed by imaging alone, without the need for biopsy. The Liver Imaging Reporting and Data System (LI-RADS) was developed to provide high-specificity diagnosis of HCC based on imaging while also standardizing the assessment and reporting of the entire spectrum of lesions and pseudolesions encountered in patients at risk for this malignancy. In this pictorial review, we discuss management recommendations associated with CT/MR LI-RADS observations. We emphasize the rationale for the recommendations and the role of multidisciplinary management discussion, and we provide a framework for standardized reporting. Management of patients who undergo ultrasound (US) for screening and surveillance or those who undergo diagnostic contrast-enhanced ultrasound (CEUS) is beyond the scope of this paper.

AB - Unique among solid organ tumors, hepatocellular carcinoma (HCC), may be diagnosed by imaging alone, without the need for biopsy. The Liver Imaging Reporting and Data System (LI-RADS) was developed to provide high-specificity diagnosis of HCC based on imaging while also standardizing the assessment and reporting of the entire spectrum of lesions and pseudolesions encountered in patients at risk for this malignancy. In this pictorial review, we discuss management recommendations associated with CT/MR LI-RADS observations. We emphasize the rationale for the recommendations and the role of multidisciplinary management discussion, and we provide a framework for standardized reporting. Management of patients who undergo ultrasound (US) for screening and surveillance or those who undergo diagnostic contrast-enhanced ultrasound (CEUS) is beyond the scope of this paper.

KW - HCC

KW - Imaging

KW - LI-RADS

KW - Standardized reporting

UR - http://www.scopus.com/inward/record.url?scp=85060536233&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85060536233&partnerID=8YFLogxK

U2 - 10.1007/s00261-018-1868-6

DO - 10.1007/s00261-018-1868-6

M3 - Article

JO - Abdominal Radiology

JF - Abdominal Radiology

SN - 2366-004X

ER -