Liver Imaging Group, Department of Radiology, University of California San Diego, 408 Dickinson Street, San Diego, CA 92103-8226, USA.
Expert Rev Gastroenterol Hepatol. 2013 Mar;7(3):269-79. doi: 10.1586/egh.13.3.
Contrast-enhanced computed tomography and MRI are frequently used for the noninvasive diagnosis of hepatocellular carcinoma (HCC). Despite their important role in diagnosis and management of HCC, until recently, there has been no standardized system for their interpretation, reporting and data collection. In 2008, the American College of Radiology convened a committee to develop such a standardized system. This article reviews the role of computed tomography and MRI in the diagnosis and management of HCC; the need for a standardized imaging interpretation system; current HCC imaging criteria included in management guidelines endorsed by the European Association for the Study of Liver, American Association for Study of Liver Diseases, United Network for Organ Sharing and Asian Pacific Association for the Study of the Liver; and the limitations of these criteria. The article then provides an overview of the Liver Imaging Reporting and Data System and discusses future directions.
增强计算机断层扫描和磁共振成像常用于肝细胞癌（HCC）的无创诊断。尽管它们在 HCC 的诊断和管理中发挥着重要作用，但直到最近，还没有用于解释、报告和数据收集的标准化系统。2008 年，美国放射学会召集了一个委员会来开发这样的标准化系统。本文回顾了计算机断层扫描和磁共振成像在 HCC 的诊断和管理中的作用；对标准化成像解释系统的需求；当前包括在欧洲肝脏研究协会、美国肝病研究协会、器官共享联合网络和亚太肝病研究协会认可的管理指南中的 HCC 成像标准；以及这些标准的局限性。文章接着概述了肝脏影像报告和数据系统，并讨论了未来的方向。
