Korean J Radiol. 2017 May-Jun;18(3):427-443. doi: 10.3348/kjr.2017.18.3.427. Epub 2017 Apr 3.
Diagnosis of hepatocellular carcinoma (HCC) with gadoxetic acid-enhanced liver magnetic resonance imaging (MRI) poses certain unique challenges beyond the scope of current guidelines. The regional heterogeneity of HCC in demographic characteristics, prevalence, surveillance, and socioeconomic status necessitates different treatment approaches, leading to variations in survival outcomes. Considering the medical practices in Korea, the Korean Society of Abdominal Radiology (KSAR) study group for liver diseases has developed expert consensus recommendations for diagnosis of HCC by gadoxetic acid-enhanced MRI with updated perspectives, using a modified Delphi method. During the 39th Scientific Assembly and Annual Meeting of KSAR (2016), consensus was reached on 12 of 16 statements. These recommendations might serve to ensure a more standardized diagnosis of HCC by gadoxetic acid-enhanced MRI.
使用钆塞酸二钠增强肝脏磁共振成像(MRI)诊断肝细胞癌(HCC)面临着当前指南范围之外的某些独特挑战。HCC在人口统计学特征、患病率、监测及社会经济状况方面的区域异质性使得需要采用不同的治疗方法,进而导致生存结果出现差异。考虑到韩国的医疗实践,韩国腹部放射学会(KSAR)肝脏疾病研究小组采用改良德尔菲法,以更新的视角制定了关于通过钆塞酸二钠增强MRI诊断HCC的专家共识建议。在KSAR第39届科学大会暨年会(2016年)期间,就16项声明中的12项达成了共识。这些建议可能有助于确保通过钆塞酸二钠增强MRI对HCC进行更标准化的诊断。