Ottawa Hospital, University of Ottawa, Ottawa, ON, Canada.
Ottawa Hospital Research Institute, Ottawa, Canada.
Abdom Radiol (NY). 2018 Jan;43(1):179-184. doi: 10.1007/s00261-017-1219-z.
Since its introduction in 2011, Liver Imaging Reporting and Data System (LI-RADS) has become an increasingly utilized method for radiologists to categorize lesions for hepatocellular carcinoma (HCC) in patients at risk (American College of Radiology, www.acr.org/quality-safety/resources/lirads 2016). This overview article presents insight into methods of incorporating LI-RADS into an existing clinical practice, highlighting concrete ways to establish this system as a mainstay in any radiologist's evidence-based armamentarium. We will focus on the importance of standardization to improve the value of our reporting. We will also discuss specific opportunities to favor adoption of LI-RADS including building a community of users composed of radiologists and referring physicians, forming a strategic vision, enlisting a team leader, overcoming barriers to adoption, communicating successes, integrating the system into the departmental culture, and learning from mistakes. The 2017 version of LI-RADS is the most recent update and is based on the most current medical imaging evidence. The details of these updates are described in other articles in this journal's edition. Efforts should be made to increase adherence and to enhance standardized use of LI-RADS internationally. Ultimately, the objective of LI-RADS is to prioritize patient care and optimize medical outcomes.
自 2011 年推出以来，肝脏成像报告和数据系统（LI-RADS）已成为放射科医生对高危患者（美国放射学院，www.acr.org/quality-safety/resources/lirads2016）肝癌（HCC）病变进行分类的一种越来越常用的方法。这篇概述文章深入探讨了将 LI-RADS 纳入现有临床实践的方法，重点介绍了将该系统确立为任何放射科医生循证工具的具体方法。我们将重点关注标准化的重要性，以提高报告的价值。我们还将讨论有利于采用 LI-RADS 的具体机会，包括建立由放射科医生和转诊医生组成的用户社区、制定战略愿景、招募团队负责人、克服采用障碍、交流成功经验、将系统融入部门文化以及从错误中学习。LI-RADS 的 2017 版本是最新的更新，基于当前最先进的医学影像学证据。这些更新的详细信息在本期刊版的其他文章中进行了描述。应努力提高国际上的依从性和标准化使用 LI-RADS。最终，LI-RADS 的目标是优先考虑患者护理并优化医疗结果。
