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肝脏影像报告和数据系统(LI-RADS)2014版:诊断算法的理解与应用

Liver imaging reporting and data system (LI-RADS) version 2014: understanding and application of the diagnostic algorithm.

作者信息

An Chansik, Rakhmonova Gulbahor, Choi Jin-Young, Kim Myeong-Jin

机构信息

Department of Radiology, Research Institute of Radiological Science, Yonsei University College of Medicine, Seoul, Korea.

Department of Oncology and Radiology, Tashkent Medical Academy, Tashkent, Uzbekistan.

出版信息

Clin Mol Hepatol. 2016 Jun;22(2):296-307. doi: 10.3350/cmh.2016.0028.

DOI:10.3350/cmh.2016.0028
PMID:27304548
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4946409/
Abstract

Liver Imaging Reporting and Data System (LI-RADS) is a system for interpreting and reporting of computed tomography and magnetic resonance imaging of the liver in patients at risk for hepatocellular carcinoma (HCC). LI-RADS has been developed to address the limitations of prior imaging-based criteria including the lack of established consensus regarding the exact definitions of imaging features, binary categorization (either definite or not definite HCC), and failure to consider non-HCC malignancies. One of the most important goals of LI-RADS is to facilitate clear communication between all the personnel involved in the diagnosis and treatment of HCC, such as radiologists, hepatologists, surgeons, and pathologists. Therefore, clinicians should also be familiar with LI-RADS. This article reviews the LI-RADS diagnostic algorithm, and the definitions and management implications of LI-RADS categories.

摘要

肝脏影像报告和数据系统(LI-RADS)是一种用于对肝细胞癌(HCC)高危患者的肝脏进行计算机断层扫描和磁共振成像解读及报告的系统。LI-RADS的开发旨在解决先前基于影像的标准的局限性,包括对影像特征的确切定义缺乏既定共识、二元分类(即明确或不明确为HCC)以及未考虑非HCC恶性肿瘤。LI-RADS的最重要目标之一是促进参与HCC诊断和治疗的所有人员之间的清晰沟通,如放射科医生、肝病学家、外科医生和病理学家。因此,临床医生也应熟悉LI-RADS。本文回顾了LI-RADS诊断算法以及LI-RADS分类的定义和管理意义。

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Invest Radiol. 2016 Aug;51(8):483-90. doi: 10.1097/RLI.0000000000000258.
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Differences in Liver Imaging and Reporting Data System Categorization Between MRI and CT.MRI 与 CT 检查在肝脏影像报告和数据系统分类中的差异。
AJR Am J Roentgenol. 2016 Feb;206(2):307-12. doi: 10.2214/AJR.15.14788.
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Liver Imaging Reporting and Data System:: Substantial Discordance Between CT and MR for Imaging Classification of Hepatic Nodules.
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J Comput Assist Tomogr. 2025;49(1):9-22. doi: 10.1097/RCT.0000000000001618. Epub 2024 Apr 26.
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Should Threshold Growth Be Considered a Major Feature in the Diagnosis of Hepatocellular Carcinoma Using LI-RADS?在使用LI-RADS诊断肝细胞癌时,阈值生长是否应被视为主要特征?
Korean J Radiol. 2021 Oct;22(10):1628-1639. doi: 10.3348/kjr.2020.1341. Epub 2021 Jul 14.
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Clin Exp Hepatol. 2021 Mar;7(1):74-78. doi: 10.5114/ceh.2021.104385. Epub 2021 Mar 15.
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Reporting the Presence of Coronary Artery Calcium in the Final Impression of Non-gated CT Chest Scans Increases the Appropriate Utilization of Statins.在非门控胸部CT扫描的最终诊断中报告冠状动脉钙化的存在可提高他汀类药物的合理使用。
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