Elsayes Khaled M, Kielar Ania Z, Chernyak Victoria, Morshid Ali, Furlan Alessandro, Masch William R, Marks Robert M, Kamaya Aya, Do Richard K G, Kono Yuko, Fowler Kathryn J, Tang An, Bashir Mustafa R, Hecht Elizabeth M, Jambhekar Kedar, Lyshchik Andrej, Rodgers Shuchi K, Heiken Jay P, Kohli Marc, Fetzer David T, Wilson Stephanie R, Kassam Zahra, Mendiratta-Lala Mishal, Singal Amit G, Lim Christopher S, Cruite Irene, Lee James, Ash Ryan, Mitchell Donald G, McInnes Matthew D F, Sirlin Claude B
Department of Diagnostic Radiology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA,
Department of Radiology, University of Toronto, ON, Canada.
J Hepatocell Carcinoma. 2019 Feb 5;6:49-69. doi: 10.2147/JHC.S186239. eCollection 2019.
The Liver Imaging Reporting and Data System (LI-RADS) is a comprehensive system for standardizing the terminology, technique, interpretation, reporting, and data collection of liver observations in individuals at high risk for hepatocellular carcinoma (HCC). LI-RADS is supported and endorsed by the American College of Radiology (ACR). Upon its initial release in 2011, LI-RADS applied only to liver observations identified at CT or MRI. It has since been refined and expanded over multiple updates to now also address ultrasound-based surveillance, contrast-enhanced ultrasound for HCC diagnosis, and CT/MRI for assessing treatment response after locoregional therapy. The LI-RADS 2018 version was integrated into the HCC diagnosis, staging, and management practice guidance of the American Association for the Study of Liver Diseases (AASLD). This article reviews the major LI-RADS updates since its 2011 inception and provides an overview of the currently published LI-RADS algorithms.
肝脏影像报告和数据系统（LI-RADS）是一个全面的系统，用于规范肝细胞癌（HCC）高危个体肝脏观察的术语、技术、解读、报告和数据收集。LI-RADS得到了美国放射学会（ACR）的支持和认可。2011年首次发布时，LI-RADS仅适用于CT或MRI检查发现的肝脏观察结果。此后，经过多次更新，它不断完善和扩展，如今还涵盖基于超声的监测、用于HCC诊断的超声造影以及用于评估局部区域治疗后治疗反应的CT/MRI。2018版LI-RADS已纳入美国肝病研究协会（AASLD）的HCC诊断、分期和管理实践指南。本文回顾了LI-RADS自2011年创立以来的主要更新内容，并概述了目前已发布的LI-RADS算法。
